Longitudinal Exposure to Neighborhood Concentrated Poverty Contributes to Differences in Adiposity in Midlife Women.
J Womens Health (Larchmt)
; 2024 Jul 01.
Article
in En
| MEDLINE
| ID: mdl-38946622
ABSTRACT
Background:
Neighborhood poverty is associated with adiposity in women, though longitudinal designs, annually collected residential histories, objectively collected anthropometric measures, and geographically diverse samples of midlife women remain limited.Objective:
To investigate whether longitudinal exposure to neighborhood concentrated poverty is associated with differences in body mass index (BMI) and waist circumference (WC) among 2,328 midlife women (age 42-52 years at baseline) from 6 U.S. cities enrolled in the Study of Women's Health Across the Nation (SWAN) from 1996 to 2007.Methods:
Residential addresses and adiposity measures were collected at approximately annual intervals from the baseline visit through a 10-year follow-up. We used census poverty data and local spatial statistics to identify hot-spots of high concentrated poverty areas and cold-spots of low concentrated poverty located within each SWAN site region, and used linear mixed-effect models to estimate percentage differences (95% confidence interval [CI]) in average BMI and WC levels between neighborhood concentrated poverty categories.Results:
After adjusting for individual-level sociodemographics, health-related factors, and residential mobility, compared to residents of moderate concentrated poverty communities, women living in site-specific hot-spots of high concentrated poverty had 1.5% higher (95% CI 0.6, 2.3) BMI and 1.3% higher (95% CI 0.5, 2.0) WC levels, whereas women living in cold-spots of low concentrated poverty had 0.7% lower (95% CI -1.2, -0.1) BMI and 0.3% lower (95% CI -0.8, 0.2) WC. Site-stratified results remained in largely similar directions to overall estimates, despite wide CIs and small sample sizes.Conclusions:
Longitudinal exposure to neighborhood concentrated poverty is associated with slightly higher BMI and WC among women across midlife.
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Language:
En
Journal:
J Womens Health (Larchmt)
Journal subject:
GINECOLOGIA
/
SAUDE DA MULHER
Year:
2024
Document type:
Article
Affiliation country: