Association of Perceived Neighborhood Safety on Body Mass Index

Association of Perceived Neighborhood Safety on Body Mass Index
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DOI:
10.2105/ajph.2009.183293
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发表时间:
2010-11-01
影响因子:
12.7
通讯作者:
Brown, Arleen F.
Brown, Arleen F.
中科院分区:
医学2区
文献类型:
--
作者:
Fish, Jason S.;Ettner, Susan;Brown, Arleen F.

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目标.我们试图确定是否有感知邻里安全和身体质量指数(BMI)之间的关联,解释内源性。从2000-2001年的洛杉矶家庭和邻里调查的2255名成年人的随机样本进行了分析,使用工具变量。主要结果是BMI使用自我报告的身高和体重,主要的自变量是居民对他们社区安全的报告。在校正分析中,认为自己的社区不安全的人的BMI为2.81 kg/m2(95%置信区间[CI]=0.11,5.52),高于认为自己的社区安全的人。我们的研究结果表明,旨在降低肥胖率的临床和公共卫生干预措施可能会通过修改物理和社会环境的策略得到加强,这些策略将居民对社区的看法纳入其中。(Am J公共卫生。2010;100:2296-2303. doi:10.2105/AJPH.2009.183293)
Objectives. We sought to determine whether there is an association between perceived neighborhood safety and body mass index (BMI), accounting for endogeneity.Methods. A random sample of 2255 adults from the Los Angeles Family and Neighborhood Survey 2000-2001 was analyzed using instrumental variables. The main outcome was BMI using self-reported height and weight, and the main independent variable was residents' report of their neighborhood safety.Results. In adjusted analyses, individuals who perceived their neighborhoods as unsafe had a BMI that was 2.81 kg/m(2) (95% confidence interval [CI]=0.11, 5.52) higher than did those who perceived their neighborhoods as safe.Conclusions. Our results suggest that clinical and public health interventions aimed at reducing rates of obesity may be enhanced by strategies to modify the physical and social environment that incorporate residents' perceptions of their communities. (Am J Public Health. 2010;100:2296-2303. doi: 10.2105/AJPH.2009.183293)