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Spatial analysis of body mass index and smoking behavior among WISEWOMAN participants.

Publication ,  Journal Article
Mobley, LR; Finkelstein, EA; Khavjou, OA; Will, JC
Published in: J Womens Health (Larchmt)
June 2004

BACKGROUND: The WISEWOMAN program focuses on reducing cardiovascular disease (CVD) risk factors by providing screening and lifestyle interventions for many low-income and uninsured women. To provide the most effective interventions possible, it is important to understand the characteristics of WISEWOMAN participants and their communities. METHODS: We used baseline data collected for WISEWOMAN participants from five states (Connecticut, Michigan, Nebraska, North Carolina, and South Dakota) who had enrolled in WISEWOMAN between January 2001 and December 2002 in order to examine body mass index (BMI) and smoking behavior for evidence of spatial clustering. We then examined whether neighborhood characteristics in clusters of high-risk factors differed from neighborhood characteristics in other locations. RESULTS: Six percent of the WISEWOMAN participants lived in ZIP codes with high-BMI clusters, and 4% lived in ZIP codes with high-smoking clusters. High-BMI and high-smoking clusters occurred, however, in different locations from each other. The high-BMI-clustered ZIP codes were, on average, located in more disadvantaged areas. Most of the differences between the high-smoking-clustered ZIP codes and the remaining ZIP codes were not statistically significant. CONCLUSIONS: Our analysis revealed spatial clustering in CVD risk factors among WISE-WOMAN participants. We also found evidence of a correlation between high-BMI clusters and low socioeconomic status of the surrounding community. A more in-depth analysis of the relationship between risk factors (e.g., BMI) and community characteristics in clustered locations will provide further information concerning the role of the community in affecting individual behavior and should allow for tailoring interventions to reduce these risk factors more effectively.

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Published In

J Womens Health (Larchmt)

DOI

ISSN

1540-9996

Publication Date

June 2004

Volume

13

Issue

5

Start / End Page

519 / 528

Location

United States

Related Subject Headings

  • Women's Health Services
  • Women's Health
  • United States
  • South Dakota
  • Smoking
  • Risk Factors
  • Public Health
  • Primary Prevention
  • Prevalence
  • Poverty
 

Citation

APA
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ICMJE
MLA
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Mobley, L. R., Finkelstein, E. A., Khavjou, O. A., & Will, J. C. (2004). Spatial analysis of body mass index and smoking behavior among WISEWOMAN participants. J Womens Health (Larchmt), 13(5), 519–528. https://doi.org/10.1089/1540999041281034
Mobley, Lee R., Eric A. Finkelstein, Olga A. Khavjou, and Julie C. Will. “Spatial analysis of body mass index and smoking behavior among WISEWOMAN participants.J Womens Health (Larchmt) 13, no. 5 (June 2004): 519–28. https://doi.org/10.1089/1540999041281034.
Mobley LR, Finkelstein EA, Khavjou OA, Will JC. Spatial analysis of body mass index and smoking behavior among WISEWOMAN participants. J Womens Health (Larchmt). 2004 Jun;13(5):519–28.
Mobley, Lee R., et al. “Spatial analysis of body mass index and smoking behavior among WISEWOMAN participants.J Womens Health (Larchmt), vol. 13, no. 5, June 2004, pp. 519–28. Pubmed, doi:10.1089/1540999041281034.
Mobley LR, Finkelstein EA, Khavjou OA, Will JC. Spatial analysis of body mass index and smoking behavior among WISEWOMAN participants. J Womens Health (Larchmt). 2004 Jun;13(5):519–528.
Journal cover image

Published In

J Womens Health (Larchmt)

DOI

ISSN

1540-9996

Publication Date

June 2004

Volume

13

Issue

5

Start / End Page

519 / 528

Location

United States

Related Subject Headings

  • Women's Health Services
  • Women's Health
  • United States
  • South Dakota
  • Smoking
  • Risk Factors
  • Public Health
  • Primary Prevention
  • Prevalence
  • Poverty