-sectional study on the interaction between social and neighbourhood effects on weight management behaviours

Objective: To weight management strategies and if there is an interaction between individual socioeconomic status (SES) and neighbourhood deprivation. Methodology: Data were collected from the Yorkshire Health Study (2010-2012) for 27 806 -level logistic regression was fit to analyse the use of these strategies, controlling for age, sex, body mass index, education, neighbourhood deprivation and neighbourhood population turnover (a proxy for neighbourhood social capital). A cross-level interaction term was included for education and neighbourhood deprivation. Lower Super Output Area was used as the geographical scale for the areal unit of analysis. Results: management strategies, independent of individualand area-level covariates. A significant interaction between education and neighbourhood deprivation was observed across all strategies, suggesting that as an area becomes more deprived, individuals of the lowest education are more likely not to use any strategy compared to those of the highest education. Conclusions: Neighbourhoods modify/amplify individual disadvantage and social inequalities, with individuals of low education disproportionally affected by deprivation. It is important to include neighbourhood-based explanations in the development of community based policy interventions to help tackle obesity. MeSH