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Amin Etemadifar 1 Article
Multilevel Analysis of Socio-Demographic Disparities in Adulthood Obesity Across the United States Geographic Regions
Baksun Sung, Amin Etemadifar
Osong Public Health Res Perspect. 2019;10(3):137-144.   Published online June 30, 2019
DOI: https://doi.org/10.24171/j.phrp.2019.10.3.04
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  • 3 Citations
AbstractAbstract PDF
Objectives

The objective of this study was to examine the socio-demographic disparities in obesity among US adults across 130 metropolitan and micropolitan statistical areas.

Methods

This study used data from the 2015 Behavioral Risk Factor Surveillance System and Selected Metropolitan/Micropolitan Area Risk Trend of 159,827 US adults aged 18 years and older. Data were analyzed using the multilevel linear regression models.

Results

According to individual level analyses, socio-demographic disparities in obesity exist in the United States. Individuals with low socioeconomic status were associated with a higher body mass index. The participants from the Midwest United States tend to have higher body mass index than those who from the South. According to metropolitan and micropolitan statistical area level analyses, secondly, there were significant differences in obesity status between different areas and the relation of obesity with 5 socio-demographic factors varied across different areas. According to geospatial mapping analyses, even though obesity status by metropolitan and micropolitan statistical area level has improved overtime, differences in body mass index between United States regions are increasing from 2007 to 2015.

Conclusion

Socio-demographic and regional disparities in obesity status persist among US adults. Hence, these findings underscore the need to take socio-environmental factors into account when planning obesity prevention on vulnerable populations and areas.

Citations

Citations to this article as recorded by  
  • Supplemental Nutrition Assistance Program (SNAP)-Authorized Grocery, Convenience, Dollar, and Restaurant or Delivery Service Settings Are Associated With Increased Obesity Prevalence in Virginia
    Bailey Houghtaling, David Kniola, Sarah Misyak
    American Journal of Health Promotion.2021; 35(1): 127.     CrossRef
  • The effects of the built environment on the general health, physical activity and obesity of adults in Queensland, Australia
    Siqin Wang, Yan Liu, Jack Lam, Mei-Po Kwan
    Spatial and Spatio-temporal Epidemiology.2021; 39: 100456.     CrossRef
  • Exposure to air pollutants and the gut microbiota: a potential link between exposure, obesity, and type 2 diabetes
    Maximillian J. Bailey, Noopur N. Naik, Laura E. Wild, William B. Patterson, Tanya L. Alderete
    Gut Microbes.2020; 11(5): 1188.     CrossRef

PHRP : Osong Public Health and Research Perspectives