Community and child energy balance: differential associations between neighborhood environment and overweight risk by gender.
Community and child energy balance: differential associations between neighborhood environment and overweight risk by gender.
复制标题
社区和儿童能量平衡：邻里环境与性别超重风险之间的差异关联。
DOI：
10.1080/09603123.2012.755153
复制
发表时间：
2013
影响因子：
3.2
通讯作者：
Wen,Ming
中科院分区：
文献类型：
--
作者：
Kowaleski-Jones,Lori;Wen,Ming
本研究利用2003年至2004年连续的全国健康营养检查调查数据，结合2000年人口普查和其他基于地理信息系统的邻里数据，进行了性别分析，以检查邻里特征对儿童超重风险的影响（定义为性别特异性体重指数大于85百分位数）。邻里的影响，包括制度因素，建成环境因素和社会建模动态模型进行了测试。研究样本包括1753名（915名女孩和838名男孩）2-11岁的儿童。研究结果表明，机构邻里功能，如贫困人口普查区和农村与儿童超重的风险更高的几率。建筑环境因素也与儿童超重风险有关，人口普查范围内的通勤时间长与超重风险较高有关。体育活动的普及率较高与儿童超重的风险较低有关。按性别划分的分析显示，在人口普查范围内，肥胖症（定义为体重指数大于30）的流行率较高，与女孩超重的风险有保护性联系。男孩超重的风险与生活在农村地区有关。这些发现指出了研究儿童超重风险的环境因素的重要性。
Using data from the 2003 to 2004 continuous National Health Nutrition Examination Survey merged with the 2000 census and other geographic information systems-based neighborhood data, this study conducted gender-specific analyses to examine the influence of neighborhood characteristics on child risk for overweight (defined as gender-specific body mass index which is greater than the 85 percentile). Models of neighborhood influence that include institutional factors, built environment factors, and social modeling dynamics were tested. The study sample included 1753 (915 girls and 838 boys) children aged 2–11 years. Results indicate that institutional neighborhood features such as poverty in the census tract and rurality are associated with higher odds of risk of child overweight. Built environment factors also have connections to child risk of overweight, with long commute times within the census tract associated with higher overweight risk. Higher prevalence of physical activity is associated with lower risk of child overweight. Gender-specific analyses reveal that a higher prevalence of obesity (defined as BMI of greater than 30) within a census tract has a protective association with girls’ risk of overweight. Boys’ risk of overweight is associated with living in rural areas. These findings point to the importance of examining environmental aspects of child risk of overweight.
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