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Spatial analysis of food insecurity and obesity by area-level deprivation in children in early years settings in England

Accepted version
Peer-reviewed

Type

Article

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Authors

Benjamin Neelon, S 
Burgoine, THS 
Gallis, JA 

Abstract

BACKGROUND: We assessed manager perceptions of food security and obesity in young children attending nurseries across England, assessing spatial differences by area-level deprivation. METHODS: We conducted an adjusted multinomial logistic regression and an adjusted geographically weighted logistic regression examining the odds of a manager perceiving obesity, food insecurity, or both as a problem among children in care measured via a mailed survey. RESULTS: 851 (54.3%) managers returned the survey. A nursery being in the highest tertile of area-level deprivation was associated with a 1.89 (95% CI 1.00, 3.57) greater odds of perceiving obesity as a problem, a 3.06 (95% CI 1.94, 4.84) greater odds of perceiving food insecurity as a problem, and a 8.39 (95% CI 4.36, 16.15) greater odds of perceiving both as a problem, compared with the lowest tertile. CONCLUSIONS: We observed differences in manager perception by area-level deprivation, but the relationship was especially pronounced for food insecurity.

Description

Keywords

area-level deprivation, food insecurity, obesity

Journal Title

Spatial and Spatio-temporal Epidemiology

Conference Name

Journal ISSN

1877-5845
1877-5853

Volume Title

23

Publisher

Elsevier
Sponsorship
Wellcome Trust (087636/Z/08/Z)
Economic and Social Research Council (ES/G007462/1)
Medical Research Council (MR/K023187/1)
This work was undertaken by the Centre for Diet and Activity Research (CEDAR), a UK Clinical Research Collaboration (UKCRC) Public Health Research Centre of Excellence. Funding from the British Heart Foundation, Economic and Social Research Council, Medical Research Council, the National Institute for Health Research and the Wellcome Trust under the auspices of the UK Clinical Research Collaboration, is gratefully acknowledged. The funders did not play any role in the design of the study and collection, analysis and interpretation of data, or in writing the manuscript.