Abstract
Changing descriptive social norm in health behavior (“how many people are behaving healthy”) has been shown to be effective in promoting healthy eating. We developed an agent-based model to explore the potential of changing social norm in reducing hypertension among the adult population of Los Angeles County. The model uses the 2007 California Health Interview Survey (CHIS) to create a virtual population that mimics the joint distribution of demographic characteristics and health behavior in the Los Angeles County. We calibrated the outcome of hypertension as a function of individual age and fruits/vegetable consumption, based upon the observed pattern in the survey. We then simulated an intervention scenario to promote healthier eating by increasing the visibility (i.e. descriptive social norms) of those who eat at least one serving of fruits/vegetable per day. We compare the hypertension incidence under the status quo scenario and the intervention scenario. We found that the effect size of 5% in social norm enhancement yields a reduction in 5 year hypertension incidence by 10.08%. An effect size of 15% would reduce incidence by 15.50%. In conclusion, the agent-based model built and calibrated around real-world data shows that changes descriptive social norms in healthy eating can be effective to reduce the burden of hypertension. The model can be improved in the future by also including the chronic conditions that are affected by changes in fruits/vegetable consumption.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Notes
References
Epstein JM (2008) J Artif Soc Soc Simul 11(4):12
Leischow S, Milstein B (2006) Am J Public Health 96(3):403
Luke DA, Stamatakis KA (2012) Annu Rev Public Health 33:357
Gilbert N, Troitzsch K (2005) Simulation for the social scientist. McGraw-Hill International
Epstein JM (2009) Nature 460:687
Giabbanelli PJ (2013) A novel framework for complex networks and chronic diseases. Springer, Berlin, Heidelberg, pp 207–215
Nianogo R, Onyebuchi A (2015) Am J Public Health 105(3):e20
Cavana RY, Clifford LV (2006) Syst Dyn Rev 22(4):321
Levy D, Mabry P, Wang Y, Gortmaker S, Huang T, Marsh T, Moodie M, Swinburn B (2010) Obes Rev 12:378
Verigin T, Giabbanelli PJ, Davidsen PI (2016) In: Proceedings of the 49th annual simulation symposium 2016 (ANSS’16), pp 9:1–9:10
Giabbanelli PJ, Alimadad A, Dabbaghian V, Finegood DT (2012) J Comput Sci 3(1):17
Zhang D, Giabbanelli PJ, Arah O, Zimmerman F (2014) Am J Public Health 104(7):1217
Giabbanelli PJ, Crutzen R (2017) Comput Math Methods Med 2017:5742629
Deck P, Giabbanelli P, Finegood D (2013) Can J Diabetes 37:S269
Auchincloss AH, Riolo RL, Brown DG, Cook J, Roux AVD (2011) Am J Prev Med 40(3):303
Lieberman M, Gauvin L, Bukowski W, White D (2001) Eat Behav 2(3):215
Klesges R, Bartsch D, Norwood J, Kautzrnan D, Haugrud S (1984) Int J Eat Disord 3(4):35
Rivis A, Sheeran P (2002) Curr Psychol 22(2):218
Stok F, Ridder D, Vet E, Wit J (2014) Br J Health Psychol 19(1):52
Wakefield M, Loken B, Hornik R (2010) Lancet 376(9748):1261
Wang L, Manson J, Gaziano J, Buring J, Sesso H (2012) Am J Hypertens 25(2):180
Mozaffarian D, Benamin E, Go A et al (2015) Circulation p. CIR. 0000000000000350
Sacks F, Svetkey L, Vollmer W et al (2001) N Engl J Med 344(1):3
CDC (2016) Badges and widgets. http://www.cdc.gov/nccdphp/dch/multimedia/badges.htm
Porter K, Curtin L, Carroll M, Li X, Smon M, Fielding J (2011) Natl Health Stat Rep 42
Dixon H, Scully M, Wakefield M, White V, Crawford D (2007) Soc Sci Med 65(7):1311
Li Y, Lawley M, Siscovick D, Zhang D, Pagan J (2016) Prev Chronic Dis 13:E59
Li Y, Zhang D, Pagan J (2016) J Urban Health 1–12
Giabbanelli PJ, Jackson PJ, Finegood DT (2014) Modelling the joint effect of social determinants and peers on obesity among Canadian adults, pp 145–160
Grimm V, Berger U, DeAngelis DL, Polhill JG, Giske J, Railsback SF (2010) Ecol Model 221(23):2760
National Cancer Institute Health Behaviors Research Branch (2007) Food attitudes and behavior (FAB) survey
Hsiao C (1996) Logit and probit models, pp 410–428
Comellas F, Ozn J, Peters JG (2000) Inf Process Lett 76(1):83
Giabbanelli PJ (2011) Adv Complex Syst 14(06):853
Giabbanelli PJ (2010) In: 2010 IEEE globecom workshops, pp 389–393
Zimmerman F (2013) Soc Sci Med 3(80):47
Ponce N, Lavarreda S, Yen W, Brown E, DiSogra C, Satter D (2014) Public Health Rep 119(4):388
Barriere L, Comellas F, Dalfo C, Fiol M (2016) J Phys A: Math Theor 49(22):225202
Casagrande SS, Wang Y, Anderson C, Gary T (2007) Am J Prev Med 32(4):257
Gregorio JD, Lee J (2002) Rev Income Wealth 48(3):395
Powell L, Auld M, Chaloupka F, O’Malley P, Johnston L (2007) Adv Health Econ Health Serv Res 17:23
Beydoun M, Powell L, Wang Y (2008) Soc Sci Med 66(11):2218
Rodriguez B, Labarthe D, Huang B, Lopez-Gomez J (1994) Hypertension 24(6):779
Ahrweiler P, Gilbert N (2015) The quality of social simulation: an example from research policy modelling, pp 35–55
Robinson E, Fleming A, Higgs S (2014) Health Psychol 33(9):1057
Barragan N, Noller A, Robles B, Gase L, Leighs M, Bogert S, Simon P, Kuo T (2013) Health Promot Pract 15(2):208
Patel I, Nguyen H, Belyi E, Getahun Y, Abdulkareem S, Giabbanelli PJ, Mago V (2017) In: SoutheastCon 2017, pp 1–8
Zhang X, Cowling D, Tang H (2010) Tob Control 19(S1):i51
Davis K (2013) Expenditures for hypertension among adults age 18 and older, 2010: estimates for the US civilian noninstitutionalized population
Weaver C, Clement F, Campbell N, James M et al (2015) Hypertension 66(3):502
Conlin P, Chow D, Miller E, Svetkey L, Lin P, Harsha D, Moore T, Sacks F, Appel L (2000) Am J Hypertens
Hertz R, Unger A, Cornell J, Saunders E (2005) Arch Intern Med 165(18):2098
Acknowledgements
PJG wishes to thank the College of Liberal Arts & Sciences and the Department of Computer Science at Northern Illinois University for financial support.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2018 Springer International Publishing AG, part of Springer Nature
About this chapter
Cite this chapter
Khademi, A., Zhang, D., Giabbanelli, P.J., Timmons, S., Luo, C., Shi, L. (2018). An Agent-Based Model of Healthy Eating with Applications to Hypertension. In: Giabbanelli, P., Mago, V., Papageorgiou, E. (eds) Advanced Data Analytics in Health. Smart Innovation, Systems and Technologies, vol 93. Springer, Cham. https://doi.org/10.1007/978-3-319-77911-9_3
Download citation
DOI: https://doi.org/10.1007/978-3-319-77911-9_3
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-319-77910-2
Online ISBN: 978-3-319-77911-9
eBook Packages: EngineeringEngineering (R0)