ArticleJournal of epidemiology and community health2020
Deprivation matters: understanding associations between neighbourhood deprivation, unhealthy food outlets, unhealthy dietary behaviours and child body size using structural equation modelling.
Article in Journal of epidemiology and community health, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.
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Who cites it
18 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Impact of unhealthy food/drink marketing exposure to children in New Zealand: a systematic narrative review.Health promotion international · 2025Pooled it
- Association between the geospatial school food environment and nutritional outcomes among school children: a systematic review.European journal of clinical nutrition · 2026Review
- Area-level socioeconomic status and children's body weight: examining the role of unhealthy food environments.Nutrition journal · 2026Article
- Disparities of children's obesogenic environments in Louisiana.International journal of health geographics · 2026Article
- Adolescents' unhealthy snacking behaviour during the school journey and the association with transport modes and food outlets along the school route.Perspectives in public health · 2026Review
- Investigation of Advertising and Food Environment Surrounding Primary Schools in New Zealand.Health promotion journal of Australia : official journal of Australian Association of Health Promotion Professionals · 2025Article
- A Systematic Review of the Bibliometrics and Methodological Research Used on Studies Focused on School Neighborhood Built Environment and the Physical Health of Children and Adolescents.Children (Basel, Switzerland) · 2025Review
- Mitigating child health inequalities through equity, diversity, inclusion, and accessibility school practices in Canada.Health promotion international · 2025Article
- Neighborhood matters: An exploration of neighborhood-level disadvantage and cancer preventive behaviors in Hispanic youth with unhealthy weight.Health & place · 2025Article
- Early adulthood socioeconomic trajectories contribute to inequalities in adult diet quality, independent of childhood and adulthood socioeconomic position.Journal of epidemiology and community health · 2025Article
- Caries Severity, Decayed First Permanent Molars and Associated Factors in 6-7 Years Old Schoolchildren Living in Palermo (Southern Italy).Journal of clinical medicine · 2023Article
- Community Co-Design of Regional Actions for Children's Nutritional Health Combining Indigenous Knowledge and Systems Thinking.International journal of environmental research and public health · 2022Article
- Adolescents' Perspectives on the Drivers of Obesity Using a Group Model Building Approach: A South African Perspective.International journal of environmental research and public health · 2022Article
- Associations between Neighborhood Deprivation Index, Parent Perceptions and Preschooler Lifestyle Behaviors.Children (Basel, Switzerland) · 2021Article
- Improving spatial data in health geographics: a practical approach for testing data to measure children's physical activity and food environments using Google Street View.International journal of health geographics · 2021Article
- Objective measurement of children's physical activity geographies: A systematic search and scoping review.Health & place · 2021Article
- The Importance of Pedestrian Network Connectivity for Adolescent Health: A Cross-sectional Examination of Associations between Neighbourhood Built Environments and Metabolic Health in the Pacific Islands Families Birth Cohort Study.International journal of environmental research and public health · 2019Article
- Association Between Daily Convenience Store Use and Social Capital Among Young People in Japan: An Exploratory Secondary Analysis of Cross-Sectional Study Data.Inquiry : a journal of medical care organization, provision and financingArticle
Corrections and comments
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Authors and funding
9 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundChildren residing in neighbourhoods of high deprivation are more likely to have poorer health, including excess body size. While the availability of unhealthy food outlets are increasingly considered important for excess child body size, less is known about how neighbourhood deprivation, unhealthy food outlets and unhealthy dietary behaviours are interlinked.
methodsThis study involves children aged 8-13 years (n=1029) and resided in Auckland, New Zealand. Unhealthy dietary behaviours (frequency of consumption of unhealthy snacks and drinks) and food purchasing behaviour on the route to and from school were self-reported. Height and waist circumference were measured to calculate waist-to-height ratio (WtHR). Geographic Information Systems mapped neighbourhood deprivation and unhealthy food outlets within individual, child-specific neighbourhood buffer boundaries (800 m around the home and school). Associations between neighbourhood deprivation (calculated using the New Zealand Index of Deprivation 2013), unhealthy food outlets, unhealthy dietary behaviours and WtHR were investigated using structural equation modelling in Mplus V.8.0. Age, sex and ethnicity were included as covariates, and clustering was accounted for at the school level.
resultsStructural equation models showed that unhealthy food outlets were unrelated to unhealthy dietary behaviours (estimate 0.029, p=0.416) and excess body size (estimate -0.038, p=0.400). However, greater neighbourhood deprivation and poorer dietary behaviours (estimate -0.134, p=0.001) were associated with greater WtHR (estimate 0.169, p<0.001).
conclusionExcess child body size is associated with neighbourhood deprivation and unhealthy dietary behaviours but not unhealthy outlet density or location of these outlets near home and school.
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