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Spatial clustering patterns and regional variations for food and physical activity environments across the United States.

Authors
  • Wende, Marilyn E1
  • Stowe, Ellen W1
  • Eberth, Jan M2, 3
  • McLain, Alexander C2
  • Liese, Angela D2
  • Breneman, Charity B3
  • Josey, Michele J2, 3
  • Hughey, S Morgan4
  • Kaczynski, Andrew T1, 5
  • 1 Department of Health Promotion, Education, and Behavior, Arnold School of Public Health, University of South Carolina, USA.
  • 2 Department of Epidemiology and Biostatistics, Arnold School of Public Health, University of South Carolina, USA.
  • 3 Rural and Minority Health Research Center, Arnold School of Public Health, University of South Carolina, Columbia, USA.
  • 4 Department of Health and Human Performance, College of Charleston, Charleston, USA.
  • 5 Prevention Research Center, Arnold School of Public Health, University of South Carolina, Columbia, USA.
Type
Published Article
Journal
International journal of environmental health research
Publication Date
Dec 01, 2021
Volume
31
Issue
8
Pages
976–990
Identifiers
DOI: 10.1080/09603123.2020.1713304
PMID: 31964175
Source
Medline
Keywords
Language
English
License
Unknown

Abstract

This study examined spatial patterns of obesogenic environments for US counties. We mapped the geographic dispersion of food and physical activity (PA) environments, assessed spatial clustering, and identified food and PA environment differences across U.S. regions and rurality categories. Substantial low food score clusters were located in the South and high score clusters in the Midwest and West. Low PA score clusters were located in the South and high score clusters in the Northeast and Midwest (p < .0001). For region, the South had significantly lower food and PA environment scores. For rurality, rural counties had significantly higher food environment scores and metropolitan counties had significantly higher PA environment scores (p < .0001). This study highlights geographic clustering and disparities in food and PA access nationwide. State and region-wide environmental inequalities may be targeted using structural interventions and policy initiatives to improve food and PA access.

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