Obesity among U.S. rural adults: Assessing selection and causation with prospective cohort data.

Abstract:

:Rural adults in the U.S. have disproportionately high rates of obesity, but it is unclear whether this association exists because of selective migration or a contextual effect of the rural environment. Using nationally representative longitudinal data, this study investigates: (1) whether people with obesity select into rural counties, and (2) whether living in a rural area increases body weight after accounting for selection bias. Results indicate that people with obesity are less likely to move to a different county than people without obesity even after controlling for individual and household differences. Next, individual fixed effects regression models, which implicitly control for all time-constant variables, are used to produce a more robust estimate of the effect of rural residence on body weight. Rural residence predicts a significant increase in probability of obesity and body mass index. These results suggest that the association between rural residence and obesity in the United States is likely bidirectional.

journal_name

Health Place

journal_title

Health & place

authors

Lee M

doi

10.1016/j.healthplace.2019.102260

subject

Has Abstract

pub_date

2020-01-01 00:00:00

pages

102260

eissn

1353-8292

issn

1873-2054

pii

S1353-8292(19)30631-8

journal_volume

61

pub_type

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