Using Small-Area Estimation Method to Calculate County-Level Prevalence of Obesity in Mississippi, 2007-2009
2011

County-Level Obesity Prevalence in Mississippi (2007-2009)

Sample size: 25046 publication 10 minutes Evidence: high

Author Information

Author(s): Zhang Zhen, Zhang Lei, Penman Alan, May Warren

Primary Institution: University of Mississippi Medical Center

Hypothesis

The study aimed to assess the scope, socioeconomic and geographic characteristics, and temporal trends of the obesity epidemic in Mississippi.

Conclusion

The 2009 obesity prevalence in all Mississippi counties was substantially higher than the national average and differed by geography and race.

Supporting Evidence

  • Obesity prevalence in Mississippi increased from 19.5% in 1995 to 35.4% in 2009.
  • Counties with higher obesity rates were clustered in the Delta region and along the Mississippi River.
  • Age, sex, race, education, and employment status were associated with obesity.

Takeaway

This study looked at how many people in Mississippi are obese and found that a lot more people are affected than in other states, especially in certain areas.

Methodology

The study used a small-area estimation method applied to BRFSS data to estimate county-level obesity prevalence and assess associations with socioeconomic factors.

Potential Biases

Self-reporting bias may affect the accuracy of obesity estimates.

Limitations

Self-reported data may underestimate obesity prevalence, and the 95% confidence intervals produced were approximations.

Participant Demographics

The study included noninstitutionalized adults aged 18 years or older in Mississippi, with a focus on age, sex, race, education, and employment status.

Statistical Information

P-Value

0.001

Confidence Interval

2.0-2.5

Statistical Significance

p<0.001

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