JSM Preliminary Online Program
This is the preliminary program for the 2009 Joint Statistical Meetings in Washington, DC.

The views expressed here are those of the individual authors
and not necessarily those of the ASA or its board, officers, or staff.

Back to main JSM 2009 Program page

Activity Number: 438
Type: Topic Contributed
Date/Time: Wednesday, August 5, 2009 : 8:30 AM to 10:20 AM
Sponsor: Section on Statistics in Epidemiology
Abstract - #305680
Title: The Social and Geographic Context of Obesity and Diabetes Epidemics
Author(s): Xingyou Zhang*+ and James Holt
Companies: CDC and CDC
Address: Division of Adult and Community Health, Atlanta, GA, 30341,
Keywords: multilelevel analysis ; obeisty ; diabetes ; BFRSS ; geographic context ; disparities
Abstract:

Background The social and geographic determinants beyond an individual nature for obesity and diabetes remain underexplored. This study examines how social and geographic contexts influence them. Methods We use 2007 BRFSS data and a multilevel structural equation modeling framework to examine the pathways of social and geographic context to this epidemic. Results Obesity and diabetes prevalence and BMI (in 2007) increased from large fringe, large central, medium, small metropolitan, micropolitan, to noncore rural counties. Multilevel analysis shows county-level social and geographic measures explain 65% of state-level and 23% of county-level variations in BMI. Conclusions County-level social-spatial transformations resulting from urbanization processes contribute to significant urban-rural disparities in BMI and may also explain disparities in obesity and diabetes.

  • The address information is for the authors that have a + after their name.
  • Authors who are presenting talks have a * after their name.

Back to the full JSM 2009 program


JSM 2009 For information, contact jsm@amstat.org or phone (888) 231-3473. If you have questions about the Continuing Education program, please contact the Education Department.
Revised September, 2008