Home and away: Area socioeconomic disadvantage and obesity risk

Home and away: Area socioeconomic disadvantage and obesity risk
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DOI:
10.1016/j.healthplace.2017.02.001
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发表时间:
2017-03-01
期刊:
影响因子:
4.8
通讯作者:
Denney, Justin T.
Denney, Justin T.
中科院分区:
医学2区
文献类型:
--
作者:
Kimbro, Rachel Tolbert;Sharp, Gregory;Denney, Justin T.

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尽管居住环境与肥胖风险有关,但人们对我们工作、购物、娱乐和礼拜的其他场所如何影响这种风险知之甚少。我们利用洛杉矶家庭和邻里调查 (LAFANS) 的纵向数据来得出家庭和活动空间环境暴露时间加权测量值,以确定每种测量值对成人肥胖风险的影响。结果表明,居住社区的社会经济劣势暴露程度的增加显着增加了肥胖风险,尽管活动空间劣势并不直接影响肥胖,但它降低了居住劣势与肥胖之间的关联。我们进一步探讨居住和活动空间劣势可能相互作用以影响肥胖的方式,并讨论整合个人暴露和活动空间环境的价值,以更好地了解地方如何导致个人健康风险。
Although residential context is linked to obesity risk, less is known about how the additional places where we work, shop, play, and worship may influence that risk. We employ longitudinal data from the Los Angeles Family and Neighborhood Survey (LAFANS) to derive time-weighted measures of exposure to home and activity space contexts to ascertain the impacts of each on obesity risk for adults. Results show that increased exposure to socioeconomic disadvantage in the residential neighborhood significantly increases obesity risk, and although activity space disadvantage does not directly influence obesity, it reduces the association between residential disadvantage and obesity. We further explore the ways in which residential and activity space disadvantages may interact to influence obesity and discuss the value of integrating personal exposure and activity space contexts to better understand how places contribute to individual health risks.