Relationships between County Health Rankings and child overweight and obesity prevalence: a serial cross-sectional analysis.
Relationships between County Health Rankings and child overweight and obesity prevalence: a serial cross-sectional analysis.
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DOI：
10.1186/s12889-016-3091-0
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发表时间：
2016-05-14
影响因子：
4.5
通讯作者：
Chen S
中科院分区：
文献类型：
--
作者：
Peyer K;Welk GJ;Bailey-Davis L;Chen S
县健康排名 (CHR) 系统提供美国各县的健康排名。这些因素可能有助于评估和预测健康结果。本研究调查了宾夕法尼亚州 3 年来 CHR 因素与儿童超重/肥胖 (OWOB) 患病率之间的关联。获得了 2009-10 至 2011-12 学年宾夕法尼亚州所有学区儿童 OWOB 的患病率。使用相关和推论统计分析来检查 K-6 年级 (OWOB1) 和 7-12 年级 (OWOB2) OWOB 患病率与 CHR 健康因素总体排名的 z 分数以及个体预测因素（健康行为、临床护理、社会和经济因素以及物理环境）之间的关联。 OWOB1 和 CHR 因素之间存在低至中度相关性 (0.29–0.43)。青少年的相关性较弱且不太一致。 CHR 评分较差的县中 OWOB 患病率显着较高。县级成人健康指标与儿童肥胖水平显着相关。未来的研究应该探讨 CHR 与其他健康结果之间的关系。
The County Health Rankings (CHR) system provides health rankings for U.S. counties. These factors may have utility for evaluating and predicting health outcomes. This study examined the association between CHR factors and the prevalence of child overweight/obesity (OWOB) in the state of Pennsylvania over 3 years. The prevalence of childhood OWOB was obtained for all Pennsylvania school districts for the 2009-10 through 2011-12 school years. Correlational and inferential statistical analyses were used to examine the associations between the prevalence of OWOB in grades K-6 (OWOB1) and 7-12 (OWOB2) and z-score for the overall CHR Health Factors rank, as well as for individual predictive factors (Health Behaviors, Clinical Care, Social and Economic Factors and Physical Environment). Low to moderate correlations (0.29–0.43) were found between OWOB1 and CHR factors. Weaker and less consistent correlations were found for adolescents. There was a significantly higher prevalence of OWOB in counties with poorer CHR scores. County-level adult indicators of health are significantly associated with levels of child obesity. Future studies should examine the relationship between CHR and other health outcomes.