Overweight and obesity: can we reconcile evidence about supermarkets and fast food retailers for public health policy?
Overweight and obesity: can we reconcile evidence about supermarkets and fast food retailers for public health policy?
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超重和肥胖：我们能否协调有关超市和快餐零售商的证据以促进公共卫生政策？
DOI：
10.1057/jphp.2013.19
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发表时间：
2013
影响因子：
3.8
通讯作者：
Maantay,Juliana
中科院分区：
文献类型：
--
作者：
Viola,Deborah;Arno,PeterS;Maroko,AndrewR;Schechter,ClydeB;Sohler,Nancy;Rundle,Andrew;Neckerman,KathrynM;Maantay,Juliana
本研究的目的是确定纽约市社区的快餐店和超市是否与超重和肥胖有关。我们使用贝叶斯生态学方法进行空间预测，并且与之前的研究一致，我们发现快餐密度与超重或肥胖之间没有关联。与之前的研究一致，我们发现进入超市对超重和肥胖有有益的影响。鉴于缺乏将快餐零售商与不良健康结果联系起来的经验证据，应鼓励政策制定者采取政策，鼓励建立超市并改造现有食品店市场和零售商，以提供更健康的选择。深入到社区内部，根据这些社区的特点改变物理环境和公共卫生预防和干预措施，可能会在创建更健康的社区方面发挥关键作用。
The aim of this study is to determine whether access to fast food outlets and supermarkets is associated with overweight and obesity in New York City neighborhoods. We use a Bayesian ecologic approach for spatial prediction and consistent with prior research, we find no association between fast food density and overweight or obesity. Consistent with prior research, we find that supermarket access has a salutary impact on overweight and obesity. Given the lack of empirical evidence linking fast food retailers with adverse health outcomes, policymakers should be encouraged to adopt policies that incentivize the establishment of supermarkets and the modification of existing food store markets and retailers to offer healthier choices. Reaching within neighborhoods and modifying the physical environment and public health prevention and intervention efforts based on the characteristics of those neighborhoods may play a key role in creating healthier communities.