Table 3.
Associations of neighborhood built environments and childhood overweight and obesity 2011–2016a.
Built Environment | All (N = 8,441) | Primary School (N = 4,717) | Middle School (N = 3,724) | |||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|
Overallb | Wave 1 | Wave 2 | Wave 3 | Overall | Wave 1 | Wave 2 | Wave 3 | Overall | Wave 1 | Wave 2 | Wave 3 | |
Urbanicityc | 1.03 | 1.17 | 1.66 | 0.46 *d | 1.12 | 1.75 | 1.55 | 0.46** | 0.84 | 0.59 | 1.31* | 0.90 |
0.83,1.26 | 0.83,1.65 | 1.09,2.54 | 0.29,0.74 | 0.88,1.42 | 1.13,2.70 | 0.91,2.63 | 0.28,0.78 | 0.54,1.28 | 0.32,1.06 | 0.58,2.94 | 0.17,4.85 | |
0.792 | 0.414 | 0.033 | 0.015 | 0.366 | 0.919 | 0.227 | 0.01 | 0.415 | 0.195 | 0.018 | 0.96 | |
0.699 | 0.472 | 0.075 | 0.041 | 0.429 | 0.755 | 0.314 | 0.03 | 0.472 | 0.285 | 0.047 | 0.776 | |
Neighborhood SES | 0.92 | 0.96 | 0.86* | 0.78*** | 0.94 | 1.01* | 0.90 | 0.75** | 0.86 | 0.88 | 0.73 | 0.98 |
0.86,0.99 | 0.88,1.06 | 0.75,0.99 | 0.64,0.95 | 0.87,1.01 | 0.9,1.13 | 0.76,1.07 | 0.60,0.93 | 0.74,1 | 0.73,1.07 | 0.57,0.95 | 0.54,1.81 | |
0.022 | 0.364 | 0.018 | 0.001 | 0.109 | 0.012 | 0.107 | 0.004 | 0.048 | 0.077 | 0.519 | 0.901 | |
0.055 | 0.428 | 0.047 | 0.004 | 0.188 | 0.035 | 0.185 | 0.014 | 0.1 | 0.145 | 0.541 | 0.739 | |
Food environment | ||||||||||||
Fruit/vegetable market | 0.84*** | 0.76*** | 0.80 | 1.14 | 0.81*** | 0.70*** | 0.72* | 1.19 | 0.89 | 0.93 | 1.00 | 0.91 |
0.77,0.92 | 0.68,0.84 | 0.65,0.99 | 0.82,1.58 | 0.73,0.89 | 0.62,0.80 | 0.57,0.93 | 0.83,1.69 | 0.75,1.06 | 0.74,1.15 | 0.65,1.55 | 0.36,2.33 | |
0.000 | 0.000 | 0.041 | 0.428 | 0.000 | 0.000 | 0.011 | 0.341 | 0.205 | 0.486 | 0.983 | 0.846 | |
0.001 | 0.001 | 0.089 | 0.485 | 0.001 | 0.001 | 0.033 | 0.417 | 0.294 | 0.518 | 0.783 | 0.721 | |
Supermarket | 1.05 | 1.51*** | 0.65*** | 0.83 | 1.11 | 1.56*** | 0.65*** | 0.93 | 1.00 | 1.64** | 0.78 | 0.38 |
0.94,1.18 | 1.28,1.78 | 0.53,0.80 | 0.59,1.17 | 0.98,1.27 | 1.28,1.91 | 0.50,0.85 | 0.65,1.34 | 0.80,1.26 | 1.18,2.29 | 0.54,1.15 | 0.14,1.00 | |
0.385 | 0.000 | 0.000 | 0.287 | 0.105 | 0.000 | 0.001 | 0.707 | 0.977 | 0.004 | 0.208 | 0.049 | |
0.445 | 0.001 | 0.001 | 0.365 | 0.183 | 0.001 | 0.004 | 0.645 | 0.782 | 0.014 | 0.297 | 0.101 | |
Convenient store | 1.06 | 0.89 | 1.20 | 1.03 | 1.09 | 0.90 | 1.29 | 1.10 | 1.11 | 1.02 | 1.03 | 0.52 |
0.94,1.19 | 0.76,1.05 | 0.96,1.49 | 0.66,1.62 | 0.95,1.25 | 0.74,1.11 | 1.00,1.66 | 0.67,1.82 | 0.88,1.40 | 0.77,1.36 | 0.64,1.66 | 0.12,2.22 | |
0.370 | 0.181 | 0.111 | 0.890 | 0.234 | 0.334 | 0.047 | 0.699 | 0.358 | 0.874 | 0.918 | 0.375 | |
0.432 | 0.273 | 0.189 | 0.738 | 0.324 | 0.409 | 0.098 | 0.642 | 0.423 | 0.734 | 0.755 | 0.434 | |
Chinese fast food | 0.68*** | 0.57*** | 0.55*** | 0.89 | 0.68*** | 0.54*** | 0.58** | 1.01 | 0.67** | 0.70 | 0.55 | 0.58 |
0.59,0.78 | 0.47,0.70 | 0.40,0.76 | 0.58,1.36 | 0.58,0.80 | 0.42,0.69 | 0.39,0.85 | 0.62,1.66 | 0.51,0.88 | 0.51,0.97 | 0.30,0.99 | 0.18,1.85 | |
0.000 | 0.000 | 0.000 | 0.586 | 0.000 | 0.000 | 0.005 | 0.956 | 0.005 | 0.033 | 0.047 | 0.356 | |
0.001 | 0.001 | 0.001 | 0.598 | 0.001 | 0.001 | 0.017 | 0.776 | 0.017 | 0.075 | 0.098 | 0.421 | |
Western fast food | 1.34*** | 1.01 | 1.25 | 2.70*** | 1.34** | 0.96 | 1.29 | 2.63*** | 1.37 | 1.10 | 1.16 | 2.91 |
1.12,1.60 | 0.76,1.34 | 0.93,1.67 | 1.58,4.62 | 1.10,1.64 | 0.67,1.37 | 0.92,1.82 | 1.48,4.66 | 0.96,1.97 | 0.65,1.86 | 0.67,2.02 | 0.83,10.18 | |
0.001 | 0.949 | 0.141 | 0.000 | 0.004 | 0.818 | 0.137 | 0.001 | 0.086 | 0.727 | 0.602 | 0.095 | |
0.004 | 0.775 | 0.228 | 0.001 | 0.014 | 0.701 | 0.224 | 0.004 | 0.156 | 0.655 | 0.603 | 0.167 | |
Physical activity environment | ||||||||||||
Land use mix | 0.59 | 0.14*** | 0.65 | 1.28 | 0.53 | 0.07*** | 0.69 | 1.17 | 0.58 | 0.29 | 0.41 | 0.11 |
0.25,1.37 | 0.05,0.42 | 0.10,4.16 | 0.07,23.29 | 0.19,1.47 | 0.02,0.30 | 0.08,6.00 | 0.04,38.01 | 0.11,3.01 | 0.03,2.69 | 0.01,13.43 | 0.00,1438.97 | |
0.222 | 0.000 | 0.653 | 0.868 | 0.222 | 0.000 | 0.735 | 0.930 | 0.517 | 0.276 | 0.619 | 0.645 | |
0.312 | 0.001 | 0.620 | 0.732 | 0.312 | 0.001 | 0.655 | 0.763 | 0.541 | 0.355 | 0.607 | 0.615 | |
Main road density | 1.06 | 1.26** | 1.07 | 0.73 | 1.10 | 1.31* | 1.06 | 0.70 | 1.01 | 1.15 | 1.07 | 1.20 |
0.96,1.17 | 1.07,1.48 | 0.89,1.29 | 0.55,0.98 | 0.98,1.24 | 1.06,1.61 | 0.85,1.32 | 0.51,0.97 | 0.82,1.24 | 0.86,1.55 | 0.76,1.52 | 0.53,2.75 | |
0.226 | 0.006 | 0.454 | 0.034 | 0.100 | 0.011 | 0.614 | 0.034 | 0.928 | 0.347 | 0.699 | 0.658 | |
0.313 | 0.019 | 0.501 | 0.077 | 0.175 | 0.033 | 0.607 | 0.077 | 0.763 | 0.417 | 0.642 | 0.621 | |
Side road density | 0.86*** | 0.84*** | 0.87* | 1.18 | 0.85*** | 0.79*** | 0.95 | 1.17 | 0.89 | 0.93 | 0.70*** | 1.36 |
0.81,0.92 | 0.75,0.93 | 0.78,0.98 | 0.99,1.41 | 0.79,0.92 | 0.69,0.90 | 0.82,1.09 | 0.96,1.43 | 0.79,1.01 | 0.78,1.11 | 0.58,0.85 | 0.92,2.01 | |
0.000 | 0.001 | 0.020 | 0.060 | 0.000 | 0.000 | 0.457 | 0.118 | 0.082 | 0.413 | 0.000 | 0.127 | |
0.001 | 0.004 | 0.050 | 0.119 | 0.001 | 0.001 | 0.502 | 0.199 | 0.152 | 0.472 | 0.001 | 0.212 | |
Residence density | 0.67 | 1.46 | 0.52 | 0.13 | 0.60 | 1.12 | 0.71 | 0.11 | 0.90 | 2.06 | 0.42 | 0.02 |
0.31,1.43 | 0.55,3.89 | 0.10,2.76 | 0.01,1.62 | 0.24,1.50 | 0.30,4.22 | 0.10,5.18 | 0.01,2.13 | 0.21,3.88 | 0.30,14.12 | 0.02,8.56 | 0.00,16.22 | |
0.303 | 0.449 | 0.443 | 0.112 | 0.277 | 0.871 | 0.736 | 0.143 | 0.886 | 0.462 | 0.575 | 0.249 | |
0.382 | 0.501 | 0.499 | 0.190 | 0.356 | 0.732 | 0.655 | 0.230 | 0.738 | 0.506 | 0.591 | 0.334 | |
Public park density | 0.62*** | 0.93 | 0.63*** | 0.48*** | 0.59*** | 0.98 | 0.62*** | 0.41*** | 0.72** | 0.86 | 0.71 | 1.29 |
0.55,0.69 | 0.78,1.10 | 0.50,0.79 | 0.34,0.69 | 0.52,0.67 | 0.79,1.22 | 0.48,0.80 | 0.28,0.60 | 0.57,0.92 | 0.63,1.18 | 0.44,1.12 | 0.32,5.17 | |
0.000 | 0.382 | 0.000 | 0.000 | 0.000 | 0.886 | 0.000 | 0.000 | 0.009 | 0.354 | 0.142 | 0.718 | |
0.001 | 0.442 | 0.001 | 0.001 | 0.001 | 0.738 | 0.001 | 0.001 | 0.027 | 0.42 | 0.229 | 0.65 | |
Distance to school | 0.86** | 1.00 | 0.86 | 0.69 | 1.03 | 1.16 | 1.17 | 1.00 | 0.76*** | 1.06 | 0.72 | 0.31** |
0.77,0.95 | 0.86,1.16 | 0.71,1.04 | 0.46,1.03 | 0.88,1.20 | 0.92,1.47 | 0.84,1.62 | 0.57,1.75 | 0.65,0.90 | 0.84,1.34 | 0.52,0.99 | 0.14,0.69 | |
0.004 | 0.991 | 0.127 | 0.070 | 0.719 | 0.211 | 0.348 | 1.000 | 0.001 | 0.633 | 0.044 | 0.004 | |
0.014 | 0.783 | 0.212 | 0.137 | 0.650 | 0.300 | 0.417 | 0.785 | 0.004 | 0.609 | 0.093 | 0.014 | |
Constant | 187.38 | 332.25 | 758.64 | 63.16 | 141.97 | 454.83 | 350.40 | 39.10 | 342.07 | 136.99 | 980.30 | 1.38e+7 |
All models were adjusted for age, gender, neighborhood socioeconomic status, and urbanicity.
The overall model reports the result of a logistic mixed regression model including a random effect for the three waves. The Wave 1–3 models reports the results of logistic regression models for wave 1–3, respectively. Wave 1 represent the cohort that took the health survey from 2011 to 2012; Wave 2 represent the cohort that took the health survey from 2013 to 2014; Wave 3 represent the cohort that took the health survey from 2015 to 2016.
For each variable, the first row reports the odds ratio; the second row reports the 95% confidence interval, the third row reports the naïve p-value; the fourth row reports the FDR sharpened q-value.
*p < 0.05 and q < 0.02, **p < 0.01 and q < 0.03, ***p < 0.001 and q < 0.004.