The spatial distribution of overweight and obesity among a birth cohort of young adult Filipinos (Cebu Philippines, 2005): an application of the Kulldorff spatial scan statistic.

The spatial distribution of overweight and obesity among a birth cohort of young adult Filipinos (Cebu Philippines, 2005): an application of the Kulldorff spatial scan statistic.
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年轻菲律宾人出生队列中超重和肥胖的空间分布(菲律宾宿务,2005 年):Kulldorff 空间扫描统计的应用。

DOI:
10.1038/nutd.2013.21
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发表时间:
2013
影响因子:
6.1
通讯作者:
Adair,LS
Adair,LS
中科院分区:
医学2区
文献类型:
--
作者:
Dahly,DL;Gordon-Larsen,P;Emch,M;Borja,J;Adair,LS

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Objectives:The objectives of the study were to test for spatial clustering of obesity in a cohort of young adults in the Philippines, to estimate the locations of any clusters, and to relate these to neighborhood-level urbanicity and individual-level socioeconomic status (SES).Subjects:Data are from a birth cohort of young adult (mean age 22 years) Filipino males (n= 988) and females (n= 820) enrolled in the Cebu Longitudinal Health and Nutrition Survey.Methods:We used the Kulldorff spatial scan statistic to detect clusters associated with unusually low or high prevalences of overweight or obesity (defined using body mass index, waist circumference and body fat percentage). Cluster locations were compared to neighborhood-level urbanicity, which was measured with a previously validated scale. Individual-level SES was adjusted for using a principal components analysis of household assets.Results:High-prevalence clusters were typically centered in urban areas, but often extended into peri-urban and even rural areas. There were also differences in clustering by both sex and the measure of obesity used. Evidence of clustering in males, but not females, was much weaker after adjustment for SES.
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