Association of neighborhood-level social determinants and food environments with pediatric hypertension care

Despite the apparent relationship between neighborhood characteristics and health, few studies of child health address neighborhood-level barriers, which may contribute to clinic no-show rates and difficulties following treatment plans in children and youth. We used longitudinal data from an outpati...

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Bibliographic Details
Published in:Health & place 2020-09, Vol.65, p.102383-102383, Article 102383
Main Authors: Min, Jungwon, Griffis, Heather M., Tam, Vicky, Meyers, Kevin E., Natarajan, Shobha S.
Format: Article
Language:English
Subjects:
Body mass index
Body weight
Children
Childrens health
Expenditures
Fast food
Food
Food environments
Health technology assessment
Healthy food
Hypertension
Neighborhood
Neighborhoods
Obesity
Overweight
Patients
Pediatrics
Regression analysis
Regression models
Social disorganization
Social factors
Takeaway food
Urban areas
Urban environments
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Summary:Despite the apparent relationship between neighborhood characteristics and health, few studies of child health address neighborhood-level barriers, which may contribute to clinic no-show rates and difficulties following treatment plans in children and youth. We used longitudinal data from an outpatient hypertension clinic to examine neighborhood social disorganization, built environments, and their associations with patients’ clinic attendance and the risk of obesity/hypertension using mixed-effects regression models. Patients from disorganized neighborhoods were less likely to attend a baseline visit, and more likely to develop overweight/obesity and hypertension during follow-up. High-level fast-food expenditures in the neighborhood were associated with higher BMI percentiles and SBP during follow-up.
ISSN:1353-8292
1873-2054
DOI:10.1016/j.healthplace.2020.102383