Neighborhood ethnic composition, spatial assimilation, and change in body mass index over time among Hispanic and Chinese immigrants: Multi-Ethnic Study of Atherosclerosis.

OBJECTIVES We investigated relations between changes in neighborhood ethnic composition and changes in body mass index (BMI) and waist circumference among Chinese and Hispanic immigrants in the United States. METHODS We used Multi-Ethnic Study of Atherosclerosis data over a median 9-year follow-up (2000-2002 to 2010-2012) among Chinese (n = 642) and Hispanic (n = 784) immigrants aged 45 to 84 years at baseline. We incorporated information about residential moves and used econometric fixed-effects models to control for confounding by time-invariant characteristics. We characterized neighborhood racial/ethnic composition with census tract-level percentage Asian for Chinese participants and percentage Hispanic for Hispanic participants (neighborhood coethnic concentration). RESULTS In covariate-adjusted longitudinal fixed-effects models, results suggested associations between decreasing neighborhood coethnic concentration and increasing weight, although results were imprecise: within-person BMI increases associated with an interquartile range decrease in coethnic concentration were 0.15 kilograms per meters squared (95% confidence interval [CI] = 0.00, 0.30) among Chinese and 0.17 kilograms per meters squared (95% CI = -0.17, 0.51) among Hispanic participants. Results did not differ between those who did and did not move during follow-up. CONCLUSIONS Residential neighborhoods may help shape chronic disease risk among immigrants.

[1]  Zengwang Xu,et al.  Interpolating U.S. Decennial Census Tract Data from as Early as 1970 to 2010: A Longitudinal Tract Database , 2014, The Professional geographer : the journal of the Association of American Geographers.

[2]  K. Kershaw,et al.  Metropolitan-level ethnic residential segregation, racial identity, and body mass index among U.S. Hispanic adults: a multilevel cross-sectional study , 2014, BMC Public Health.

[3]  N. Goldman,et al.  Contextual factors and weight change over time: a comparison between U.S. Hispanics and other population sub-groups. , 2013, Social science & medicine.

[4]  A. Roux,et al.  Immigrant assimilation and BMI and waist size: A longitudinal examination among hispanic and chinese participants in the multi‐ethnic study of atherosclerosis , 2013, Obesity.

[5]  A. D. Diez Roux,et al.  Secular trends in the association between nativity/length of US residence with body mass index and waist circumference among Mexican-Americans, 1988–2008 , 2013, International Journal of Public Health.

[6]  R. Wasem.  U.S. Immigration Policy: Chart Book of Key Trends , 2013 .

[7]  Heidi Hanson,et al.  Re-visiting the relationship between neighbourhood environment and BMI: an instrumental variables approach to correcting for residential selection bias , 2013, International Journal of Behavioral Nutrition and Physical Activity.

[8]  T. Osypuk.  Invited commentary: integrating a life-course perspective and social theory to advance research on residential segregation and health. , 2013, American journal of epidemiology.

[9]  A. Hilmers,et al.  Neighborhood disparities in access to healthy foods and their effects on environmental justice. , 2012, American journal of public health.

[10]  Youfa Wang,et al.  Race, place, and obesity: the complex relationships among community racial/ethnic composition, individual race/ethnicity, and obesity in the United States. , 2012, American journal of public health.

[11]  M. Syed,et al.  Discrimination and psychological distress: Examining the moderating role of social context in a nationally representative sample of Asian American adults , 2012 .

[12]  A. D. Diez Roux,et al.  Neighborhood health-promoting resources and obesity risk (the Multi-Ethnic Study of Atherosclerosis) , 2012, Obesity.

[13]  D. Chiriboga,et al.  Erratum to: Acculturation and Depressive Symptoms in Hispanic Older Adults: Does Perceived Ethnic Density Moderate their Relationship? , 2012, Journal of Immigrant and Minority Health.

[14]  India J. Ornelas,et al.  The role of migration in the development of depressive symptoms among Latino immigrant parents in the USA. , 2011, Social science & medicine.

[15]  Diane M Gibson,et al.  The neighborhood food environment and adult weight status: estimates from longitudinal data. , 2011, American journal of public health.

[16]  Yu Xie,et al.  Ethnic Enclaves and the Earnings of Immigrants , 2011, Demography.

[17]  J. Wardle,et al.  Stress and Adiposity: A Meta‐Analysis of Longitudinal Studies , 2011, Obesity.

[18]  J. Jacobson,et al.  Neighbourhood immigrant acculturation and diet among Hispanic female residents of New York City , 2011, Public Health Nutrition.

[19]  M. Wen,et al.  Latino Residential Isolation and the Risk of Obesity in Utah: The Role of Neighborhood Socioeconomic, Built-Environmental, and Subcultural Context , 2011, Journal of Immigrant and Minority Health.

[20]  T. Assimes,et al.  Call to action: cardiovascular disease in Asian Americans: a science advisory from the American Heart Association. , 2010, Circulation.

[21]  A. D. Diez Roux,et al.  Is neighborhood racial/ethnic composition associated with depressive symptoms? The multi-ethnic study of atherosclerosis. , 2010, Social science & medicine.

[22]  Eliseo J Perez-Stable,et al.  Immigrant generation and physical activity among Mexican, Chinese & Filipino adults in the U.S. , 2010, Social science & medicine.

[23]  S. Cunningham,et al.  The weight of US residence among immigrants: a systematic review , 2010, Obesity reviews : an official journal of the International Association for the Study of Obesity.

[24]  T. Osypuk,et al.  Another Mexican birthweight paradox? The role of residential enclaves and neighborhood poverty in the birthweight of Mexican-origin infants. , 2010, Social science & medicine.

[25]  G. Gee,et al.  Racial discrimination and health among Asian Americans: evidence, assessment, and directions for future research. , 2009, Epidemiologic reviews.

[26]  J. Nazroo,et al.  The buffering effects of ethnic density on experienced racism and health. , 2009, Health & place.

[27]  A. D. Diez Roux,et al.  Are immigrant enclaves healthy places to live? The Multi-ethnic Study of Atherosclerosis. , 2009, Social science & medicine.

[28]  Beth E. Molnar,et al.  A Multilevel Analysis of Social Ties and Social Cohesion among Latinos and Their Neighborhoods: Results from Chicago , 2009, Journal of Urban Health.

[29]  T. G. Franklin,et al.  Life-course socioeconomic positions and subclinical atherosclerosis in the multi-ethnic study of atherosclerosis. , 2009, Social science & medicine.

[30]  D. Jacobs,et al.  The association between physical activity and subclinical atherosclerosis: the Multi-Ethnic Study of Atherosclerosis. , 2008, American journal of epidemiology.

[31]  K. Narayan,et al.  Health of foreign-born people in the United States: a review. , 2008, Health & place.

[32]  Vicki A Freedman,et al.  Neighborhoods and obesity in later life. , 2008, American journal of public health.

[33]  R. Wilkinson,et al.  People like us: ethnic group density effects on health , 2008, Ethnicity & health.

[34]  S. Subramanian,et al.  Individual and neighborhood differences in diet among low-income foreign and U.S.-born women. , 2008, Women's health issues : official publication of the Jacobs Institute of Women's Health.

[35]  John Iceland,et al.  Immigrant residential segregation in U.S. metropolitan areas, 1990–2000 , 2008, Demography.

[36]  N. Lurie,et al.  Neighborhood context and ethnicity differences in body mass index: a multilevel analysis using the NHANES III survey (1988-1994). , 2007, Economics and human biology.

[37]  D. Alley,et al.  Hispanic paradox in biological risk profiles. , 2007, American journal of public health.

[38]  A. D. Diez Roux,et al.  Acculturation is associated with hypertension in a multiethnic sample. , 2007, American journal of hypertension.

[39]  Lisa M Powell,et al.  Food store availability and neighborhood characteristics in the United States. , 2007, Preventive medicine.

[40]  A. D. Diez Roux,et al.  Associations of neighborhood characteristics with the location and type of food stores. , 2006, American journal of public health.

[41]  Kyle Crowder,et al.  Migration and spatial assimilation among u.s. latinos: Classical versus segmented trajectories , 2005, Demography.

[42]  Heather Antecol,et al.  Unhealthy assimilation: Why do immigrants converge to American health status levels? , 2005, Demography.

[43]  W. Poston,et al.  Obesity and the built environment. , 2005, Journal of the American Dietetic Association.

[44]  A. Portes,et al.  Legacies: The Story of the Immigrant Second Generation , 2004 .

[45]  C. Nishida,et al.  Appropriate body-mass index for Asian populations and its implications for policy and intervention strategies , 2004, The Lancet.

[46]  A. Roux,et al.  Residential environments and cardiovascular risk , 2003, Journal of Urban Health.

[47]  G. Ostir,et al.  Neighbourhood composition and depressive symptoms among older Mexican Americans , 2003, Journal of epidemiology and community health.

[48]  R. Kronmal,et al.  Multi-Ethnic Study of Atherosclerosis: objectives and design. , 2002, American journal of epidemiology.

[49]  J. Logan.  Separate and Unequal: The Neighborhood Gap for Blacks and Hispanics in Metropolitan America. , 2002 .

[50]  A. Roux.  Investigating Neighborhood and Area Effects on Health , 2001 .

[51]  A. Astrup,et al.  Obesity : Preventing and managing the global epidemic , 2000 .

[52]  A. Portes,et al.  The New Second Generation: Segmented Assimilation and its Variants , 1993 .

[53]  D. Chiriboga,et al.  Acculturation and Depressive Symptoms in Hispanic Older Adults: Does Perceived Ethnic Density Moderate their Relationship? , 2011, Journal of Immigrant and Minority Health.

[54]  B. Cosman,et al.  Obesity epidemiology. , 2011, Clinics in colon and rectal surgery.

[55]  James Macinko,et al.  Neighborhoods and obesity. , 2008, Nutrition reviews.

[56]  S. Galea,et al.  What Level Macro? Choosing Appropriate Levels to Assess How Place Influences Population Health , 2007 .

[57]  P. Allison.  Fixed Effects Regression Methods In SAS ® , 2006 .

[58]  L. Morales,et al.  Acculturation and Latino health in the United States: a review of the literature and its sociopolitical context. , 2005, Annual review of public health.

[59]  Ana V Diez Roux,et al.  Residential environments and cardiovascular risk , 2003, Journal of urban health : bulletin of the New York Academy of Medicine.

[60]  Rebecca E Lee,et al.  Neighborhood context and youth cardiovascular health behaviors. , 2002, American journal of public health.

[61]  Who Consultation on Obesity.  Obesity: preventing and managing the global epidemic. Report of a WHO consultation. , 2000, World Health Organization technical report series.