Adult BMI and Access to Built Environment Resources in a High-Poverty, Urban Geography. Tung, E. L., Peek, M. E., Makelarski, J. A., Escamilla, V., & Lindau, S. T. American journal of preventive medicine, 51:e119–e127, November, 2016.
doi  abstract   bibtex   
The purpose of this study is to examine the relationship between BMI and access to built environment resources in a high-poverty, urban geography. Participants (aged ≥35 years) were surveyed between November 2012 and July 2013 to examine access to common health-enabling resources (grocers, outpatient providers, pharmacies, places of worship, and physical activity resources). Survey data were linked to a contemporaneous census of built resources. Associations between BMI and access to resources (potential and realized) were examined using independent t-tests and multiple linear regression. Data analysis was conducted in 2014-2015. Median age was 53.8 years (N=267, 62% cooperation rate). Obesity (BMI ≥30) prevalence was 54.9%. BMI was not associated with potential access to resources located nearest to home. Nearly all participants (98.1%) bypassed at least one nearby resource type; half bypassed nearby grocers (realized access >1 mile from home). Bypassing grocers was associated with a higher BMI (p=0.03). Each additional mile traveled from home to a grocer was associated with a 0.9-higher BMI (95% CI=0.4, 1.3). Quality and affordability were common reasons for bypassing resources. Despite potential access to grocers in a high-poverty, urban region, half of participants bypassed nearby grocers to access food. Bypassing grocers was associated with a higher BMI.
@Article{Tung2016,
  author          = {Tung, Elizabeth L. and Peek, Monica E. and Makelarski, Jennifer A. and Escamilla, Veronica and Lindau, Stacy T.},
  journal         = {American journal of preventive medicine},
  title           = {Adult BMI and Access to Built Environment Resources in a High-Poverty, Urban Geography.},
  year            = {2016},
  issn            = {1873-2607},
  month           = nov,
  pages           = {e119--e127},
  volume          = {51},
  abstract        = {The purpose of this study is to examine the relationship between BMI and access to built environment resources in a high-poverty, urban geography. Participants (aged ≥35 years) were surveyed between November 2012 and July 2013 to examine access to common health-enabling resources (grocers, outpatient providers, pharmacies, places of worship, and physical activity resources). Survey data were linked to a contemporaneous census of built resources. Associations between BMI and access to resources (potential and realized) were examined using independent t-tests and multiple linear regression. Data analysis was conducted in 2014-2015. Median age was 53.8 years (N=267, 62% cooperation rate). Obesity (BMI ≥30) prevalence was 54.9%. BMI was not associated with potential access to resources located nearest to home. Nearly all participants (98.1%) bypassed at least one nearby resource type; half bypassed nearby grocers (realized access >1 mile from home). Bypassing grocers was associated with a higher BMI (p=0.03). Each additional mile traveled from home to a grocer was associated with a 0.9-higher BMI (95% CI=0.4, 1.3). Quality and affordability were common reasons for bypassing resources. Despite potential access to grocers in a high-poverty, urban region, half of participants bypassed nearby grocers to access food. Bypassing grocers was associated with a higher BMI.},
  citation-subset = {IM},
  completed       = {2018-01-16},
  country         = {Netherlands},
  doi             = {10.1016/j.amepre.2016.04.019},
  issn-linking    = {0749-3797},
  issue           = {5},
  keywords        = {Adult; Body Mass Index; Cities, statistics & numerical data; Female; Humans; Male; Middle Aged; Poverty; Residence Characteristics; Urban Population, statistics & numerical data},
  mid             = {NIHMS785085},
  nlm-id          = {8704773},
  owner           = {NLM},
  pii             = {S0749-3797(16)30128-3},
  pmc             = {PMC5067168},
  pmid            = {27288290},
  pubmodel        = {Print-Electronic},
  pubstate        = {ppublish},
  revised         = {2018-12-02},
}

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