Disparities in obesity rates: Analysis by ZIP code area

被引:111
作者
Drewnowski, Adam [1 ]
Rehm, Colin D. [1 ]
Solet, David [2 ]
机构
[1] Univ Washington, Seattle, WA 98195 USA
[2] Publ Hlth Seattle & King Cty, Seattle, WA 98195 USA
关键词
obesity; disparities; socioeconomic status; wealth; USA; ZIP code area;
D O I
10.1016/j.socscimed.2007.07.001
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Obesity in the United States has been linked to individual income and education. Less is known about its geographic distribution. The goal of this study was to determine whether obesity rates in King County, Washington State, at the ZIP code scale were associated with area-based measures of socioeconomic status and wealth. Data from the Behavioral Risk Factor Surveillance System were analyzed. At the ZIP code scale, crude obesity rates varied six-fold. In a model adjusting for covariates and spatial dependence, property values were the strongest predictor of the area-based smoothed obesity prevalence. Geocoding of health data provides new insights into the nature of social determinants of health. Disparities in obesity rates by ZIP code area were greater than disparities associated with individual income or race/ethnicity. (C) 2007 Elsevier Ltd. All rights reserved.
引用
收藏
页码:2458 / 2463
页数:6
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