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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