Obesity and the Food Environment: Income and Ethnicity Differences Among People With Diabetes

• DOI: 10.2337/dc12-2190
• Publication Date: 2013-05-02T08:58:05Z
• Authors: Jessica C. Jones-...; Andrew J. Karter; E. Margaret Warton; Maggi Kelly; Ellen Kersten; Howard H. Moffet; Nancy Adler; Dean Schillinger; Barbara A. Laraia
• Keywords: Household income

It is unknown whether any association between neighborhood food environment and obesity varies according to individual income and/or race/ethnicity. The objectives of this study were test there was an environments among adults with diabetes relationship differed or race/ethnicity.Subjects (n = 16,057) participants in the Diabetes Study Northern California survey. Kernel density estimation used create a score for each individual's residence address that reflected mix healthful unhealthful vendors nearby. Logistic regression models estimated modeled obesity, controlling confounders, testing interactions race/ethnicity income.The authors found more associated lower highest groups (incomes 301-600% >600% U.S. poverty line) whites, Latinos, Asians. negative, but smaller not statistically significant, high-income blacks. On contrary, higher lowest-income group (<100% threshold), which significant black category.These findings suggest availability may have different health implications when financial resources are severely constrained.