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Int. J. Environ. Res. Public Health 2017, 14(9), 1023; https://doi.org/10.3390/ijerph14091023

Variations in Obesity Rates between US Counties: Impacts of Activity Access, Food Environments, and Settlement Patterns

School of Geography, Queen Mary University of London, London E1 4NS, UK
Received: 25 July 2017 / Revised: 1 September 2017 / Accepted: 5 September 2017 / Published: 7 September 2017
(This article belongs to the Special Issue Obesity and Urban Environments)
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Abstract

There is much ongoing research about the effect of the urban environment as compared with individual behaviour on growing obesity levels, including food environment, settlement patterns (e.g., sprawl, walkability, commuting patterns), and activity access. This paper considers obesity variations between US counties, and delineates the main dimensions of geographic variation in obesity between counties: by urban-rural status, by region, by area poverty status, and by majority ethnic group. Available measures of activity access, food environment, and settlement patterns are then assessed in terms of how far they can account for geographic variation. A county level regression analysis uses a Bayesian methodology that controls for spatial correlation in unmeasured area risk factors. It is found that environmental measures do play a significant role in explaining geographic contrasts in obesity. View Full-Text
Keywords: obesity; poverty effect; Bayesian regression; urban-rural; food environment; inactivity; commuting; spatial clustering obesity; poverty effect; Bayesian regression; urban-rural; food environment; inactivity; commuting; spatial clustering
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Congdon, P. Variations in Obesity Rates between US Counties: Impacts of Activity Access, Food Environments, and Settlement Patterns. Int. J. Environ. Res. Public Health 2017, 14, 1023.

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