ArticleAnnals of behavioral medicine : a publication of the Society of Behavioral Medicine2023
Examining the Long-term Association Between Neighborhood Socioeconomic Status and Obesity and Obesity-related Unhealthy Behaviors Among Children: Results From the Fragile Families and Child Wellbeing Study.
Article in Annals of behavioral medicine : a publication of the Society of Behavioral Medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
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Who cites it
3 citing papers in PubMed, 6 citations in OpenAlex.
- The effects of subjective socioeconomic status and its underestimation on physical activity: evidence from China.Frontiers in public health · 2026Article
- Neighborhood Characteristics Related to Changes in Anthropometrics During a Lifestyle Intervention for Persons with Obesity.International journal of behavioral medicine · 2025Article
- Area Socioeconomic Status is Associated with Refusal of Recommended Surgery in Patients with Metastatic Bone and Joint Disease.Annals of surgical oncology · 2024Article
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Authors and funding
3 authors at 2 institutions in 1 country.
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Abstract
backgroundLiterature has focused on neighborhood environments and their possible impacts on obesity and obesity-related behaviors. However, few longitudinal studies have examined the effect of neighborhood socioeconomic status (nSES) on childhood obesity. PURPOSE: Investigate the longitudinal association between nSES and obesity and obesity-related unhealthy behaviors.
methodsWe obtained data from the Fragile Families and Child Wellbeing Study (N = 2,072). The main exposure was nSES (measured using an index of five variables representing wealth, income, education, and occupation from the Decennial Census 2000) at ages 3, 5, and 9. The outcome was children's body mass index z-score (BMIz) at ages 5, 9, and 15. Three measures of obesity-related behaviors (i.e., child- or caregiver-reported soda/snack food intake, fast-food intake, and sedentary behaviors) at ages 5, 9, and 15 were included as mediators and outcomes. Cross-lagged path analyses were conducted.
resultsHigher nSES at a previous wave was associated with consuming less soda/snack foods (βs = -0.15 to -0.11 [varying by ages], p < .05) and fast-food intake (βs = -0.21 to -0.14 [varying by ages], p < .01), and less frequent sedentary behaviors (βs = -0.14 to -0.06 [varying by ages], p < .01), but not with BMIz (βs = -0.08 to 0.05 [varying by ages], p > .05). Unhealthy behaviors did not mediate the nSES-BMIz association at alpha .05.
conclusionHealth policies need to target low-socioeconomic neighborhoods to shape healthy lifestyles in children. To develop effective interventions, future research needs to examine comprehensive potential mediators like obesity-related parenting skills, home environments, and built and social environments on the risk of childhood obesity and obesity-related behaviors.
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