The Neighborhood Environment and Hispanic/Latino Health.

The Neighborhood Environment and Hispanic/Latino Health.
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DOI:
10.1177/08901171211022677
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发表时间:
2022-01
期刊:
American journal of health promotion : AJHP
影响因子:
--
通讯作者:
Reininger BM
Reininger BM
中科院分区:
其他
文献类型:
--
作者:
Heredia NI;Xu T;Lee M;McNeill LH;Reininger BM

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德克萨斯-墨西哥边境的西班牙裔/拉丁裔成年人患慢性病的比例很高。邻里关系可以影响健康,尽管对西班牙裔/拉丁裔的邻里环境和健康的研究有限。本研究的目的是评估西班牙裔/拉丁裔成年人的社区环境与健康变量的关系,包括体力活动[PA]、抑郁、焦虑和实验室评估的疾病(2型糖尿病、代谢综合征和慢性炎症)。参与者是从德克萨斯州-墨西哥边境的西班牙裔/拉丁裔人群中随机选择的。通过问卷调查对邻里环境、自我报告的PA、焦虑和抑郁进行评估。实验室值测定2型糖尿病、代谢综合征和c反应蛋白(CRP)。我们进行了多变量线性和逻辑回归分析,以评估邻里环境和健康变量的关联,控制协变量。参与者(n = 495)大多数是女性,没有保险。在控制协变量后,犯罪(校正优势比[AOR] = 1.59 (95%CI 1.06-2.38)、无路灯(AOR = 1.65, 95%CI 1.06-2.57)和交通(AOR = 1.74, 95%CI 1.16-2.62)均与焦虑显著相关。只有交通与抑郁显著相关(AOR = 1.61, 95%CI1.05-2.47)。附近缺乏商店(AOR = 0.57, 95%CI 0.38-0.84)和没有人外出做PA (AOR = 0.53,95% CI 0.34-0.83)都与满足PA指南的较低几率显著相关。附近缺乏商店与CRP值增加26%相关(β = 0.26, 95%CI 0.04-0.47)。几个社区环境变量与心理健康、PA和CRP显著相关,尽管估计值很小。社区环境是西班牙裔/拉丁裔成年人健康相关干预措施的一个有意义的背景变量,尽管需要更多的研究来了解估计的幅度。NCT01168765。
Hispanic/Latino adults on the Texas-Mexico border have high rates of chronic disease. Neighborhoods can influence health, though there is a limited research on neighborhood environment and health in Hispanics/Latinos. The purpose of this study was to assess the relation of neighborhood environment with health variables in Hispanic/Latino adults, including physical activity [PA], depression, anxiety, and lab-assessed conditions (type 2 diabetes, metabolic syndrome, and chronic inflammation). Participants were randomly-selected from a Hispanic/Latino cohort on the Texas-Mexico border. Neighborhood environment, self-reported PA, anxiety, and depression were assessed through questionnaires. Laboratory values determined Type 2 diabetes, metabolic syndrome, and C-reactive protein (CRP). We conducted multivariable linear and logistic regression analyses to assess the associations of neighborhood environment and health variables, controlling for covariates. Participants (n = 495) were mostly females, without insurance. After controlling for covariates, crime (Adjusted Odds Ratio [AOR] = 1.59 (95%CI 1.06–2.38), no streetlights (AOR = 1.65, 95%CI 1.06–2.57), and traffic (AOR = 1.74, 95%CI 1.16–2.62) were all significantly associated with anxiety. Only traffic was significantly associated with depression (AOR = 1.61, 95%CI1.05–2.47). A lack of nearby shops (AOR = 0.57, 95%CI 0.38–0.84) and no one out doing PA (AOR = 0.53,95% CI 0.34–0.83) were both significantly associated with lower odds of meeting PA guidelines. A lack of nearby shops was associated with a 26% increase in the CRP value (β = 0.26, 95%CI 0.04–0.47). Several neighborhood environment variables were significantly associated with mental health, PA and CRP, though estimates were small. The neighborhood environment is a meaningful contextual variable to consider for health-related interventions in Hispanic/Latino adults, though more study is needed regarding the magnitude of the estimates. NCT01168765.
邻里贫困、感知的邻里环境和抑郁情绪之间的关联是由体力活动、感知的个人控制和孤独感介导的。
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