Psychological and Biological Pathways Linking Perceived Neighborhood Characteristics and Body Mass Index

Diana A. Chirinos, Luz M. Garcini, Annina Seiler, Kyle W. Murdock, Mary Peek, Raymond P. Stowe, Christopher Fagundes

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

BACKGROUND: Perceived neighborhood characteristics are linked to obesity, however, the mechanisms linking these two factors remain unknown. PURPOSE: This study aimed to examine associations between perceived neighborhood characteristics and body mass index (BMI), establish whether indirect pathways through psychological distress and inflammation are important, and determine whether these associations vary by race/ethnicity. METHODS: Participants were 1,112 adults enrolled in the Texas City Stress and Health Study. Perceived neighborhood characteristics were measured using the Perceived Neighborhood Scale. Psychological distress was measured with the Center for Epidemiological Studies Depression Scale, Perceived Stress Scale and mental health subscale of the Short Form Health Survey-36. Markers of inflammation included C-reactive protein, interleukin-6, and tumor necrosis factor receptor-1. Associations were examined with Structural Equation Modeling. RESULTS: A model linking neighborhood characteristics with BMI through direct and indirect (i.e., psychological distress and inflammation) paths demonstrated good fit with the data. Less favorable perceived neighborhood characteristics were associated with greater psychological distress (B = -0.87, β = -0.31, p < .001) and inflammation (B = -0.02, β = -0.10, p = .035). Psychological distress and inflammation were also significantly associated with BMI (Bdistress = 0.06, β = 0.08, p = .006; Binflammation = 4.65, β = 0.41, p < .001). Indirect paths from neighborhood characteristics to BMI via psychological distress (B = -0.05, β = -0.03, p = .004) and inflammation (B = -0.08, β = -0.04, p = .045) were significant. In multiple group analysis, a model with parameters constrained equal across race/ethnicity showed adequate fit suggesting associations were comparable across groups. CONCLUSION: Our study extends the literature by demonstrating the importance of neighborhood perceptions as correlates of BMI across race/ethnicity, and highlights the role of psychological and physiological pathways.

Original languageEnglish (US)
Pages (from-to)827-838
Number of pages12
JournalAnnals of behavioral medicine : a publication of the Society of Behavioral Medicine
Volume53
Issue number9
DOIs
StatePublished - Aug 16 2019

Fingerprint

Body Mass Index
Psychology
Inflammation
Tumor Necrosis Factor Receptors
Health Surveys
C-Reactive Protein
Epidemiologic Studies
Interleukin-6
Mental Health
Obesity
Depression
Health

Keywords

  • Depression
  • Ethnic minorities
  • Indirect effects
  • Inflammation
  • Neighborhood factors
  • Obesity
  • Stress
  • Structural equation modeling

ASJC Scopus subject areas

  • Psychology(all)
  • Psychiatry and Mental health

Cite this

Psychological and Biological Pathways Linking Perceived Neighborhood Characteristics and Body Mass Index. / Chirinos, Diana A.; Garcini, Luz M.; Seiler, Annina; Murdock, Kyle W.; Peek, Mary; Stowe, Raymond P.; Fagundes, Christopher.

In: Annals of behavioral medicine : a publication of the Society of Behavioral Medicine, Vol. 53, No. 9, 16.08.2019, p. 827-838.

Research output: Contribution to journalArticle

Chirinos, Diana A. ; Garcini, Luz M. ; Seiler, Annina ; Murdock, Kyle W. ; Peek, Mary ; Stowe, Raymond P. ; Fagundes, Christopher. / Psychological and Biological Pathways Linking Perceived Neighborhood Characteristics and Body Mass Index. In: Annals of behavioral medicine : a publication of the Society of Behavioral Medicine. 2019 ; Vol. 53, No. 9. pp. 827-838.
@article{30ab2178a6104098ac2d3ceac4550a99,
title = "Psychological and Biological Pathways Linking Perceived Neighborhood Characteristics and Body Mass Index",
abstract = "BACKGROUND: Perceived neighborhood characteristics are linked to obesity, however, the mechanisms linking these two factors remain unknown. PURPOSE: This study aimed to examine associations between perceived neighborhood characteristics and body mass index (BMI), establish whether indirect pathways through psychological distress and inflammation are important, and determine whether these associations vary by race/ethnicity. METHODS: Participants were 1,112 adults enrolled in the Texas City Stress and Health Study. Perceived neighborhood characteristics were measured using the Perceived Neighborhood Scale. Psychological distress was measured with the Center for Epidemiological Studies Depression Scale, Perceived Stress Scale and mental health subscale of the Short Form Health Survey-36. Markers of inflammation included C-reactive protein, interleukin-6, and tumor necrosis factor receptor-1. Associations were examined with Structural Equation Modeling. RESULTS: A model linking neighborhood characteristics with BMI through direct and indirect (i.e., psychological distress and inflammation) paths demonstrated good fit with the data. Less favorable perceived neighborhood characteristics were associated with greater psychological distress (B = -0.87, β = -0.31, p < .001) and inflammation (B = -0.02, β = -0.10, p = .035). Psychological distress and inflammation were also significantly associated with BMI (Bdistress = 0.06, β = 0.08, p = .006; Binflammation = 4.65, β = 0.41, p < .001). Indirect paths from neighborhood characteristics to BMI via psychological distress (B = -0.05, β = -0.03, p = .004) and inflammation (B = -0.08, β = -0.04, p = .045) were significant. In multiple group analysis, a model with parameters constrained equal across race/ethnicity showed adequate fit suggesting associations were comparable across groups. CONCLUSION: Our study extends the literature by demonstrating the importance of neighborhood perceptions as correlates of BMI across race/ethnicity, and highlights the role of psychological and physiological pathways.",
keywords = "Depression, Ethnic minorities, Indirect effects, Inflammation, Neighborhood factors, Obesity, Stress, Structural equation modeling",
author = "Chirinos, {Diana A.} and Garcini, {Luz M.} and Annina Seiler and Murdock, {Kyle W.} and Mary Peek and Stowe, {Raymond P.} and Christopher Fagundes",
year = "2019",
month = "8",
day = "16",
doi = "10.1093/abm/kay092",
language = "English (US)",
volume = "53",
pages = "827--838",
journal = "Annals of Behavioral Medicine",
issn = "0883-6612",
publisher = "Springer New York",
number = "9",

}

TY - JOUR

T1 - Psychological and Biological Pathways Linking Perceived Neighborhood Characteristics and Body Mass Index

AU - Chirinos, Diana A.

AU - Garcini, Luz M.

AU - Seiler, Annina

AU - Murdock, Kyle W.

AU - Peek, Mary

AU - Stowe, Raymond P.

AU - Fagundes, Christopher

PY - 2019/8/16

Y1 - 2019/8/16

N2 - BACKGROUND: Perceived neighborhood characteristics are linked to obesity, however, the mechanisms linking these two factors remain unknown. PURPOSE: This study aimed to examine associations between perceived neighborhood characteristics and body mass index (BMI), establish whether indirect pathways through psychological distress and inflammation are important, and determine whether these associations vary by race/ethnicity. METHODS: Participants were 1,112 adults enrolled in the Texas City Stress and Health Study. Perceived neighborhood characteristics were measured using the Perceived Neighborhood Scale. Psychological distress was measured with the Center for Epidemiological Studies Depression Scale, Perceived Stress Scale and mental health subscale of the Short Form Health Survey-36. Markers of inflammation included C-reactive protein, interleukin-6, and tumor necrosis factor receptor-1. Associations were examined with Structural Equation Modeling. RESULTS: A model linking neighborhood characteristics with BMI through direct and indirect (i.e., psychological distress and inflammation) paths demonstrated good fit with the data. Less favorable perceived neighborhood characteristics were associated with greater psychological distress (B = -0.87, β = -0.31, p < .001) and inflammation (B = -0.02, β = -0.10, p = .035). Psychological distress and inflammation were also significantly associated with BMI (Bdistress = 0.06, β = 0.08, p = .006; Binflammation = 4.65, β = 0.41, p < .001). Indirect paths from neighborhood characteristics to BMI via psychological distress (B = -0.05, β = -0.03, p = .004) and inflammation (B = -0.08, β = -0.04, p = .045) were significant. In multiple group analysis, a model with parameters constrained equal across race/ethnicity showed adequate fit suggesting associations were comparable across groups. CONCLUSION: Our study extends the literature by demonstrating the importance of neighborhood perceptions as correlates of BMI across race/ethnicity, and highlights the role of psychological and physiological pathways.

AB - BACKGROUND: Perceived neighborhood characteristics are linked to obesity, however, the mechanisms linking these two factors remain unknown. PURPOSE: This study aimed to examine associations between perceived neighborhood characteristics and body mass index (BMI), establish whether indirect pathways through psychological distress and inflammation are important, and determine whether these associations vary by race/ethnicity. METHODS: Participants were 1,112 adults enrolled in the Texas City Stress and Health Study. Perceived neighborhood characteristics were measured using the Perceived Neighborhood Scale. Psychological distress was measured with the Center for Epidemiological Studies Depression Scale, Perceived Stress Scale and mental health subscale of the Short Form Health Survey-36. Markers of inflammation included C-reactive protein, interleukin-6, and tumor necrosis factor receptor-1. Associations were examined with Structural Equation Modeling. RESULTS: A model linking neighborhood characteristics with BMI through direct and indirect (i.e., psychological distress and inflammation) paths demonstrated good fit with the data. Less favorable perceived neighborhood characteristics were associated with greater psychological distress (B = -0.87, β = -0.31, p < .001) and inflammation (B = -0.02, β = -0.10, p = .035). Psychological distress and inflammation were also significantly associated with BMI (Bdistress = 0.06, β = 0.08, p = .006; Binflammation = 4.65, β = 0.41, p < .001). Indirect paths from neighborhood characteristics to BMI via psychological distress (B = -0.05, β = -0.03, p = .004) and inflammation (B = -0.08, β = -0.04, p = .045) were significant. In multiple group analysis, a model with parameters constrained equal across race/ethnicity showed adequate fit suggesting associations were comparable across groups. CONCLUSION: Our study extends the literature by demonstrating the importance of neighborhood perceptions as correlates of BMI across race/ethnicity, and highlights the role of psychological and physiological pathways.

KW - Depression

KW - Ethnic minorities

KW - Indirect effects

KW - Inflammation

KW - Neighborhood factors

KW - Obesity

KW - Stress

KW - Structural equation modeling

UR - http://www.scopus.com/inward/record.url?scp=85071560392&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85071560392&partnerID=8YFLogxK

U2 - 10.1093/abm/kay092

DO - 10.1093/abm/kay092

M3 - Article

C2 - 30561495

AN - SCOPUS:85071560392

VL - 53

SP - 827

EP - 838

JO - Annals of Behavioral Medicine

JF - Annals of Behavioral Medicine

SN - 0883-6612

IS - 9

ER -