Neighborhood-Level Socioeconomic Deprivation Predicts Weight Gain in a Multi-Ethnic Population: Longitudinal Data from the Dallas Heart Study

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This article examines the relationship between neighborhood-level socioeconomic deprivation and weight change in a multi-ethnic cohort from Dallas County, Texas, and whether behavioral/psychosocial factors attenuate the relationship.

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15 p.

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Powell-Wiley, Tiffany M.; Ayers, Colby; Agyemang, Priscilla; Leonard, Tammy; Berrigan, David; Ballard Barbash, Rachel et al. May 27, 2014.

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This article examines the relationship between neighborhood-level socioeconomic deprivation and weight change in a multi-ethnic cohort from Dallas County, Texas, and whether behavioral/psychosocial factors attenuate the relationship.

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15 p.

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Abstract
Objective
The aim of this study is to examine a relationship between neighborhood-level socioeconomic deprivation and weight change in a multi-ethnic cohort from Dallas County, Texas and whether behavioral/psychosocial factors attenuate the relationship.
Methods
Non-movers (those in the same neighborhood throughout the study period) aged 18–65 (N = 939) in Dallas Heart Study (DHS) underwent weight measurements between 2000 and 2009 (median 7-year follow-up). Geocoded home addresses defined block groups; a neighborhood deprivation index (NDI) was created (higher NDI = greater deprivation). Multi-level modeling determined weight change relative to NDI. Model fit improvement was examined with adding physical activity and neighborhood environment perceptions (higher score = more unfavorable perceptions) as covariates. A significant interaction between residence length and NDI was found (p-interaction = 0.04); results were stratified by median residence length (11 years).
Results
Adjusting for age, sex, race/ethnicity, smoking, and education/income, those who lived in neighborhood > 11 years gained 1.0 kg per one-unit increment of NDI (p = 0.03), or 6 kg for those in highest NDI tertile compared with those in the lowest tertile. Physical activity improved model fit; NDI remained associated with weight gain after adjustment for physical activity and neighborhood environment perceptions. There was no significant relationship between NDI and weight change for those in their neighborhood ≤ 11 years.
Conclusions
Living in more socioeconomically deprived neighborhoods over a longer time period was associated with weight gain in DHS.

This is the accepted manuscript version of the article. The final definitive version is available here: https://doi.org/10.1016/j.ypmed.2014.05.011

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  • Preventive Medicine, 2014. New York: Elsevier Science Ltd.

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  • Publication Title: Preventive Medicine
  • Volume: 66
  • Pages: 22-27
  • Peer Reviewed: Yes

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  • May 27, 2014

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  • Sept. 29, 2017, 9:53 a.m.

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Powell-Wiley, Tiffany M.; Ayers, Colby; Agyemang, Priscilla; Leonard, Tammy; Berrigan, David; Ballard Barbash, Rachel et al. Neighborhood-Level Socioeconomic Deprivation Predicts Weight Gain in a Multi-Ethnic Population: Longitudinal Data from the Dallas Heart Study, article, May 27, 2014; New York, New York. (digital.library.unt.edu/ark:/67531/metadc993945/: accessed July 18, 2018), University of North Texas Libraries, Digital Library, digital.library.unt.edu; crediting UNT College of Arts and Sciences.