Purpose: Striking disparities persist in cardiovascular disease risk factors among minority youth. We examined the association between multiple indicators of neighborhood quality and minority youth fitness. Methods: The primary exposure was the Child Opportunity Index (COI), a measure comprised of indicators that facilitate healthy child development. Outcome data were drawn from the 2018–2019 Fit2Play Study (Miami-Dade County, FL). Hotspot analysis evaluated COI spatial clustering. Generalized linear mixed models examined cross-sectional COI-fitness associations. Results: The sample included 725 youth (53% Black, 43% Hispanic; 5–17 years). Significant neighborhood quality spatial clusters were identified (Gi*z-score = −4.85 to 5.36). Adjusting for sociodemographics, walkability was associated with lower percentiles in body mass index (BMI) and diastolic blood pressure percentiles (DBP) (β = −5.25, 95% CI: −8.88, −1.62 and β = −3.95, 95% CI: −7.02, −0.89, respectively) for all, lower skinfold thickness (β = −4.83, 95% CI: −9.97, 0.31 and higher sit-ups (β = 1.67, 95% CI: −0.17, 3.50) among girls, and lower systolic blood pressure percentiles (SBP) (β = −4.75, 95% CI: −8.99, −0.52) among boys. Greenspace was associated with higher BMI (β = 6.17, 95% CI: 2.47, 9.87), SBP (β = 3.47, 95% CI: −0.05, 6.99), and DBP (β = 4.11, 95% CI: 1.08, 7.13). Conclusions: COI indicators were positively associated with youth fitness. Disparities in youth cardiovascular disease risk may be modifiable through community interventions and built environment initiatives targeting select neighborhood factors.
- Cardiovascular health disparities
- Neighborhood quality
- Youth fitness
ASJC Scopus subject areas