Neighbourhood poverty, perceived discrimination, and central adiposity: Independent associations in a repeated measures analysis

This study examines the independent effects of neighbourhood context (i.e. neighbourhood poverty) and exposure to perceived discrimination in shaping risk of obesity over time. Weighted 3-level hierarchical linear regression models for a continuous outcome were used to assess independent effects of neighbourhood poverty and perceived discrimination on obesity over time in a sample of 157 Non-Hispanic Black, Non-Hispanic White, and Hispanic adults 2002/2003 and 2007/2008. Independent associations were found between neighbourhood poverty and perceived discrimination with central adiposity over time. Residents of neighbourhoods with high concentrations of poverty were more likely to show increases in central adiposity compared to those in neighbourhoods with lower concentrations of poverty. In models adjusted for BMI, neighbourhood poverty at baseline was associated with greater change in central adiposity among participants who lived in neighbourhoods in the second (B=3.79, P=0.025) and third (B=3.73, P=0.024) quartiles, compared with those in the lowest poverty neighbourhoods. Results from models that included both neighbourhood poverty and perceived discrimination showed that both neighbourhood poverty and discrimination were associated with increased risk of increased central adiposity over time. Residents of neighbourhoods in the second (B=9.58, P