Obesity and diabetes, the built environment, and the 'local' food economy in the United States, 2007

Obesity and diabetes, the built environment, and the 'local' food economy in the United States, 2007
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DOI:
10.1016/j.ehb.2011.04.001
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发表时间:
2012-01-01
影响因子:
2.5
通讯作者:
Salois, Matthew J.
Salois, Matthew J.
中科院分区:
医学3区
文献类型:
--
作者:
Salois, Matthew J.

文献摘要

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肥胖和糖尿病越来越多地归因于环境因素,然而,很少有人关注“当地”食品经济的影响。本文探讨了与建筑环境和“当地”农业相关的措施与美国县级肥胖和糖尿病患病率之间的关系。 “当地”食品经济的关键指标包括农贸市场的密度和直销农场的存在。本文采用稳健的回归估计器来解释数据的非正态性并适应异常值。总体而言,建筑环境与肥胖和糖尿病的流行有关,而当地强大的食品经济可能在预防中发挥重要作用。结果表明社区层面的干预措施有相当大的范围。 (C) 2011 Elsevier B.V. 保留所有权利。
Obesity and diabetes are increasingly attributed to environmental factors, however, little attention has been paid to the influence of the 'local' food economy. This paper examines the association of measures relating to the built environment and 'local' agriculture with U.S. county-level prevalence of obesity and diabetes. Key indicators of the 'local' food economy include the density of farmers' markets and the presence of farms with direct sales. This paper employs a robust regression estimator to account for non-normality of the data and to accommodate outliers. Overall, the built environment is associated with the prevalence of obesity and diabetes and a strong local' food economy may play an important role in prevention. Results imply considerable scope for community-level interventions. (C) 2011 Elsevier B.V. All rights reserved.