ArticlePloS one2016
Change in Obesity Prevalence across the United States Is Influenced by Recreational and Healthcare Contexts, Food Environments, and Hispanic Populations.
Article in PloS one, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.
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Who cites it
14 citing papers in PubMed.
- Evaluating the effects of mobile health intervention on weight management, glycemic control and pregnancy outcomes in patients with gestational diabetes mellitus.Journal of endocrinological investigation · 2019Trial
- Racial and Ethnic Differences in the Association Between Food and Physical Activity Environments and Adult Obesity in the United States: A Multilevel Analysis.Journal of racial and ethnic health disparities · 2026Article
- Multilevel Analysis of the Food and Physical Activity Environment and Adult Obesity Across U.S. Counties and States.International journal of environmental research and public health · 2026Article
- Place effects on adult obesity and cardiometabolic health: Evidence from a natural experiment.Health & place · 2025Article
- Self-assessed health status and obesity vulnerability in rural Louisiana: A cross-sectional analysis.PloS one · 2023Article
- The Hispanic paradox in the prevalence of obesity at the county-level.Obesity science & practice · 2021Article
- Understanding the Heterogeneity of Obesity and the Relationship to the Brain-Gut Axis.Nutrients · 2020Article
- Multimethod, multidataset analysis reveals paradoxical relationships between sociodemographic factors, Hispanic ethnicity and diabetes.BMJ open diabetes research & care · 2020Article
- Identification of Factors Associated With Variation in US County-Level Obesity Prevalence Rates Using Epidemiologic vs Machine Learning Models.JAMA network open · 2019Article
- Variations in Obesity Rates between US Counties: Impacts of Activity Access, Food Environments, and Settlement Patterns.International journal of environmental research and public health · 2017Article
- Development, reliability and use of a food environment assessment tool in supermarkets of four neighbourhoods in Montréal, Canada.Health promotion and chronic disease prevention in Canada : research, policy and practice · 2017Article
- Contextual influences affecting patterns of overweight and obesity among university students: a 50 universities population-based study in China.International journal of health geographics · 2017Article
- Diabetes prevalence is associated with different community factors in the diabetes belt versus the rest of the United States.Obesity (Silver Spring, Md.) · 2017Article
- Retail Environments as a Venue for Obesity Prevention.Current obesity reports · 2016Review
Corrections and comments
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Authors and funding
5 authors.
Funding
Abstract
objectiveTo examine change in county-level adult obesity prevalence between 2004 and 2009 and identify associated community characteristics.
methodsChange in county-level adult (≥20 years) obesity prevalence was calculated for a 5-year period (2004-2009). Community measures of economic, healthcare, recreational, food environment, population structure, and education contexts were also calculated. Regression analysis was used to assess community characteristics associated (p<0.01) with change in adult obesity prevalence.
resultsMean±SD change in obesity prevalence was 5.1±2.4%. Obesity prevalence decreased in 1.4% (n = 44) and increased in 98% (n = 3,060) of counties from 2004-2009. Results showed that both baseline levels and increases in physically inactive adults were associated with greater increases in obesity prevalence, while baseline levels of and increases in physician density and grocery store/supercenter density were related to smaller increases in obesity rates. Baseline levels of the Hispanic population share were negatively linked to changing obesity levels, while places with greater Hispanic population growth saw greater increases in obesity.
conclusionsMost counties in the U.S. experienced increases in adult obesity prevalence from 2004 to 2009. Findings suggest that community-based interventions targeting adult obesity need to incorporate a range of community factors, such as levels of physical inactivity, access to physicians, availability of food outlets, and ethnic/racial population composition.
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