Deprivation Matters: Understanding Associations Between Neighbourhood Deprivation, Unhealthy Food Outlets, Unhealthy Dietary Behaviours and Child Body Size Using Structural Equation Modelling

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aut.relation.endpage466
aut.relation.issue5en_NZ
aut.relation.journalJournal of Epidemiology and Community Healthen_NZ
aut.relation.startpage460
aut.relation.volume74en_NZ
aut.researcherZinn, Caryn
dc.contributor.authorEgli, Ven_NZ
dc.contributor.authorHobbs, Men_NZ
dc.contributor.authorCarlson, Jen_NZ
dc.contributor.authorDonnellan, Nen_NZ
dc.contributor.authorMackay, Len_NZ
dc.contributor.authorExeter, Den_NZ
dc.contributor.authorVillanueva, Ken_NZ
dc.contributor.authorZinn, Cen_NZ
dc.contributor.authorSmith, Men_NZ
dc.date.accessioned2021-06-24T02:57:12Z
dc.date.available2021-06-24T02:57:12Z
dc.date.copyright2020en_NZ
dc.date.issued2020en_NZ
dc.description.abstractBACKGROUND: Children residing in neighbourhoods of high deprivation are more likely to have poorer health, including excess body size. While the availability of unhealthy food outlets are increasingly considered important for excess child body size, less is known about how neighbourhood deprivation, unhealthy food outlets and unhealthy dietary behaviours are interlinked. METHODS: This study involves children aged 8-13 years (n=1029) and resided in Auckland, New Zealand. Unhealthy dietary behaviours (frequency of consumption of unhealthy snacks and drinks) and food purchasing behaviour on the route to and from school were self-reported. Height and waist circumference were measured to calculate waist-to-height ratio (WtHR). Geographic Information Systems mapped neighbourhood deprivation and unhealthy food outlets within individual, child-specific neighbourhood buffer boundaries (800 m around the home and school). Associations between neighbourhood deprivation (calculated using the New Zealand Index of Deprivation 2013), unhealthy food outlets, unhealthy dietary behaviours and WtHR were investigated using structural equation modelling in Mplus V.8.0. Age, sex and ethnicity were included as covariates, and clustering was accounted for at the school level. RESULTS: Structural equation models showed that unhealthy food outlets were unrelated to unhealthy dietary behaviours (estimate 0.029, p=0.416) and excess body size (estimate -0.038, p=0.400). However, greater neighbourhood deprivation and poorer dietary behaviours (estimate -0.134, p=0.001) were associated with greater WtHR (estimate 0.169, p<0.001). CONCLUSION: Excess child body size is associated with neighbourhood deprivation and unhealthy dietary behaviours but not unhealthy outlet density or location of these outlets near home and school.en_NZ
dc.identifier.citationJournal of Epidemiology and Community Health, 2020;74:460-466.
dc.identifier.doi10.1136/jech-2019-213159en_NZ
dc.identifier.issn0143-005Xen_NZ
dc.identifier.issn1470-2738en_NZ
dc.identifier.urihttps://hdl.handle.net/10292/14286
dc.languageengen_NZ
dc.publisherBMJ Publishing Groupen_NZ
dc.relation.urihttps://jech.bmj.com/content/74/5/460
dc.rights© Author(s) (or their employer(s)) 2020. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. http://creativecommons.org/licenses/by-nc/4.0/ This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/.
dc.rights.accessrightsOpenAccessen_NZ
dc.subjectChild healthen_NZ
dc.subjectDeprivationen_NZ
dc.subjectNutritionen_NZ
dc.titleDeprivation Matters: Understanding Associations Between Neighbourhood Deprivation, Unhealthy Food Outlets, Unhealthy Dietary Behaviours and Child Body Size Using Structural Equation Modellingen_NZ
dc.typeJournal Article
pubs.elements-id371950
pubs.organisational-data/AUT
pubs.organisational-data/AUT/Faculty of Health & Environmental Science
pubs.organisational-data/AUT/Faculty of Health & Environmental Science/School of Sport & Recreation
pubs.organisational-data/AUT/Faculty of Health & Environmental Science/School of Sport & Recreation/Physical Activity, Nutrition & the Outdoors Department
pubs.organisational-data/AUT/Faculty of Health & Environmental Science/School of Sport & Recreation/Sports Performance Research Institute New Zealand
pubs.organisational-data/AUT/Faculty of Health & Environmental Science/School of Sport & Recreation/Sports Performance Research Institute New Zealand/Human Potential Research Group
pubs.organisational-data/AUT/Faculty of Health & Environmental Science/School of Sport & Recreation/Sports Performance Research Institute New Zealand/Sports Physiology & Nutrition Research Group
pubs.organisational-data/AUT/PBRF
pubs.organisational-data/AUT/PBRF/PBRF Health and Environmental Sciences
pubs.organisational-data/AUT/PBRF/PBRF Health and Environmental Sciences/HS Sports & Recreation 2018 PBRF
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