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Published on: February 2, 2017
Neighborhood Racial Composition, Socioeconomic Status, and Obesity Among Older Black Adults
Corina Mills1,2,3, Ángela Gutiérrez4, Roland J Thorpe1
1Program for Research on Men's Health, Johns Hopkins Center for Health Disparities Solutions, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA.
None:
ObjectivesObesity is common among older Black adults, but its underlying drivers, such as neighborhood racial composition (NRC), remain understudied. This study examined the association between NRC and obesity among older Black adults, evaluating the role of individual-level socioeconomic status (SES).MethodsData from the Nashville Stress and Health Study was linked to five-year estimates from the American Community Survey. Obesity was defined as body mass index ≥30 kg/m2. NRC was measured with the Index of Concentration at the Extremes.ResultsAfter adjusting for demographic characteristics and health behaviors, older Black adults living in more Black-concentrated neighborhoods had lower obesity prevalence (PR = 0.76, 95% CI: 0.63-0.93) compared to those in more White-concentrated neighborhoods. However, after controlling for individual-SES this association was not significant (PR = 0.82, 95% CI: 0.65-1.04).ConclusionIndividual-SES may account for the relationship between NRC and obesity among older Black adults.
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