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Int. J. Environ. Res. Public Health 2018, 15(7), 1395;

Neighborhood Disorder and Obesity-Related Outcomes among Women in Chicago

Department of Preventive Medicine, Northwestern University Feinberg School of Medicine, 680 North Lake Shore Drive Suite 1400, Chicago, IL 60611, USA
Author to whom correspondence should be addressed.
Received: 2 June 2018 / Revised: 25 June 2018 / Accepted: 29 June 2018 / Published: 3 July 2018
(This article belongs to the Section Health Behavior, Chronic Disease and Health Promotion)
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Neighborhood psychosocial stressors like crime and physical disorder may influence obesity-related outcomes through chronic stress or through adverse effects on health behaviors. Google Street View imagery provides a low-cost, reliable method for auditing neighborhood physical disorder, but few studies have examined associations of Street View-derived physical disorder scores with health outcomes. We used Google Street View to audit measures of physical disorder for residential census blocks from 225 women aged 18–44 enrolled from 4 Chicago neighborhoods. Latent neighborhood physical disorder scores were estimated using an item response theory model and aggregated to the block group level. Block-group level physical disorder scores and rates of police-recorded crime and 311 calls for service requests were linked to participants based on home addresses. Associations were estimated for 6 obesity-related outcomes: body mass index, obesity, total moderate-to-vigorous physical activity, and weekly consumption of sugar-sweetened beverages, fast food, and snacks. Hierarchical regression models estimated cross-sectional associations adjusting for individual sociodemographics and neighborhood poverty. Higher neighborhood physical disorder was associated with greater odds of obesity (OR: 1.43, 95% CI: 1.01, 2.02). Living in a neighborhood with a higher crime rate was associated with an increase in weekly snack consumption of 3.06 (95% CI: 1.59, 4.54). View Full-Text
Keywords: neighborhoods; physical disorder; Google Street View; obesity; physical activity; diet neighborhoods; physical disorder; Google Street View; obesity; physical activity; diet
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited (CC BY 4.0).

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Mayne, S.L.; Jose, A.; Mo, A.; Vo, L.; Rachapalli, S.; Ali, H.; Davis, J.; Kershaw, K.N. Neighborhood Disorder and Obesity-Related Outcomes among Women in Chicago. Int. J. Environ. Res. Public Health 2018, 15, 1395.

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