An Ecological Approach to Understanding Adult Obesity Prevalence in the United States: A County-level Analysis using Geographically Weighted Regression

2014 ◽  
Vol 7 (3) ◽  
pp. 283-299 ◽  
Author(s):  
Nyesha C. Black
Keyword(s):  
United States ◽  
Geographically Weighted Regression ◽  
The United States ◽  
Weighted Regression ◽  
Ecological Approach ◽  
County Level ◽  
Obesity Prevalence ◽  
Adult Obesity ◽  
Level Analysis

scholarly journals Impacts of Federally Funded State Obesity Programs on Adult Obesity Prevalence in the United States, 1998-2010

2018 ◽  
Vol 133 (2) ◽  
pp. 169-176
Author(s):  
Keumseok Koh ◽  
Sue C. Grady ◽  
Igor Vojnovic ◽  
Joe T. Darden
Keyword(s):  
United States ◽  
Program Implementation ◽  
Experimental Analysis ◽  
The United States ◽  
Intervention Programs ◽  
Future Research ◽  
Obesity Prevalence ◽  
Adult Obesity ◽  
Time Series Regression ◽  
Quasi Experimental

Objectives: From 2000 to 2010, the Division of Nutrition, Physical Activity, and Obesity (DNPAO) at the Centers for Disease Control and Prevention (CDC) funded 37 state health departments to address the obesity epidemic in their states through various interventions. The objective of this study was to investigate the overall impacts of CDC-DNPAO statewide intervention programs on adult obesity prevalence in the United States. Methods: We used a set of an individual-level, interrupted time-series regression and a quasi-experimental analysis to evaluate the overall effect of CDC-DNPAO intervention programs before (1998-1999) and after (2010) their implementation by using data from CDC’s Behavioral Risk Factor Surveillance System. Results: States that implemented the CDC-DNPAO program had a 2.4% to 3.8% reduction in the odds of obesity during 2000-2010 compared with states without the program. The effect of the CDC-DNPAO program varied by length of program implementation. A quasi-experimental analysis found that states with longer program implementation did not necessarily have lower odds of obesity than states with shorter program implementation. Conclusions: Statewide obesity interventions can contribute to reduced odds of obesity in the United States. Future research should evaluate the CDC-DNPAO programs in relation to their goals, objectives, and other environmental obesity risk factors to inform future interventions.

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