Race Differentials in Obesity: The Impact of Place

Jarron M. Saint Onge · Richard G. Rogers · Justin T. Denney

183 citations0/0 files storedJournal of Health and Social Behavior

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Health disparities and outcomes Urban, Neighborhood, and Segregation Studies Obesity, Physical Activity, Diet

Abstract

This article reveals race differentials in obesity as both an individual- and neighborhood-level phenomena. Using neighborhood-level data from the 1990-1994 National Health Interview Survey, we find that neighborhoods characterized by high proportions of black residents have a greater prevalence of obesity than areas in which the majority of the residents are white. Using individual-level data, we also find that residents of neighborhoods in which at least one-quarter of the residents are black face a 13 percent increase in the odds of being obese compared to residents of other communities. The association between neighborhood racial composition and obesity is completely attenuated after including statistical controls for the poverty rate and obesity prevalence of respondents' neighborhoods. These findings support the underlying assumptions of both institutional and social models of neighborhood effects.

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References

1997Neighborhoods and Violent Crime: A Multilevel Study of Collective Efficacy 1993American Apartheid: Segregation and the Making of the Underclass.1986Health: United States 2002Place effects on health: how can we conceptualise, operationalise and measure them?2003Neighborhood-Based Differences in Physical Activity: An Environment Scale Evaluation 2002Environmental factors associated with adults' participation in physical activity A review 1995US Socioeconomic and Racial Differences in Health: Patterns and Explanations 2001Neighborhood Disadvantage, Disorder, and Health

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