More neighborhood retail associated with lower obesity among New York City public high school students

More neighborhood retail associated with lower obesity among New York City public high school students
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DOI:
10.1016/j.healthplace.2013.05.005
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发表时间:
2013-09-01
期刊:
影响因子:
4.8
通讯作者:
Rundle, Andrew G.
Rundle, Andrew G.
中科院分区:
医学2区
文献类型:
--
作者:
Bader, Michael D. M.;Schwartz-Soicher, Ofira;Rundle, Andrew G.

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政策针对快餐店,以遏制青少年肥胖。我们认为,研究人员应该检查整个社区的零售生态,而不仅仅是快餐店。我们使用从94,348名纽约市公立高中学生收集的Fitnessgram数据来研究社区零售环境与肥胖之间的关联。在广义分层线性模型中,快餐店的数量预测青少年肥胖的几率较低(OR:0.972每个机构; CI:0.957-0.988)。在“安慰剂测试”中,我们发现银行--一种衡量社区零售生态的指标--也预测了较低的肥胖率(OR:0.979每家银行; CI:0.962-0.994)。零售业撤资可能与更严重的肥胖有关;因此,公共卫生研究应该研究一般零售业撤资的影响,而不仅仅是针对食品的投资。(C)2013爱思唯尔有限公司版权所有
Policies target fast food outlets to curb adolescent obesity. We argue that researchers should examine the entire retail ecology of neighborhoods, not just fast food outlets. We examine the association between the neighborhood retail environment and obesity using Fitnessgram data collected from 94,348 New York City public high school students. In generalized hierarchical linear models, the number of fast food restaurants predicted lower odds of obesity for adolescents (OR:0.972 per establishment; CI:0.957-0.988). In a "placebo test" we found that banks - a measure of neighborhood retail ecology - also predicted lower obesity (OR:0.979 per bank; CI:0.962-0.994). Retail disinvestment might be associated with greater obesity; accordingly, public health research should study the influence of general retail disinvestment not just food-specific investment. (C) 2013 Elsevier Ltd. All rights reserved