The built environment and childhood obesity in Durham, North Carolina.

Clinical Pediatrics
Marie Lynn MirandaAlex R Kemper

Abstract

The relationship between childhood obesity and aspects of the built environment characterizing neighborhood social context is understudied. This study evaluates the association between 7 built environment domains and childhood obesity in Durham, North Carolina. Measures of housing damage, property disorder, vacancy, nuisances, and territoriality were constructed using data from a 2008 community assessment. Renter-occupied housing and crime measures were developed from public databases. The authors linked these measures to 2008-2009 Duke University Medical Center pediatric preventive care visits. Age- and sex-specific body mass index percentiles were used to classify children as normal weight (>5th and ≤85th percentile), overweight (>85th and ≤95th percentile), or obese (>95th percentile). Ordinal logistic regression models with cluster-corrected standard errors evaluated the association between weight status and the built environment. Adjusting for child-level socioeconomic characteristics, nuisances and crime were associated with childhood overweight/obesity (P < .05). Built environment characteristics appear important to childhood weight status in Durham, North Carolina.

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Citations

Mar 24, 2016·International Journal of Health Geographics·Tobia Lakes, Katrin Burkart
Apr 29, 2016·International Journal of Health Geographics·Julie StromingerMarie Lynn Miranda
Sep 22, 2016·Journal of Exposure Science & Environmental Epidemiology·Jaime E MirowskyLucas Neas
Sep 28, 2017·Journal of Exposure Science & Environmental Epidemiology·Kim LichtveldNicolle S Tulve
Mar 27, 2018·Journal of the American Heart Association·Elizabeth L TungStacy Tessler Lindau
Jan 21, 2019·Journal of Epidemiology and Community Health·Mercedes A BravoMarie Lynn Miranda
Apr 1, 2014·Epidemiology·Rebecca AnthopolosMarie Lynn Miranda

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