Walking, exercising, and smoking: does neighborhood matter?

Walking, exercising, and smoking: does neighborhood matter?
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DOI:
10.1016/s0277-9536(99)00451-7
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发表时间:
2000-07-01
影响因子:
5.4
通讯作者:
Ross, CE
Ross, CE
中科院分区:
医学2区
文献类型:
--
作者:
Ross, CE

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邻里环境可能会影响健康行为,因为结构或传染。我们预计,美国社区的居民中有很高比例的居民是穷人,没有大学学位,他们更有可能吸烟,不太可能筑墙;和锻炼。我们使用多层次的数据,其中调查信息从伊利诺伊州居民的代表性样本是联系在一起的贫困和教育在他们的社区人口普查道信息的假设进行了检查。与预期相反,我们发现贫困社区的居民比那些不那么弱势的地方更有可能步行,调整个人贫困,家庭收入,教育,种族,民族,性别,年龄和婚姻状况。尽管贫困社区的居民更害怕离开家,害怕在街上成为受害者,但情况就是这样。与预期一致的是,我们发现,高比例居民受过大学教育的社区的居民更有可能步行。因此,邻里社会经济地位的两个方面对步行有相反的影响。邻里环境对剧烈运动的可能性没有影响。居住在贫困社区的男性比居住在条件不那么差的地方的男性更有可能吸烟,英国人的社区环境对女性吸烟的可能性没有显著影响。(C)2000爱思唯尔科技有限公司版权所有。
Neighborhood context could affect health behaviors because of structure or contagion. We expected that residents of US neighborhoods where a high percentage of residents are poor and do not have college degrees would be more likely to smoke and less likely to wall; and exercise. We examined the hypotheses using multi-level data in which survey information fi om a representative sample of Illinois residents is linked to census-tract information about poverty and education in their neighborhood. Contrary to expectations we found that residents of poor neighborhoods were more likely to walk than those in less disadvantaged places, adjusting for individual poverty, household income, education, race, ethnicity, sex, age, and marital status. This was the case despite the fact that residents of poor neighborhoods were more afraid to leave the house and feared being victimized on the streets. Consistent with expectations we found that residents of neighborhoods where a high percentage of residents are college educated are more likely to walk. Thus, the two aspects of neighborhood socioeconomic status had opposite effects on walking. Neighborhood context had no effect on the likelihood of exercising strenuously. Men in poor neighborhoods were more likely to smoke than those in less disadvantaged places, brit neighborhood context had no significant effect on women's likelihood of smoking. (C) 2000 Elsevier Science Ltd. All rights reserved.