An international comparative study of active living environments and hospitalization for Wales and Canada.
An international comparative study of active living environments and hospitalization for Wales and Canada.
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DOI：
10.1016/j.ssmph.2022.101048
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发表时间：
2022-06
期刊：
影响因子：
--
通讯作者：
Fry R
中科院分区：
文献类型：
--
作者：
Mah SM;Dasgupta K;Akbari A;Ross NA;Fry R
理论基础：先前的研究表明，在不同的地理环境中，活跃的生活环境（ALEs）与较高的身体活动水平有关，并可能导致医院负担的减轻。威尔士联合王国和加拿大都有先进的数据基础设施，允许在调查数据和行政保健信息之间建立记录联系。评估威尔士和加拿大的ALEs与住院之间的关系。我们使用威尔士健康调查（N = 9968）和加拿大社区健康调查（N = 40335）的个人调查数据进行了基于人群的比较，这些数据与威尔士患者事件数据库相关联，与出院摘要数据库相关联。使用等效协议和街道网络、目的地和住宅密度的开源数据，我们得出了威尔士和加拿大的ALE的5级测量（从1到5，分别被认为是最不利于积极生活的）。我们使用多变量回归评估了ALE与健康、行为和住院之间的关系（参照组为ALE最低的1级，被认为最不利于积极生活）。在加拿大，与最低的ALE第1级相比，生活在最高ALE第5级的患者全因住院的几率较低（OR 0.66, 95% CI 0.54至0.81）。相比之下，生活在威尔士ALE最高5级的人全因住院的几率更高（OR 1.37, 95% CI 1.04至1.80）。在加拿大，ALEs与心脏代谢住院之间的关系尚无结论（OR为0.75,95% CI为0.50至1.12），但我们观察到威尔士生活在较高ALE等级的受访者心脏代谢住院的几率更高（OR为1.46,95% CI为1.10至1.78；比较ALE 4级与ALE 1级）。居住在被认为有利于积极生活的高ALE社区的加拿大受访者的全因住院率较低，而居住在被认为有利于积极生活的高ALE社区的威尔士受访者的全因住院率较高。在一种地理环境中促进身体活动的环境，在另一种地理环境中可能不会如此。仍然需要确定鼓励积极生活的相关具体环境因素。活跃的生活环境可支持各种地理环境下的身体活动和人口健康。英国和加拿大在人口健康趋势方面有相似之处。在加拿大，居住在更有利的社区与较低的住院率有关。威尔士的情况正好相反。在一个地方促进人口健康的环境特征在另一个地方未必如此。
Rationale: Previous studies indicate active living environments (ALEs) are associated with higher physical activity levels across different geographic contexts, and could lead to reductions in hospital burden. Both Wales UK and Canada have advanced data infrastructure that allows record linkage between survey data and administrative health information. To assess the relationship between ALEs and hospitalization in Wales and Canada. We performed a population-based comparison using individual-level survey data from the Welsh Health Survey (N = 9968) linked to the Patient Episode Database for Wales, and the Canadian Community Health Survey (N = 40,335) linked to the Discharge Abstract Database. Using equivalent protocols and open-source data for street networks, destinations, and residential density, we derived 5-class measures of the ALE for Wales and Canada (classed 1 through 5, considered least favourable to most favourable for active living, respectively). We evaluated relationships of ALEs to health, behaviours and hospitalization using multivariate regression (reference group was the lowest ALE class 1, considered least favourable for active living). For Canada, those living in the highest ALE class 5 had lower odds of all-cause hospitalization (OR 0.66, 95% CI 0.54 to 0.81; as compared to the lowest ALE class 1). In contrast, those living in the highest ALE class 5 in Wales had higher odds of all-cause hospitalization (OR 1.37, 95% CI 1.04 to 1.80). The relationship between ALEs and cardiometabolic hospitalization was inconclusive for Canada (OR 0.75, 95% CI 0.50 to 1.12), but we observed higher odds of cardiometabolic hospitalization for respondents living in higher ALE classes for Wales (OR 1.46, 95% CI 1.10 to 1.78; comparing ALE class 4 to ALE class 1). Canadian respondents living in high ALE neighbourhoods that are understood to be favourable for active living had lower odds of all-cause hospitalization, whereas Welsh respondents living in high ALEs that were deemed favourable for active living exhibited higher odds of all-cause hospitalization. Environments which promote physical activity in one geographic context may not do so in another. There remains a need to identify relevant context-specific factors that encourage active living. Active living environments may support physical activity and population health across geographic contexts. The UK and Canada share similarities in population health trends. Living in more favourable neighbourhoods was associated with lower hospitalization in Canada. The opposite was true for Wales. Environmental characteristics which promote population health in one place may not do so in another.
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影响因子：
5
作者：
Herrmann, Thomas;Gleckner, William;Ross, Nancy A.
通讯作者：
Ross, Nancy A.
大规模的体育活动数据揭示了全球活动不平等。
影响因子：
64.8
作者：
Althoff T;Sosič R;Hicks JL;King AC;Delp SL;Leskovec J
通讯作者：
Leskovec J
影响因子：
2.9
作者：
Hajna S;Ross NA;Joseph L;Harper S;Dasgupta K
通讯作者：
Dasgupta K
影响因子：
10.4
作者：
Frumkin H;Bratman GN;Breslow SJ;Cochran B;Kahn PH Jr;Lawler JJ;Levin PS;Tandon PS;Varanasi U;Wolf KL;Wood SA
通讯作者：
Wood SA
影响因子：
4.5
作者：
Hajna S;Ross NA;Brazeau AS;Bélisle P;Joseph L;Dasgupta K
通讯作者：
Dasgupta K