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Article
Small-area estimation and prioritizing communities for obesity control in Massachusetts
Open Access Articles
  • Wenjun Li, University of Massachusetts Medical School
  • Jennifer L. Kelsey, University of Massachusetts Medical School
  • Zi Zhang
  • Stephenie C. Lemon, University of Massachusetts Medical School
  • Solomon Mezgebu
  • Cynthia Boddie-Willis
  • George W. Reed, University of Massachusetts Medical School
UMMS Affiliation
Department of Medicine, Division of Preventive and Behavorial Medicine; Department of Family Medicine and Community Health
Date
3-20-2009
Document Type
Article
Subjects
Adolescent; Adult; Aged; Aged, 80 and over; Body Mass Index; Child; Female; Humans; Male; Massachusetts; Middle Aged; Models, Statistical; Nutritional Status; Obesity; Population Surveillance; Prevalence; *Public Health; *Residence Characteristics; Risk Factors; Time Factors; Young Adult
Abstract

OBJECTIVES: We developed a method to evaluate geographic and temporal variations in community-level obesity prevalence and used that method to identify communities in Massachusetts that should be considered high priority communities for obesity control.

METHODS: We developed small-area estimation models to estimate community-level obesity prevalence among community-living adults 18 years or older. Individual-level data from the Behavioral Risk Factors Surveillance System from 1999 to 2005 were integrated with community-level data from the 2000 US Census. Small-area estimation models assessed the associations of obesity (body mass index >or= 30 kg/m(2)) with individual- and community-level characteristics. A classification system based on level and precision of obesity prevalence estimates was then used to identify high-priority communities.

RESULTS: Estimates of the prevalence of community-level obesity ranged from 9% to 38% in 2005 and increased in all communities from 1999 to 2005. Fewer than 7% of communities met the Healthy People 2010 objective of prevalence rates below 15%. The highest prevalence rates occurred in communities characterized by lower income, less education, and more blue-collar workers.

CONCLUSIONS: Similar to the rest of the nation, Massachusetts faces a great challenge in reaching the national obesity control objective. Targeting high-priority communities identified by small-area estimation may maximize use of limited resources.

Rights and Permissions
Citation: Am J Public Health. 2009 Mar;99(3):511-9. Epub 2009 Jan 15. Link to article on publisher's site
DOI of Published Version
10.2105/AJPH.2008.137364
Related Resources
Link to Article in PubMed
PubMed ID
19150906
Citation Information
Wenjun Li, Jennifer L. Kelsey, Zi Zhang, Stephenie C. Lemon, et al.. "Small-area estimation and prioritizing communities for obesity control in Massachusetts" Vol. 99 Iss. 3 (2009) ISSN: 0090-0036 (Linking)
Available at: http://works.bepress.com/stephenie_lemon/35/