Socio-demographic and built environment influences on the odds of being overweight or obese: The Atlanta experience

This paper explores the association of socio-demographic and built environment characteristics on the odds of being overweight and obese using data from the Atlanta SMARTRAQ travel survey. A new methodological framework based on a multinomial logit (MNL) model and an enhanced odds ratio plot is presented. The use of an MNL model overcomes limitations of many prior studies that employ a sequence of binary logit models to examine multiple weight categories. The use of an enhanced odds ratio plot provides important information into the relative importance of socio-demographic and built environment characteristics. Several new findings for the Atlanta area result from this study. Socio-demographic variables, including age and educational attainment, exhibit a non-linear relationship with the odds of their overweight or obese. Gender, age, ethnicity, and educational attainment are strongly associated with the odds of being overweight or obese, while income and number of students between 5 and 16 years old in the household have smaller effects. Built environment characteristics such as increased net residential densities and enhanced street connectivity are associated with reductions in the odds of being overweight or obese. (C) 2008 Elsevier Ltd. All rights reserved.