Association of Long-Term Trajectories of Neighborhood Socioeconomic Status With Weight Change in Older Adults

Zhang, Dong; Bauer, Cici; Powell‐Wiley, Tiffany M.; Xiao, Qian

doi:10.1001/jamanetworkopen.2020.36809

Cited by 9 publications

(19 citation statements)

References 25 publications

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“…This finding is consistent with the life course theory, which suggests that accumulation of exposure to neighbourhood deprivation at different life stages may be harmful for SPH [4]. The results of this study support the existing evidence suggesting an association between long-term NDTs and poor health outcomes [2,19,24,[40][41][42]. Using NDTs, Letarte et al found that women exposed to disadvantaged trajectories (Deprived Upward, Average Downward, or Deprived Trajectory) had higher odds of living with obesity than those exposed to the Privileged trajectory [24].…”

Section: Key Resultssupporting

confidence: 91%

“…Using NDTs, Letarte et al found that women exposed to disadvantaged trajectories (Deprived Upward, Average Downward, or Deprived Trajectory) had higher odds of living with obesity than those exposed to the Privileged trajectory [24]. Additionally, studies using similar NDTs found that neighbourhood deprivation was associated with diabetes [7], psychological distress [19], weight gain [40,43] and intimate partner violence [41]. Using trajectories of exposure to high-poverty neighbourhoods, Yang and South found that neighbourhood poverty trajectories were a stronger predictor of self-rated health around age 40 [23].…”

Section: Key Resultsmentioning

confidence: 99%

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Association between Neighbourhood Deprivation Trajectories and Self-Perceived Health: Analysis of a Linked Survey and Health Administrative Data

Samadoulougou

Letarte

Lebel³

2022

IJERPH

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Life course exposure to neighbourhood deprivation may have a previously unstudied relationship with health disparities. This study examined the association between neighbourhood deprivation trajectories (NDTs) and poor reported self-perceived health (SPH) among Quebec’s adult population. Data of 45,990 adults with complete residential address histories from the Care-Trajectories-Enriched Data cohort, which links Canadian Community Health Survey respondents to health administrative data, were used. Accordingly, participants were categorised into nine NDTs (T1 (Privileged Stable)–T9 (Deprived Stable)). Using multivariate logistic regression, the association between trajectory groups and poor SPH was estimated. Of the participants, 10.3% (95% confidence interval [CI]: 9.9–10.8) had poor SPH status. This proportion varied considerably across NDTs: From 6.4% (95% CI: 5.7–7.2) for Privileged Stable (most advantaged) to 16.4% (95% CI: 15.0–17.8) for Deprived Stable (most disadvantaged) trajectories. After adjustment, the likelihood of reporting poor SPH was significantly higher among participants assigned to a Deprived Upward (odds ratio [OR]: 1.77; 95% CI: 1.48–2.12), Average Downward (OR: 1.75; CI: 1.08–2.84) or Deprived trajectory (OR: 1.81; CI: 1.45–2.86), compared to the Privileged trajectory. Long-term exposure to neighbourhood deprivation may be a risk factor for poor SPH. Thus, NDT measures should be considered when selecting a target population for public-health-related interventions.

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Section: Key Resultssupporting

confidence: 91%

Section: Key Resultsmentioning

confidence: 99%

Association between Neighbourhood Deprivation Trajectories and Self-Perceived Health: Analysis of a Linked Survey and Health Administrative Data

Samadoulougou

Letarte

Lebel³

2022

IJERPH

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“…Research in the social epidemiology of oral health has quantified the contribution of various sociopolitical, social, and health system factors to a range of dental conditions [50]. Such factors include the influence of exposures within the community where one lives [29,[65][66][67], e.g., prevalent low levels of education. Since a combination of community and individual effects is possible [65], some researchers argue that health may be affected by unhealthy lifestyles and behaviors as well as access to poor quality services [68].…”

Section: Discussionmentioning

confidence: 99%

Self-Reported Dental Caries by Mexican Elementary and Middle-School Schoolchildren in the Context of Socioeconomic Indicators: A National Ecological Study

Casanova-Rosado

Minaya-Sánchez

et al. 2021

Children

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The objective of the present research was to quantify the association between dental caries self-report and socioeconomic indicators in Mexican children. An ecological study included a self-report of dental caries in schoolchildren enrolled in public elementary and middle schools derived from the National School Health Survey. A total of 73,560 schoolchildren (representing 19,745,366 students) aged 5 to 16 years were included. Socioeconomic variables included were scales depicting physical characteristics of housing, purchasing power, etc. used in national surveys in Mexico to measure deprivation, poverty, and income inequality in official data. Data were analyzed in Stata using Spearman’s correlation test. For the most part, no association (p > 0.05) was found between caries self-report, socioeconomic variables, or the Gini index. However, caries self-report in elementary schoolchildren and total (elementary + middle-school) schoolchildren groups was positively correlated (p < 0.05) with two poverty variables: extreme poverty by income (value of personal food purchases per month) and poverty by income (value of personal food and non-food purchases per month). National data for dental caries self-report were associated—at the ecological level—with a few socioeconomic indicators but not with most of the usual and customary indicators used in national surveys in Mexico.

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“…4 However, a recent scoping review 2 of longitudinal studies found that few studies examined neighborhood change and weight outcomes, suggesting a need for more investigations. Some previous studies, [5][6][7][8] although not all, 9,10 have found that neighborhood decline in SES was associated with obesity and excessive weight gain and loss, whereas improvement in neighborhood SES was associated with more favorable weight outcomes. A limitation of these earlier studies [5][6][7][8][9][10] was the use of simplistic measures (eg, differences in poverty rates or a composite neighborhood SES index between 2 time points), which did not distinguish among specific types of neighborhood change.…”

Section: Introductionmentioning

confidence: 94%

“…15 The lack of association between neighborhood change and weight loss in the study sample may be explained by the relatively young ages of participants in the SCCS compared with other cohorts in which significant results were reported. 3,6 The population of our study was also distinct because most participants were recruited from low-income communities, which have been underexamined in previous research.…”

Section: Strengths and Limitationsmentioning

confidence: 99%

Association of Neighborhood Economic Trajectories With Changes in Weight Status Among Black and White Adults in the Southeastern US

et al. 2022

Self Cite

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IMPORTANCE Neighborhood environment is an important factor associated with population disparities in obesity. However, few studies have examined whether and in what ways long-term trajectories of neighborhood conditions may be associated with weight outcomes. Moreover, there is a lack of research focusing on multidimensional and nuanced measures that make distinctions between multiple types of neighborhood change (eg, gentrification vs overall growth). OBJECTIVETo examine the association between long-term neighborhood economic trajectories and changes in weight status among Black and White adults residing in predominantly low-income communities in the southeastern US. DESIGN, SETTING, AND PARTICIPANTS This study was a longitudinal analysis of participants in the Southern Community Cohort Study. Five types of neighborhood economic trajectories (stability, growth, displacement, abandonment, and poverty concentration) were measured using data from the US Census and the American Community Survey from 2000 to 2016. Data were analyzed from December 12, 2021, to July 16, 2022. A total of 33 621 Black and White adults in the southeastern US were included in the analytic sample. EXPOSURE Neighborhood economic trajectory. MAIN OUTCOMES AND MEASURES Substantial weight gain and substantial weight loss (ie, gaining or losing Ն10% of baseline weight) between baseline (March 2002 to September 2009) and follow-up (November 2008 to January 2013) periods were assessed using self-reported information.RESULTS Among 33 621 participants, the mean (SD) age was 53.4 (8.8) years; 22 116 participants (65.8%) were women, 21 782 (64.8%) were Black, and 11 839 (35.2%) were White. Compared with residents in neighborhoods with stable trajectories, those in neighborhoods with growth trajectories that did not displace original residents were less likely to experience substantial weight gain (odds ratio [OR], 0.75; 95% CI, 0.58-0.97), whereas those in neighborhoods with poverty concentration trajectories were more likely to experience substantial weight gain (OR, 1.08; 95% CI, 1.00-1.17).These patterns appeared stronger among Black participants (eg, substantial weight gain in poverty concentration group: OR, 1.10 [95% CI, 1.00-1.22]; in growth group: OR, 0.76 [95% CI, 0.56-1.02]) compared with White participants (eg, substantial weight gain in poverty concentration group: OR, 1.03 [95% CI, 0.90-1.18]; in growth group: OR, 0.84 [95% CI, 0.52-1.36]). Differences in patterns were also observed among men (eg, substantial weight gain in poverty concentration group: OR, 1.02 [95% CI, 0.88-1.17]; in growth group: OR, 0.58 [95% CI, 0.35-0.96]) compared with women (eg, substantial weight gain in poverty concentration group: OR, 1.12 [95% CI, 1.02-1.23]; in growth group: OR, 0.83 [95% CI, 0.62-1.12]). However, none of the interaction terms between Black vs White participants and men vs women were statistically significant. Neighborhood trajectory was not associated with substantial weight loss (poverty concentration group: OR, 1.00 [95% CI, 0.93-1.09]; (co...

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Association of Long-Term Trajectories of Neighborhood Socioeconomic Status With Weight Change in Older Adults

Cited by 9 publications

References 25 publications

Association between Neighbourhood Deprivation Trajectories and Self-Perceived Health: Analysis of a Linked Survey and Health Administrative Data

Association between Neighbourhood Deprivation Trajectories and Self-Perceived Health: Analysis of a Linked Survey and Health Administrative Data

Self-Reported Dental Caries by Mexican Elementary and Middle-School Schoolchildren in the Context of Socioeconomic Indicators: A National Ecological Study

Association of Neighborhood Economic Trajectories With Changes in Weight Status Among Black and White Adults in the Southeastern US

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