Show simple item record

dc.contributor.authorBurgoine, Thomasen
dc.contributor.authorMackenbach, JDen
dc.contributor.authorLakerveld, Jen
dc.contributor.authorForouhi, Nitaen
dc.contributor.authorGriffin, Simonen
dc.contributor.authorBrage, Sorenen
dc.contributor.authorWareham, Nicholasen
dc.contributor.authorMonsivais, Pabloen
dc.date.accessioned2018-02-27T15:36:14Z
dc.date.available2018-02-27T15:36:14Z
dc.date.issued2017-11-01en
dc.identifier.issn1661-7827
dc.identifier.urihttps://www.repository.cam.ac.uk/handle/1810/273584
dc.description.abstractUS policy initiatives have sought to improve health through attracting neighborhood supermarket investment. Little evidence exists to suggest these policies will be effective, in particular where there are socioeconomic barriers to healthy eating. We measured the independent associations and combined interplay of supermarket access and socioeconomic status with obesity. Using data on 9,702 UK adults, we employed adjusted regression analyses to estimate measured BMI (kg/m2), overweight (25≥BMI<30) and obesity (≥30), across participants’ highest educational attainment (three groups) and tertiles of street network distance (km) from home location to nearest supermarket. Jointly-classified models estimated combined associations of education and supermarket distance, and relative excess risk due to interaction (RERI). Participants farthest away from their nearest supermarket had higher odds of obesity (OR, 95% CI: 1.33, 1.11-1.58), relative to those living closest. Lower education was also associated with higher odds of obesity. Those least-educated and living farthest away had 3.39 (2.46-4.65) times the odds of being obese of those highest-educated and living closest, with an excess obesity risk (RERI=0.09); results were similar for overweight. Our results suggest that public health can be improved through planning better access to supermarkets, in combination with interventions to address socioeconomic barriers.
dc.description.sponsorshipThis work was supported 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, Cancer Research UK, Economic and Social Research Council, Medical Research Council, the National Institute for Health Research (grant number ES/G007462/1), and the Wellcome Trust (grant number 087636/Z/08/Z), under the auspices of the UK Clinical Research Collaboration, is gratefully acknowledged. The Fenland Study is funded by the MRC and the study PIs acknowledge support from MC_UU_12015/1 and MC_UU_12015/5. Pablo Monsivais also received support from the Health Equity Research Collaborative, a Grand Challenge Research Initiative of Washington State University.
dc.languageengen
dc.publisherMDPI AG
dc.rightsAttribution 4.0 International*
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/*
dc.titleInterplay of socioeconomic status and supermarket distance is associated with excess obesity risk: a UK cross-sectional studyen
dc.typeArticle
prism.issueIdentifier11en
prism.number1290en
prism.publicationDate2017en
prism.publicationNameInternational Journal of Environmental Research and Public Healthen
prism.volume14en
dc.identifier.doi10.17863/CAM.13796
dcterms.dateAccepted2017-10-16en
rioxxterms.versionofrecord10.3390/ijerph14111290en
rioxxterms.versionVoRen
rioxxterms.licenseref.urihttp://creativecommons.org/licenses/by/4.0/en
rioxxterms.licenseref.startdate2017-11-01en
dc.contributor.orcidBurgoine, Thomas [0000-0001-6936-3801]
dc.contributor.orcidForouhi, Nita [0000-0002-5041-248X]
dc.contributor.orcidGriffin, Simon [0000-0002-2157-4797]
dc.contributor.orcidBrage, Soren [0000-0002-1265-7355]
dc.contributor.orcidWareham, Nicholas [0000-0003-1422-2993]
dc.contributor.orcidMonsivais, Pablo [0000-0002-7088-6674]
dc.identifier.eissn1660-4601
rioxxterms.typeJournal Article/Reviewen
pubs.funder-project-idMRC (MC_UU_12015/1)
pubs.funder-project-idMRC (MC_UU_12015/5)
pubs.funder-project-idMRC (MR/K023187/1)
pubs.funder-project-idMRC (MR/L501438/1)
pubs.funder-project-idESRC (ES/G007462/1)
pubs.funder-project-idWellcome Trust (087636/Z/08/Z)
pubs.funder-project-idMRC (MC_UU_12015/4)
pubs.funder-project-idMRC (MC_UU_12015/3)
cam.issuedOnline2017-10-25en
cam.orpheus.successThu Jan 30 12:58:21 GMT 2020 - The item has an open VoR version.*
rioxxterms.freetoread.startdate2100-01-01


Files in this item

Thumbnail
Thumbnail
Thumbnail
Thumbnail
Thumbnail

This item appears in the following Collection(s)

Show simple item record

Attribution 4.0 International
Except where otherwise noted, this item's licence is described as Attribution 4.0 International