Table 4.
Associations of neighborhood built environments and childhood 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 | 1.23 | 2.57 | 0.69 | 0.79 | 1.29 | 2.69 | 0.85 | 0.79 | 0.33 | 1.82 | 0.09 | – |
0.90,1.68 | 1.37,4.83 | 0.35,1.35 | 0.45,1.40 | 0.94,1.78 | 1.41,5.13 | 0.42,1.72 | 0.44,1.45 | 0.09,1.21 | 0.09,35.49 | 0.00,2.79 | ||
0.196 | 0.668 | 0.059 | 0.106 | 0.119 | 0.523 | 0.083 | 0.120 | 0.095 | 0.137 | 0.110 | ||
0.286 | 0.621 | 0.118 | 0.184 | 0.200 | 0.541 | 0.154 | 0.201 | 0.167 | 0.224 | 0.189 | ||
Neighborhood SES | 0.89 | 1.03** | 0.83 | 0.80 | 0.89 | 1.05** | 0.84 | 0.80 | 0.75 | 0.71 | 0.07 | – |
0.80,0.99 | 0.88,1.21 | 0.68,1.01 | 0.61,1.05 | 0.81,0.99 | 0.90,1.24 | 0.68,1.02 | 0.61,1.06 | 0.45,1.25 | 0.46,1.11 | 0.00,1.84 | ||
0.025 | 0.003 | 0.275 | 0.419 | 0.035 | 0.003 | 0.657 | 0.450 | 0.271 | 0.692 | 0.167 | ||
0.060 | 0.011 | 0.355 | 0.472 | 0.078 | 0.011 | 0.621 | 0.501 | 0.353 | 0.641 | 0.260 | ||
Food environment | ||||||||||||
Fruit/vegetable market | 0.93 | 0.89 | 0.80 | 1.10 | 0.93 | 0.88 | 0.85 | 1.08 | 0.72 | 0.79 | 0.01***c | – |
0.82,1.06 | 0.74,1.07 | 0.59,1.08 | 0.71,1.71 | 0.82,1.06 | 0.73,1.07 | 0.63,1.15 | 0.68,1.71 | 0.38,1.37 | 0.43,1.45 | 0.00,0.13 | ||
0.279 | 0.199 | 0.140 | 0.664 | 0.320 | 0.194 | 0.294 | 0.752 | 0.319 | 0.449 | 0.001 | ||
0.358 | 0.289 | 0.228 | 0.621 | 0.396 | 0.285 | 0.372 | 0.667 | 0.396 | 0.501 | 0.004 | ||
Supermarket | 1.05 | 1.29 | 0.85 | 0.83 | 1.07 | 1.26 | 0.82 | 0.96 | 0.86 | 2.21 | 0.21 | – |
0.89,1.25 | 1.00,1.68 | 0.63,1.14 | 0.50,1.37 | 0.90,1.27 | 0.96,1.66 | 0.60,1.11 | 0.59,1.56 | 0.36,2.04 | 0.58,8.41 | 0.00,25.63 | ||
0.542 | 0.052 | 0.272 | 0.467 | 0.452 | 0.090 | 0.205 | 0.861 | 0.727 | 0.246 | 0.526 | ||
0.552 | 0.105 | 0.353 | 0.507 | 0.501 | 0.160 | 0.294 | 0.732 | 0.655 | 0.333 | 0.541 | ||
Convenient store | 1.11 | 0.91 | 1.19 | 0.83 | 1.10 | 0.94 | 1.19 | 0.84 | 1.16 | 0.88 | 1.58 | - |
0.92,1.32 | 0.70,1.18 | 0.88,1.60 | 0.49,1.43 | 0.92,1.33 | 0.72,1.23 | 0.88,1.61 | 0.48,1.46 | 0.59,2.51 | 0.31,2.50 | 0.00,698.56 | ||
0.260 | 0.479 | 0.265 | 0.510 | 0.303 | 0.664 | 0.269 | 0.531 | 0.749 | 0.810 | 0.883 | ||
0.341 | 0.518 | 0.345 | 0.536 | 0.382 | 0.621 | 0.351 | 0.541 | 0.665 | 0.700 | 0.738 | ||
Chinese fast food | 0.67*** | 0.47*** | 0.54** | 1.11 | 0.69*** | 0.52*** | 0.51** | 1.08 | 0.37 | 0.16*** | 0.23 | – |
0.55,0.83 | 0.33,0.66 | 0.34,0.84 | 0.62,1.98 | 0.56,0.85 | 0.36,0.73 | 0.32,0.81 | 0.58,1.98 | 0.14,1.00 | 0.08,0.32 | 0.00,22.8 | ||
0.000 | 0.000 | 0.006 | 0.734 | 0.001 | 0.000 | 0.004 | 0.815 | 0.050 | 0.000 | 0.534 | ||
0.001 | 0.001 | 0.019 | 0.655 | 0.004 | 0.001 | 0.014 | 0.701 | 0.102 | 0.001 | 0.542 | ||
Western fast food | 1.68*** | 1.42 | 1.45 | 2.47* | 1.60*** | 1.38 | 1.43 | 2.39 | 3.33 | 1.06 | 1.02 | – |
1.29,2.14 | 0.87,2.30 | 0.97,2.18 | 1.21,5.05 | 1.24,2.08 | 0.83,2.28 | 0.95,2.16 | 1.12,5.08 | 1.04,10.61 | 0.13,8.56 | 0.01,75.74 | ||
0.000 | 0.161 | 0.073 | 0.013 | 0.000 | 0.210 | 0.087 | 0.024 | 0.042 | 0.957 | 0.993 | ||
0.001 | 0.254 | 0.140 | 0.037 | 0.001 | 0.299 | 0.157 | 0.058 | 0.090 | 0.776 | 0.783 | ||
Physical activity environment | ||||||||||||
Land use mix | 2.43 | 0.94 | 2.04 | 5.36 | 2.14 | 0.88 | 1.41 | 4.02 | 125.25 | 0.33 | 1.29e+11 | – |
0.69,8.50 | 0.15,6.06 | 0.18,22.93 | 0.11,261.19 | 0.60,7.69 | 0.14,5.35 | 0.12,16.15 | 0.07,235.89 | 0.16,100073.9 | 0.00,509.09 | 2.24e-08,7.47e+29 | ||
0.163 | 0.948 | 0.563 | 0.397 | 0.243 | 0.889 | 0.781 | 0.503 | 0.157 | 0.765 | 0.246 | ||
0.255 | 0.775 | 0.574 | 0.454 | 0.332 | 0.738 | 0.69 | 0.532 | 0.248 | 0.679 | 0.333 | ||
Main road density | 1.04 | 1.14 | 1.19 | 0.70 | 1.06 | 1.16 | 1.20 | 0.71 | 0.82 | 1.40 | 1.93 | - |
0.90,1.21 | 0.86,1.51 | 0.93,1.54 | 0.48,1.02 | 0.91,1.23 | 0.87,1.56 | 0.93,1.56 | 0.48,1.04 | 0.40,1.68 | 0.38,5.15 | 0.17,22.52 | ||
0.594 | 0.362 | 0.172 | 0.064 | 0.441 | 0.315 | 0.156 | 0.080 | 0.594 | 0.610 | 0.601 | ||
0.599 | 0.428 | 0.263 | 0.126 | 0.499 | 0.39 | 0.247 | 0.151 | 0.599 | 0.607 | 0.603 | ||
Side road density | 0.92 | 0.91 | 0.90 | 1.05 | 0.91 | 0.88 | 0.90 | 1.03 | 1.14 | 1.46 | 0.90 | – |
0.84,1.02 | 0.75,1.09 | 0.75,1.08 | 0.84,1.32 | 0.83,1.01 | 0.72,1.07 | 0.75,1.09 | 0.82,1.31 | 0.76,1.69 | 0.76,2.83 | 0.42,1.92 | ||
0.098 | 0.306 | 0.257 | 0.669 | 0.072 | 0.188 | 0.298 | 0.776 | 0.525 | 0.259 | 0.782 | ||
0.172 | 0.384 | 0.34 | 0.621 | 0.139 | 0.281 | 0.378 | 0.689 | 0.541 | 0.341 | 0.69 | ||
Residence density | 0.61 | 1.87 | 0.91 | 0.34 | 0.58 | 1.70 | 0.67 | 0.34 | 10.84 | 7.57 | 57.09 | – |
0.19,1.88 | 0.34,10.48 | 0.12,7.20 | 0.01,8.70 | 0.18,1.81 | 0.30,9.75 | 0.08,5.50 | 0.01,9.98 | 0.01,11884.4 | 0,47684.59 | 0,4361582 | ||
0.395 | 0.474 | 0.932 | 0.515 | 0.346 | 0.551 | 0.706 | 0.530 | 0.505 | 0.650 | 0.481 | ||
0.454 | 0.512 | 0.763 | 0.541 | 0.417 | 0.560 | 0.645 | 0.541 | 0.533 | 0.618 | 0.518 | ||
Public park density | 0.58*** | 0.88 | 0.67* | 0.42*** | 0.56*** | 0.81 | 0.68 | 0.37*** | 1.86 | 3.49** | 3.49 | – |
0.49,0.69 | 0.65,1.19 | 0.48,0.92 | 0.26,0.69 | 0.46,0.66 | 0.59,1.11 | 0.49,0.96 | 0.22,0.62 | 0.77,4.51 | 1.49,8.14 | 0.02,617.36 | ||
0.000 | 0.412 | 0.014 | 0.001 | 0.000 | 0.194 | 0.026 | 0.000 | 0.167 | 0.004 | 0.636 | ||
0.001 | 0.472 | 0.039 | 0.004 | 0.001 | 0.285 | 0.062 | 0.001 | 0.26 | 0.014 | 0.609 | ||
Distance to school | 1.11 | 1.20 | 1.46 | 0.85 | 1.15 | 1.41 | 1.26 | 0.96 | 0.85 | 0.68 | 2.44 | – |
0.92,1.34 | 0.87,1.66 | 1.02,2.08 | 0.46,1.56 | 0.93,1.41 | 1,1.99 | 0.85,1.87 | 0.47,1.96 | 0.46,1.55 | 0.17,2.68 | 0.1,61.11 | ||
0.285 | 0.261 | 0.037 | 0.597 | 0.191 | 0.047 | 0.248 | 0.905 | 0.602 | 0.581 | 0.588 | ||
0.363 | 0.341 | 0.082 | 0.602 | 0.285 | 0.098 | 0.334 | 0.74 | 0.603 | 0.598 | 0.598 | ||
Constant | 50.19 | 78.56 | 313.79 | 11.95 | 56.32 | 67.65 | 421.71 | 15.39 | 0.10 | 29.12 | 0.01 | - |
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.