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Research Product Types: Journal Article

peer-reviewed article in academic journal

A Cross-Sectional Analysis of Physical Activity and Weight Misreporting in Diverse Populations: The Seattle Obesity Study III

Buszkiewicz, James; Rose, Chelsea; Gupta, Shilpi; Ko, Linda K.; Mou, Jin; Moudon, Anne, V; Hurvitz, Philip M.; Cook, Andrea; Aggarwal, Anju; Drewnowski, Adam. (2020). A Cross-Sectional Analysis of Physical Activity and Weight Misreporting in Diverse Populations: The Seattle Obesity Study III. Obesity Science & Practice, 6(6), 615 – 627.

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Abstract

Background: In-person assessments of physical activity (PA) and body weight can be burdensome for participants and cost prohibitive for researchers. This study examined self-reported PA and weight accuracy and identified patterns of misreporting in a diverse sample. Methods: King, Pierce and Yakima county residents, aged 21-59 years (n= 728), self-reported their moderate-to-vigorous PA (MVPA) and weight, in kilograms. Self-reports were compared with minutes of bout-level MVPA, from 3 days of accelerometer data, and measured weights. Regression models examined characteristics associated with underreporting and overreporting of MVPA and weight, the potential bias introduced using each measure and the relation between perceived and measured PA and weight. Results: MVPA underreporting was higher among males and college educated participants; however, there was no differential MVPA overreporting. Weight underreporting was higher among males, those age 40-49 years and persons with obesity. Weight overreporting was higher among Hispanic participants and those reporting stress, unhappiness and fair or poor health. The estimated PA-obesity relation was similar using measured and self-reported PA but not self-reported weight. Perceived PA and weight predicted measured values. Conclusion: Self-reported PA and weight may be useful should objective measurement be infeasible; however, though population-specific adjustment for differential reporting should be considered.

Keywords

Self-reported Weight; Sedentary Behavior; Validation; Accuracy; Height; Adults; Health Disparity; Obesity; Physical Activity; Self-reported Outcomes

Impact of a Sweetened Beverage Tax on Beverage Prices in Seattle, WA

Jones-Smith, Jessica C.; Walkinshaw, Lina Pinero; Oddo, Vanessa M.; Knox, Melissa; Neuhouser, Marian L.; Hurvitz, Philip M.; Saelens, Brian E.; Chan, Nadine. (2020). Impact of a Sweetened Beverage Tax on Beverage Prices in Seattle, WA. Economics & Human Biology, 39.

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Abstract

Seattle's Sweetened Beverage Tax is an excise tax of 1.75 cents per ounce on sugar-sweetened beverages and is one of the highest beverage taxes in the U.S. This study examined the impact of Seattle's tax on the prices of beverages. We conducted audits of 407 retail food stores and eating places (quick service restaurants and coffee shops) before and 6 months after the tax was implemented in Seattle and in a comparison area. Ordinary least squares difference-in-differences models with store fixed effects were used to estimate the effect of the tax on prices, stratified by beverage type and store type. In secondary analyses, we assessed the effect of the tax on the price of non-taxed beverages and foods. Results from the adjusted difference-in-differences models indicated the tax was associated with an average increase of 1.58 cents per ounce among Seattle retailers, representing 90 % of the price of the tax. By store type, price increases were highest in smaller grocery stores and drug stores. By beverage type, price increases were highest for energy beverages and soda and lowest for bottled coffee and juice drinks. Prices of some nontaxed beverages also increased while the prices of select healthy foods generally did not. The sweetened beverage tax in Seattle is higher than beverage taxes in most other cities, and nearly the full cost of the tax is being passed through to consumers for many beverage types and stores types. (c) 2020 Published by Elsevier B.V.

Keywords

Soda Taxes; Food Policy; Health Policy; Beverage Taxes; Obesity

Case Study to Evaluate Work-Zone Safety Technologies in Highway Construction

Nnaji, Chukwuma; Karakhan, Ali A.; Gambatese, John; Lee, Hyun Woo. (2020). Case Study to Evaluate Work-Zone Safety Technologies in Highway Construction. Practice Periodical On Structural Design And Construction, 25(3).

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Abstract

The construction industry is known for its conservative approach toward adopting new, emerging technologies. This conservative approach for adopting technology is caused by multiple factors including the lack of adequate resources to guide construction practitioners in the process of evaluating whether a construction firm should adopt a certain technology or not. Previous studies have already proposed rigorous protocols for evaluating work-zone technologies, but the implementation of such protocols is still unclear to many construction practitioners. The objective of this study is to provide a case study example of how evaluation protocols can be used in practice to determine whether a firm should adopt a certain work-zone technology. The case study focused on assessing the usefulness of commercially available work-zone intrusion alert technologies (WZIATs). The results of the evaluation revealed that some WZIATs could be more attractive to construction organizations and agencies in terms of providing louder alarms, being more mobile, and allowing a higher transmission range. The case study example discussed in this study is expected to provide invaluable practical information to practitioners in the construction industry interested in evaluating and adopting emerging technologies.

Keywords

Construction Industry; Mobile Radio; Occupational Safety; Road Building; Road Safety; Highway Construction; Conservative Approach; Construction Practitioners; Construction Firm; Rigorous Protocols; Work-zone Technology; Case Study Example; Evaluation Protocols; Commercially Available Work-zone Intrusion Alert Technologies; Construction Organizations; Evaluate Work-zone Safety Technologies; Speed; Signs; Work Zone; Safety Technology; Intrusion Alert; Evaluation Protocol

The 2019 Conference on Health and Active Transportation: Research Needs and Opportunities

Berrigan, David; Dannenberg, Andrew L.; Lee, Michelle; Rodgers, Kelly; Wojcik, Janet R.; Wali, Behram; Tribby, Calvin P.; Buehler, Ralph; Sallis, James F.; Roberts, Jennifer D.; Steedly, Ann; Peng, Binbin; Eisenberg, Yochai; Rodriguez, Daniel A. (2021). The 2019 Conference on Health and Active Transportation: Research Needs and Opportunities. International Journal Of Environmental Research And Public Health, 18(22).

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Abstract

Active transportation (AT) is widely viewed as an important target for increasing participation in aerobic physical activity and improving health, while simultaneously addressing pollution and climate change through reductions in motor vehicular emissions. In recent years, progress in increasing AT has stalled in some countries and, furthermore, the coronavirus (COVID-19) pandemic has created new AT opportunities while also exposing the barriers and health inequities related to AT for some populations. This paper describes the results of the December 2019 Conference on Health and Active Transportation (CHAT) which brought together leaders from the transportation and health disciplines. Attendees charted a course for the future around three themes: Reflecting on Innovative Practices, Building Strategic Institutional Relationships, and Identifying Research Needs and Opportunities. This paper focuses on conclusions of the Research Needs and Opportunities theme. We present a conceptual model derived from the conference sessions that considers how economic and systems analysis, evaluation of emerging technologies and policies, efforts to address inclusivity, disparities and equity along with renewed attention to messaging and communication could contribute to overcoming barriers to development and use of AT infrastructure. Specific research gaps concerning these themes are presented. We further discuss the relevance of these themes considering the pandemic. Renewed efforts at research, dissemination and implementation are needed to achieve the potential health and environmental benefits of AT and to preserve positive changes associated with the pandemic while mitigating negative ones.

Keywords

Improving Arterial Roads; Physical-activity; Cost-effectiveness; Built Environment; Autonomous Vehicles; Walking; Behavior; Impact; Active Transportation; Covid-19; Climate Change; Physical Activity; Public Health; Pandemics; Public Transportation; Collaboration; Transportation; Economic Models; Environmental Impact; Outdoor Air Quality; Vehicle Emissions; Coronaviruses; Hispanic Americans; Fatalities; Systems Analysis; African Americans; Infrastructure; Medical Research; Committees; Land Use; Economic Analysis; New Technology; United States--us

Association of Neighborhood Physical Activity Opportunities with Incident Cardiovascular Disease in the Cardiovascular Health Study

Garg, Parveen K.; Platt, Jonathan M.; Hirsch, Jana A.; Hurvitz, Philip; Rundle, Andrew; Biggs, Mary Lou; Psaty, Bruce M.; Moore, Kari; Lovasi, Gina S. (2021). Association of Neighborhood Physical Activity Opportunities with Incident Cardiovascular Disease in the Cardiovascular Health Study. Health & Place, 70.

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Abstract

We determined associations of cumulative exposures to neighborhood physical activity opportunities with risk of incident cardiovascular disease (CVD). We included 3595 participants from the Cardiovascular Health Study recruited between 1989 and 1993 (mean age = 73; 60% women; 11% black). Neighborhood environment measures were calculated using Geographic Information Systems (GIS) and annual information from the National Establishment Time Series database, including the density of (1) walking destinations and (2) physical activity/ recreational facilities in a 1- and 5-km radius around the respondent's home. Incident CVD was defined as the development of myocardial infarction, stroke, or cardiovascular death and associations with time to incident CVD were estimated using Cox proportional hazards models. A total of 1986 incident CVD cases occurred over a median follow-up of 11.2 years. After adjusting for baseline and time-varying individual and neighborhood-level confounding, a one standard deviation increase in walking destinations and physical activity/recreational facilities within 5 km of home was associated with a respective 7% (95% confidence interval (CI) = 0.87-0.99) and 12% (95% CI = 0.73-1.0) decreased risk of incident CVD. No significant associations were noted within a 1-km radius. Efforts to improve the availability of physical activity resources in neighborhoods may be an important strategy for lowering CVD.

Keywords

Cardiovascular Diseases; Physical Activity; Proportional Hazards Models; Geographic Information Systems; Recreation Centers; Built Environment; Cardiovascular Disease; Coronary-heart-disease; Census Tract Data; Older-adults; Longitudinal Associations; Risk; Resources; Time; Atherosclerosis; Survival

Climate Change Impacts and Workforce Development Needs in Federal Region X: A Qualitative Study of Occupational Health and Safety Professionals’ Perceptions

Pedersen, Katherine M.; Busch Isaksen, Tania M.; Baker, Marissa G.; Seixas, Noah; Errett, Nicole A. (2021). Climate Change Impacts and Workforce Development Needs in Federal Region X: A Qualitative Study of Occupational Health and Safety Professionals’ Perceptions. International Journal Of Environmental Research And Public Health, 18(4).

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Abstract

Climate change is considered one of the top health threats in the United States. This research sought to (1) to understand the perceptions of occupational health and safety (OHS) professionals regarding the impacts of climate-related hazards on OHS in Region X, and (2) to explore the ideas of these OHS professionals regarding the content of future training programs that would better prepare OHS professionals to identify and mitigate climate-related hazards in Region X. Key informant (KI) interviews with 17 OHS professionals familiar with the climate-related hazards and impacts to OHS in Region X were coded and thematically analyzed. Climate hazards, social and economic impacts from climate-related hazards, and sector-specific worker and workplace impacts from climate-related hazards were described as having interacting relationships that influenced worker health and safety impacts. KIs further described how workplace controls could be used to mitigate OHS impacts of climate-related hazards, and how training of the OHS workforce could influence the ability to successfully implement such controls. Our findings suggest that OHS impacts are sector-specific, influenced by social and economic factors, and can be mitigated through workplace controls designed and implemented by a trained OHS workforce. The findings from this work should inform future educational and training programming and additional research and translation activities in the region, while our approach can inform other regions as they develop regionally specific OHS climate change training and programming.

Keywords

Heat-related Illness; Workers; Stress; Occupational Health And Safety; Climate Change; Climate-related Hazards; Pacific Northwest; Education; Training; Key Informant Interviews

Factors Affecting Material-Cart Handling in the Roofing Industry: Evidence for Administrative Controls

Zhang, Zhenyu; Lin, Ken-yu; Lin, Jia-hua. (2021). Factors Affecting Material-Cart Handling in the Roofing Industry: Evidence for Administrative Controls. International Journal Of Environmental Research And Public Health, 18(4).

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Abstract

Material-cart handling can be strenuous and lead to overexertion injuries. The aim of this study is to produce a thorough understanding of how the cart condition, tire type, physical environment-related factors, and load interact to influence the ergonomics and productivity of cart handling. Eighteen roofing carts with different conditions, tires, and loads were tested by one subject on three laboratory tracks: one L-shaped, one with ramps within constrained spaces, and one with obstacles within constrained spaces. A multiple linear regression analysis was performed to quantify the main and interaction effects of the factors of interest on the cart operations. The research findings confirm that using aged carts increases the injury risk by as much as 30.5% and decreases productivity by 35.4%. Our study also highlights the necessity of keeping an open space for cart operation; the travel distance from a cart to a ramp/obstacle should be greater than 61 cm. Finally, the results suggest the at-risk thresholds for different ramp slopes and obstacle heights, and the safe load capacities for the various working circumstances that are common on construction sites. The evidence created in this study can be translated into administrative controls for cart handling to reduce overexertion injuries and enhance performance.

Keywords

Overexertion In Pulling And Pushing; Material Cart Handling; Roof Construction; Ergonomic Risk Factors; Administrative Control

Global Urban Environmental Change Drives Adaptation in White Clover

Santangelo, James S.; Ness, Rob W.; Cohan, Beata; Fitzpatrick, Connor R.; Innes, Simon G.; Koch, Sophie; Miles, Lindsay S.; Munim, Samreen; Peres-neto, Pedro R.; Prashad, Cindy; Tong, Alex T.; Aguirre, Windsor E.; Akinwole, Philips O.; Alberti, Marina; Alvarez, Jackie; Anderson, Jill T.; Anderson, Joseph J.; Ando, Yoshino; Andrew, Nigel R.; Angeoletto, Fabio; Anstett, Daniel N.; Anstett, Julia; Aoki-goncalves, Felipe; Arietta, A. Z. Andis; Arroyo, Mary T. K.; Austen, Emily J.; Baena-diaz, Fernanda; Barker, Cory A.; Baylis, Howard A.; Beliz, Julia M.; Benitez-mora, Alfonso; Bickford, David; Biedebach, Gabriela; Blackburn, Gwylim S.; Boehm, Mannfred M. A.; Bonser, Stephen P.; Bonte, Dries; Bragger, Jesse R.; Branquinho, Cristina; Brans, Kristien, I; Bresciano, Jorge C.; Brom, Peta D.; Bucharova, Anna; Burt, Briana; Cahill, James F.; Campbell, Katelyn D.; Carlen, Elizabeth J.; Carmona, Diego; Castellanos, Maria Clara; Centenaro, Giada; Chalen, Izan; Chaves, Jaime A.; Chavez-pesqueira, Mariana; Chen, Xiao-yong; Chilton, Angela M.; Chomiak, Kristina M.; Cisneros-heredia, Diego F.; Cisse, Ibrahim K.; Classen, Aimee T.; Comerford, Mattheau S.; Fradinger, Camila Cordoba; Corney, Hannah; Crawford, Andrew J.; Crawford, Kerri M.; Dahirel, Maxime; David, Santiago; De Haan, Robert; Deacon, Nicholas J.; Dean, Clare; Del-val, Ek; Deligiannis, Eleftherios K.; Denney, Derek; Dettlaff, Margarete A.; Dileo, Michelle F.; Ding, Yuan-yuan; Dominguez-lopez, Moises E.; Dominoni, Davide M.; Draud, Savannah L.; Dyson, Karen; Ellers, Jacintha; Espinosa, Carlos, I; Essi, Liliana; Falahati-anbaran, Mohsen; Falcao, Jessica C. F.; Fargo, Hayden T.; Fellowes, Mark D. E.; Fitzpatrick, Raina M.; Flaherty, Leah E.; Flood, Padraic J.; Flores, Maria F.; Fornoni, Juan; Foster, Amy G.; Frost, Christopher J.; Fuentes, Tracy L.; Fulkerson, Justin R.; Gagnon, Edeline; Garbsch, Frauke; Garroway, Colin J.; Gerstein, Aleeza C.; Giasson, Mischa M.; Girdler, E. Binney; Gkelis, Spyros; Godsoe, William; Golemiec, Anneke M.; Golemiec, Mireille; Gonzalez-lagos, Cesar; Gorton, Amanda J.; Gotanda, Kiyoko M.; Granath, Gustaf; Greiner, Stephan; Griffiths, Joanna S.; Grilo, Filipa; Gundel, Pedro E.; Hamilton, Benjamin; Hardin, Joyce M.; He, Tianhua; Heard, Stephen B.; Henriques, Andre F.; Hernandez-poveda, Melissa; Hetherington-rauth, Molly C.; Hill, Sarah J.; Hochuli, Dieter F.; Hodgins, Kathryn A.; Hood, Glen R.; Hopkins, Gareth R.; Hovanes, Katherine A.; Howard, Ava R.; Hubbard, Sierra C.; Ibarra-cerdena, Carlos N.; Iniguez-armijos, Carlos; Jara-arancio, Paola; Jarrett, Benjamin J. M.; Jeannot, Manon; Jimenez-lobato, Vania; Johnson, Mae; Johnson, Oscar; Johnson, Philip P.; Johnson, Reagan; Josephson, Matthew P.; Jung, Meen Chel; Just, Michael G.; Kahilainen, Aapo; Kailing, Otto S.; Karinho-betancourt, Eunice; Karousou, Regina; Kirn, Lauren A.; Kirschbaum, Anna; Laine, Anna-liisa; Lamontagne, Jalene M.; Lampei, Christian; Lara, Carlos; Larson, Erica L.; Lazaro-lobo, Adrian; Le, Jennifer H.; Leandro, Deleon S.; Lee, Christopher; Lei, Yunting; Leon, Carolina A.; Tamara, Manuel E. Lequerica; Levesque, Danica C.; Liao, Wan-jin; Ljubotina, Megan; Locke, Hannah; Lockett, Martin T.; Longo, Tiffany C.; Lundholm, Jeremy T.; Macgillavry, Thomas; Mackin, Christopher R.; Mahmoud, Alex R.; Manju, Isaac A.; Marien, Janine; Martinez, D. Nayeli; Martinez-bartolome, Marina; Meineke, Emily K.; Mendoza-arroyo, Wendy; Merritt, Thomas J. S.; Merritt, Lila Elizabeth L.; Migiani, Giuditta; Minor, Emily S.; Mitchell, Nora; Bazargani, Mitra Mohammadi; Moles, Angela T.; Monk, Julia D.; Moore, Christopher M.; Morales-morales, Paula A.; Moyers, Brook T.; Munoz-rojas, Miriam; Munshi-south, Jason; Murphy, Shannon M.; Murua, Maureen M.; Neila, Melisa; Nikolaidis, Ourania; Njunji, Iva; Nosko, Peter; Nunez-farfan, Juan; Ohgushi, Takayuki; Olsen, Kenneth M.; Opedal, Oystein H.; Ornelas, Cristina; Parachnowitsch, Amy L.; Paratore, Aaron S.; Parody-merino, Angela M.; Paule, Juraj; Paulo, Octavio S.; Pena, Joao Carlos; Pfeiffer, Vera W.; Pinho, Pedro; Piot, Anthony; Porth, Ilga M.; Poulos, Nicholas; Puentes, Adriana; Qu, Jiao; Quintero-vallejo, Estela; Raciti, Steve M.; Raeymaekers, Joost A. M.; Raveala, Krista M.; Rennison, Diana J.; Ribeiro, Milton C.; Richardson, Jonathan L.; Rivas-torres, Gonzalo; Rivera, Benjamin J.; Roddy, Adam B.; Rodriguez-munoz, Erika; Roman, Jose Raul; Rossi, Laura S.; Rowntree, Jennifer K.; Ryan, Travis J.; Salinas, Santiago; Sanders, Nathan J.; Santiago-rosario, Luis Y.; Savage, Amy M.; Scheepens, J. F.; Schilthuizen, Menno; Schneider, Adam C.; Scholier, Tiffany; Scott, Jared L.; Shaheed, Summer A.; Shefferson, Richard P.; Shepard, Caralee A.; Shykoff, Jacqui A.; Silveira, Georgianna; Smith, Alexis D.; Solis-gabriel, Lizet; Soro, Antonella; Spellman, Katie, V; Whitney, Kaitlin Stack; Starke-ottich, Indra; Stephan, Jorg G.; Stephens, Jessica D.; Szulc, Justyna; Szulkin, Marta; Tack, Ayco J. M.; Tamburrino, Italo; Tate, Tayler D.; Tergemina, Emmanuel; Theodorou, Panagiotis; Thompson, Ken A.; Threlfall, Caragh G.; Tinghitella, Robin M.; Toledo-chelala, Lilibeth; Tong, Xin; Uroy, Lea; Utsumi, Shunsuke; Vandegehuchte, Martijn L.; Vanwallendael, Acer; Vidal, Paula M.; Wadgymar, Susana M.; Wang, Ai-ying; Wang, Nian; Warbrick, Montana L.; Whitney, Kenneth D.; Wiesmeier, Miriam; Wiles, J. Tristian; Wu, Jianqiang; Xirocostas, Zoe A.; Yan, Zhaogui; Yao, Jiahe; Yoder, Jeremy B.; Yoshida, Owen; Zhang, Jingxiong; Zhao, Zhigang; Ziter, Carly D.; Zuellig, Matthew P.; Zufall, Rebecca A.; Zurita, Juan E.; Zytynska, Sharon E.; Johnson, Marc T. J. (2022). Global Urban Environmental Change Drives Adaptation in White Clover. Science, 375(6586), 1275+.

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Abstract

Urbanization transforms environments in ways that alter biological evolution. We examined whether urban environmental change drives parallel evolution by sampling 110,019 white clover plants from 6169 populations in 160 cities globally. Plants were assayed for a Mendelian antiherbivore defense that also affects tolerance to abiotic stressors. Urban-rural gradients were associated with the evolution of clines in defense in 47% of cities throughout the world. Variation in the strength of clines was explained by environmental changes in drought stress and vegetation cover that varied among cities. Sequencing 2074 genomes from 26 cities revealed that the evolution of urban-rural dines was best explained by adaptive evolution, but the degree of parallel adaptation varied among cities. Our results demonstrate that urbanization leads to adaptation at a global scale.

Keywords

Surface Temperature Retrieval; Cyanogenesis Clines; Hydrogen-cyanide; Gene Flow; F-st; Evolution; Polymorphism; Emissivity; Discovery; Framework; Drought; Urban Environments; Urbanization; Environmental Changes; Herbivory; Urban Development; Adaptation; Chemical Defense; Urban Areas; Data Collection; Trifolium Repens

Intermodal Transfer Between Bicycles and Rail Transit in Shanghai, China

Pan, Haixiao; Shen, Qing; Xue, Song. (2010). Intermodal Transfer Between Bicycles and Rail Transit in Shanghai, China. Transportation Research Record, 2144, 181 – 188.

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Abstract

Large cities in China are building rail transit systems as part of a key strategy to address their pressing urban transportation problems. Because the high construction cost of subways and light rail limits the network density of rail transit, urban transport planners must seek effective intermodal connections between rail and other modes. This research examines the challenges and opportunities for improving the bicycle rail connection by using Shanghai as a case study. On the basis of two questionnaire surveys of rail transit riders, the research analyzes the existing mode shares of rail station access and egress trips, the underlying mechanisms for choosing among alternative modes, and the comparative advantages of the bicycle for trips that have certain distance and location characteristics. Empirical results suggest that the potential for travel improvement for rail transit riders lies primarily in the collection and distribution phases. Results point to several promising approaches to improving the bicycle rail connection and utilizing the bicycle more fully as an efficient supplement mode for the rapidly expanding urban rail transportation in China. In addition, the work can be a useful reference for cities in other countries in which rail transit development is accompanied by the continued importance of bicycles in residents' travel.

A Neighborhood Wealth Metric for Use in Health Studies

Moudon, Anne Vernez; Cook, Andrea J.; Ulmer, Jared; Hurvitz, Philip M.; Drewnowski, Adam. (2011). A Neighborhood Wealth Metric for Use in Health Studies. American Journal Of Preventive Medicine, 41(1), 88 – 97.

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Abstract

Background: Measures of neighborhood deprivation used in health research are typically based on conventional area-based SES. Purpose: The aim of this study is to examine new data and measures of SES for use in health research. Specifically, assessed property values are introduced as a new individual-level metric of wealth and tested for their ability to substitute for conventional area-based SES as measures of neighborhood deprivation. Methods: The analysis was conducted in 2010 using data from 1922 participants in the 2008-2009 survey of the Seattle Obesity Study (SOS). It compared the relative strength of the association between the individual-level neighborhood wealth metric (assessed property values) and area-level SES measures (including education, income, and percentage above poverty as single variables, and as the composite Singh index) on the binary outcome fair/poor general health status. Analyses were adjusted for gender, categoric age, race, employment status, home ownership, and household income. Results: The neighborhood wealth measure was more predictive of fair/poor health status than area-level SES measures, calculated either as single variables or as indices (lower DIC measures for all models). The odds of having a fair/poor health status decreased by 0.85 (95% CI=0.77, 0.93) per $50,000 increase in neighborhood property values after adjusting for individual-level SES measures. Conclusions: The proposed individual-level metric of neighborhood wealth, if replicated in other areas, could replace area-based SES measures, thus simplifying analyses of contextual effects on health. (Am J Prev Med 2011; 41(1): 88-97) (C) 2011 American Journal of Preventive Medicine

Keywords

Health -- Social Aspects; Social Status; Public Health Research; Home Ownership; Income; Real Property; Deprivation (psychology); Health Education; Disparities Geocoding Project; Body-mass Index; Socioeconomic-status; Ecological Fallacy; Built Environment; Deprivation Indexes; Multilevel Analysis; Individual-level; Social-class; Inequalities