Quantifying Urbanization as a Risk Factor for Noncommunicable Disease
Quantifying Urbanization as a Risk Factor for Noncommunicable Disease
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DOI：
10.1007/s11524-011-9586-1
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发表时间：
2011-10-01
影响因子：
6.6
通讯作者：
Katulanda, Prasad
中科院分区：
文献类型：
--
作者：
Allender, Steven;Wickramasinghe, Kremlin;Katulanda, Prasad
本研究的目的是调查斯里兰卡城市化进程和非传染性疾病（NCD）之间的关系知之甚少，使用多成分，定量的城市化措施。非传染性疾病患病率数据来自斯里兰卡糖尿病和心血管研究，包括来自斯里兰卡9个省中7个省的代表性样本（n = 4，485/5，000;应答率= 89.7%）。我们构建了一个衡量城市环境的7个领域使用7项规模的基础上，从研究集群的数据，以开发一个“城市化”的规模。这些项目是人口规模、人口密度、进入市场的机会、交通、通信/媒体、经济因素、环境/卫生、保健、教育和住房质量。线性和逻辑回归模型被构建来检验城市化和慢性病危险因素之间的关系。在男性中，城市生活与缺乏体力活动（比值比[OR] = 3.22; 2.27-4.57）、高体重指数（OR = 2.45; 95%CI，1.88-3.20）和糖尿病（OR = 2.44; 95%CI，1.66-3.57）呈正相关。在女性中，城市生活也与缺乏身体活动（OR = 2.29; 95%CI，1.64-3.21）、高体重指数（OR = 2.92; 95%CI，2.41-3.55）和糖尿病（OR = 2.10; 95%CI，1.58 - 2.80）呈正相关。在斯里兰卡成年人的代表性样本中，城市化与慢性病的常见可改变风险因素之间存在明显的关系。
The aim of this study was to investigate the poorly understood relationship between the process of urbanization and noncommunicable diseases (NCDs) in Sri Lanka using a multicomponent, quantitative measure of urbanicity. NCD prevalence data were taken from the Sri Lankan Diabetes and Cardiovascular Study, comprising a representative sample of people from seven of the nine provinces in Sri Lanka (n = 4,485/5,000; response rate = 89.7%). We constructed a measure of the urban environment for seven areas using a 7-item scale based on data from study clusters to develop an "urbanicity" scale. The items were population size, population density, and access to markets, transportation, communications/media, economic factors, environment/sanitation, health, education, and housing quality. Linear and logistic regression models were constructed to examine the relationship between urbanicity and chronic disease risk factors. Among men, urbanicity was positively associated with physical inactivity (odds ratio [OR] = 3.22; 2.27-4.57), high body mass index (OR = 2.45; 95% CI, 1.88-3.20) and diabetes mellitus (OR = 2.44; 95% CI, 1.66-3.57). Among women, too, urbanicity was positively associated with physical inactivity (OR = 2.29; 95% CI, 1.64-3.21), high body mass index (OR = 2.92; 95% CI, 2.41-3.55), and diabetes mellitus (OR = 2.10; 95% CI, 1.58 - 2.80). There is a clear relationship between urbanicity and common modifiable risk factors for chronic disease in a representative sample of Sri Lankan adults.