ArticlePreventing chronic disease2018
Geographic Association Between Income Inequality and Obesity Among Adults in New York State.
Article in Preventing chronic disease, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.
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Who cites it
15 citing papers in PubMed.
- Neighborhood factors and the geography of type 2 diabetes in Malaysia: an ecological based geospatial modelling study.BMC public health · 2026Article
- Equity360: Gender, Race, and Ethnicity: How to Have the Obesity Conversation With Patients.Clinical orthopaedics and related research · 2025Article
- Neighborhood income inequality, maternal relative deprivation and neonatal health in Sweden: A cross-sectional study using individually defined multi-scale contexts.SSM - population health · 2025Article
- The impact of lockdown on Aragonese children: a geographical analysis of childhood obesity pre- and post-lockdown.Frontiers in public health · 2025Article
- Identifying obesogenic environment through spatial clustering of body mass index among adults.International journal of health geographics · 2024Article
- Socioeconomic and environmental determinants of asthma prevalence: a cross-sectional study at the U.S. County level using geographically weighted random forests.International journal of health geographics · 2023Article
- Deriving neighborhood-level diet and physical activity measurements from anonymized mobile phone location data for enhancing obesity estimation.International journal of health geographics · 2022Article
- Are Women's Empowerment and Income Inequality Associated with Excess Weight in Latin American Cities?Journal of urban health : bulletin of the New York Academy of Medicine · 2022Article
- Measuring inequality beyond the Gini coefficient may clarify conflicting findings.Nature human behaviour · 2022Article
- The Impact of ACEs on BMI: An Investigation of the Genotype-Environment Effects of BMI.Frontiers in genetics · 2022Article
- How Income Inequality and Race/Ethnicity Drive Obesity in U.S. Adults: 1999-2016.Healthcare (Basel, Switzerland) · 2021Article
- Income Inequality and Obesity among US Adults 1999-2016: Does Sex Matter?International journal of environmental research and public health · 2021Article
- The sociospatial factors of death: Analyzing effects of geospatially-distributed variables in a Bayesian mortality model for Hong Kong.PloS one · 2021Article
- Using Electronic Medical Record Data to Better Understand Obesity in Hispanic Neighborhoods in El Paso, Texas.International journal of environmental research and public health · 2020Article
- Advancing Health Disparities Research in Population Health.Preventing chronic disease · 2018Article
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionIn addition to economic factors and geographic area poverty, area income inequality - the extent to which income is distributed in an uneven manner across a population - has been found to influence health outcomes and obesity. We used a spatial-based approach to describe interactions between neighboring areas with the objective of generating new insights into the relationships between county-level income inequality, poverty, and obesity prevalence across New York State (NYS).
methodsWe used data from the 2015 American Community Survey and 2013 obesity estimates from the Centers for Disease Control and Prevention for NYS to examine correlations between county-level economic factors and obesity. Spatial mapping and analysis were conducted with ArcMap. Ordinary least squares modeling with adjusting variables was used to examine associations between county-level obesity percentages and county-level income inequality (Gini index). Univariate spatial analysis was conducted between obesity and Gini index, and globally weighted regression and Hot Spot Analysis were used to view spatial clustering.
resultsAlthough higher income inequality was associated with lower obesity rates, a higher percentage of poverty was associated with higher obesity rates. A higher percentage of Hispanic population was associated with lower obesity rates. When tested spatially, higher income inequality was associated with a greater decrease in obesity in southern and eastern NYS counties than in the northern and western counties, with some differences by sex present in this association.
conclusionIncreased income inequality and lower poverty percentage were significantly linked to lower obesity rates across NYS counties for men. Income inequality influence differed by geographic location. These findings indicate that in areas with high income inequality, currently unknown aspects of the environment may benefit low-income residents. Future studies should also include environmental factors possibly linked to obesity.
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