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Perceptions Of Neighborhood Environment And Prevalent Obesity- Insights From The Dallas Heart Study | 6389
ISSN: 2165-7904
Journal of Obesity & Weight Loss Therapy
Open Access
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Although psychosocial stress can result in adverse health outcomes, little is known about how perceptions of neighborhood
conditions, a measure of environment-derived stress, may impact obesity. We examined the association between perceptions
of neighborhood environment and obesity [body mass index (BMI) ≥ 30 kg/m
2
] among 5907 participants in the Dallas Heart
Study, a multi-ethnic, probability-based sample of Dallas County residents. Participants were asked to respond to 18 questions
about neighborhood perceptions. Using factor analysis, we identified three factors associated with neighborhood perceptions:
neighborhood violence, physical environment, and social cohesion. Logistic regression analyses were performed to determine
the relationship between each factor (higher quintile = more unfavorable perceptions) and the odds of obesity. Decreasing
age, income, and education associated with unfavorable overall neighborhood perceptions and unfavorable perceptions about
specific neighborhood factors (p trend <0.05 for all). Increasing BMI was associated with unfavorable perceptions about physical
environment (p trend <0.05), but not violence or social cohesion. After adjustment for race, age, sex, income, education, and
length of residence, physical environment perception score in the highest quintile remained associated with a 25% greater odds
of obesity [OR 1.25,(95% CI 1.03-1.50)]. Predictors of obesity related to environmental perceptions included heavy traffic [OR
1.39,(1.17-1.64)], trash/litter in neighborhood[OR 1.27,(1.01-1.46)], lack of recreational areas[OR 1.21,(1.01-1.46)], and lack
of sidewalks[OR 1.25,(95% CI 1.04-1.51)]. Thus, unfavorable perceptions of environmental physical conditions are related to
prevalent obesity. Efforts to improve the physical characteristics of neighborhoods, or perceptions of those characteristics, may
assist in the prevention of obesity in this community.
Biography
Tiffany M. Powell-Wiley is an assistant clinical investigator in the Applied Research Program of the National Cancer Institute and in the Cardiovascular
and Pulmonary Branch of the National Heart, Lung, and Blood Institute at the National Institutes of Health. Her research focuses on defining
and intervening on social determinants that promote obesity. Dr. Powell-Wiley graduated from University of Michigan, Duke University School of
Medicine, and University of North Carolina School of Public Health. Prior to joining NIH, Dr. Powell-Wiley completed internal medicine residency at
Brigham and Women?s Hospital and cardiology fellowship at the University of Texas Southwestern Medical Center.
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