Abstract:
PURPOSE:Understanding how to mitigate the present black-white obesity disparity in the United States is a complex issue, stemming from a multitude of intertwined causes. An appropriate but underused approach to guiding policy approaches to this problem is to account for this complexity using simulation modeling. METHODS:We explored the efficacy of a policy that improved the quality of neighborhood schools in reducing racial disparities in obesity-related behavior and the dependence of this effect on social network influence and norms. We used an empirically grounded agent-based model to generate simulation experiments. We used a 2 × 2 × 2 factorial design that represented the presence or absence of improved neighborhood school quality, the presence or absence of social influence, and the type of social norm (healthy or unhealthy). Analyses focused on time trends in sociodemographic variables and diet quality. RESULTS:First, the quality of schools and social network influence had independent and interactive effects on diet behavior. Second, the black-white disparity in diet behavior was considerably reduced under some conditions, but never completely eliminated. Third, the degree to which the disparity in diet behavior was reduced was a function of the type of social norm that was in place; the reduction was the smallest when the type of social norm was healthy. CONCLUSIONS:Improving school quality can reduce, but not eliminate racial disparities in obesity-related behavior, and the degree to which this is true depends partly on social network effects.
journal_name
Ann Epidemioljournal_title
Annals of epidemiologyauthors
Orr MG,Galea S,Riddle M,Kaplan GAdoi
10.1016/j.annepidem.2014.05.012subject
Has Abstractpub_date
2014-08-01 00:00:00pages
563-9issue
8eissn
1047-2797issn
1873-2585pii
S1047-2797(14)00193-8journal_volume
24pub_type
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journal_title:Annals of epidemiology
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journal_title:Annals of epidemiology
pub_type: 杂志文章
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journal_title:Annals of epidemiology
pub_type: 杂志文章
doi:10.1016/j.annepidem.2006.03.003
更新日期:2006-12-01 00:00:00
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journal_title:Annals of epidemiology
pub_type: 杂志文章
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更新日期:2021-01-01 00:00:00
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journal_title:Annals of epidemiology
pub_type: 临床试验,杂志文章,随机对照试验
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更新日期:2001-05-01 00:00:00
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journal_title:Annals of epidemiology
pub_type: 杂志文章
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journal_title:Annals of epidemiology
pub_type: 杂志文章
doi:10.1016/j.annepidem.2010.05.007
更新日期:2010-08-01 00:00:00
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journal_title:Annals of epidemiology
pub_type: 杂志文章
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journal_title:Annals of epidemiology
pub_type: 杂志文章
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journal_title:Annals of epidemiology
pub_type: 杂志文章
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更新日期:2013-11-01 00:00:00
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更新日期:2020-12-01 00:00:00
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journal_title:Annals of epidemiology
pub_type: 临床试验,杂志文章,多中心研究,随机对照试验
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更新日期:2001-04-01 00:00:00
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journal_title:Annals of epidemiology
pub_type: 杂志文章
doi:10.1016/j.annepidem.2018.08.014
更新日期:2018-11-01 00:00:00
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journal_title:Annals of epidemiology
pub_type: 杂志文章
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更新日期:2013-08-01 00:00:00
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journal_title:Annals of epidemiology
pub_type: 杂志文章
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更新日期:2013-11-01 00:00:00
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journal_title:Annals of epidemiology
pub_type: 杂志文章
doi:10.1016/j.annepidem.2013.04.009
更新日期:2013-07-01 00:00:00
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journal_title:Annals of epidemiology
pub_type: 杂志文章
doi:10.1016/j.annepidem.2019.10.003
更新日期:2019-12-01 00:00:00
abstract:PURPOSE:To describe factors associated with racial disparities in HIV (human immunodeficiency virus) incidence among men who have sex with men (MSM) in the United States. METHODS:In a longitudinal cohort of black and white HIV-negative MSM in Atlanta, HIV incidence rates were compared by race. Incidence hazard ratios ...
journal_title:Annals of epidemiology
pub_type: 杂志文章
doi:10.1016/j.annepidem.2015.03.006
更新日期:2015-06-01 00:00:00