Pathways to obesity: identifying local, modifiable determinants of physical activity and diet.
Pathways to obesity: identifying local, modifiable determinants of physical activity and diet.
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肥胖途径：确定体力活动和饮食的局部、可改变的决定因素。
DOI：
10.1016/j.socscimed.2007.05.042
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发表时间：
2007
影响因子：
5.4
通讯作者：
S. Macintyre
中科院分区：
文献类型：
--
作者：
M. Stafford;S. Cummins;A. Ellaway;A. Sacker;R. Wiggins;S. Macintyre
许多研究记录了小区域发病率和死亡率的不平等，并显示了区域剥夺与健康之间的联系。然而，很少有研究解开区域剥夺的“黑匣子”，以表明哪些特定的当地社会和自然环境特征会对健康产生影响，并且可能会受到修改。我们对肥胖的潜在因果路径进行了理论分析，并使用来自英格兰和苏格兰的国家研究的丰富数据集进行了路径分析，以实证检验该模型。研究发现，肥胖与邻里关系紊乱和使用当地商业街设施(在典型的英国小镇上发现的当地商店、金融服务和健康相关商店)之间存在显著关联。在游泳池和超市较多的地区，肥胖率有降低的趋势。反过来，治安水平、人身疏忽和有记录的暴力犯罪与邻里秩序混乱有关。该分析确定了几个与肥胖相关(可能是决定因素)的因素，这些因素超出了医疗保健部门的标准范围。它们强调了公共和私营部门组织在促进国家健康方面的作用。公共卫生专业人员应寻求与这些组织并肩工作或在这些组织内部工作，以利用改善健康的机会。
Many studies document small area inequalities in morbidity and mortality and show associations between area deprivation and health. However, few studies unpack the “black box” of area deprivation to show which specific local social and physical environmental characteristics impact upon health, and might be amenable to modification. We theorised a model of the potential causal pathways to obesity and employed path analysis using a rich data set from national studies in England and Scotland to test the model empirically. Significant associations between obesity and neighbourhood disorder and access to local high street facilities (local shops, financial services and health-related stores found in a typical small UK town) were found. There was a tendency for lower levels of obesity in areas with more swimming pools and supermarkets. In turn, policing levels, physical dereliction and recorded violent crime were associated with neighbourhood disorder. The analysis identifies several factors that are associated with (and are probably determinants of) obesity and which are outside the standard remit of the healthcare sector. They highlight the role that public and private sector organisations have in promoting the nation's health. Public health professionals should seek to work alongside or within these organisations to capitalise on opportunities to improve health.
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影响因子：
56.9
作者：
Hill, JO;Peters, JC
通讯作者：
Peters, JC
影响因子：
7.7
作者：
Stafford, M;Marmot, M
通讯作者：
Marmot, M
社区社会环境的特定方面对诊断为严重疾病的个体死亡率的影响。
DOI：
10.1016/j.socscimed.2005.01.026
发表时间：
2005
期刊：
Social science & medicine (1982)
影响因子：
--
作者：
Wen,Ming;Cagney,KathleenA;Christakis,NicholasA
通讯作者：
Christakis,NicholasA
影响因子：
5
作者：
Ross, CE;Mirowsky, J
通讯作者：
Mirowsky, J
影响因子：
12.7
作者：
Yen, IH;Kaplan, GA
通讯作者：
Kaplan, GA