Spatial analysis of food insecurity and obesity by area-level deprivation in children in early years settings in England.

Journal Article (Journal Article)

BACKGROUND: we assessed manager perceptions of food security and obesity in young children attending nurseries across England, assessing spatial differences by area-level deprivation. METHODS: we conducted an adjusted multinomial logistic regression and an adjusted geographically weighted logistic regression examining the odds of a manager perceiving obesity, food insecurity, or both as a problem among children in care measured via a mailed survey. RESULTS: 851 (54.3%) managers returned the survey. A nursery being in the highest tertile of area-level deprivation was associated with a 1.89 (95% CI 1.00, 3.57) greater odds of perceiving obesity as a problem, a 3.06 (95% CI 1.94, 4.84) greater odds of perceiving food insecurity as a problem, and a 8.39 (95% CI 4.36, 16.15) greater odds of perceiving both as a problem, compared with the lowest tertile. CONCLUSIONS: we observed differences in manager perception by area-level deprivation, but the relationship was especially pronounced for food insecurity.

Full Text

Duke Authors

Cited Authors

  • Benjamin Neelon, SE; Burgoine, T; Gallis, JA; Monsivais, P

Published Date

  • November 2017

Published In

Volume / Issue

  • 23 /

Start / End Page

  • 1 - 9

PubMed ID

  • 29108687

Pubmed Central ID

  • PMC5687319

Electronic International Standard Serial Number (EISSN)

  • 1877-5853

Digital Object Identifier (DOI)

  • 10.1016/j.sste.2017.07.001


  • eng

Conference Location

  • Netherlands