Neighborhood socioeconomics, food environment and land use determinants of public health: Isolating the relative importance for essential policy insights
Neighborhood socioeconomics, food environment and land use determinants of public health: Isolating the relative importance for essential policy insights
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社区社会经济、食品环境和土地利用对公共卫生的决定因素：分离基本政策见解的相对重要性
DOI：
10.1016/j.landusepol.2017.07.043
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发表时间：
2017-11
期刊：
影响因子：
7.1
通讯作者：
周敏
中科院分区：
文献类型：
--
作者：
周敏
最近的文献主张将土地利用政策与促进公共卫生联系起来。在这方面，审查公共卫生的土地使用决定因素，并将其相对重要性与其他影响因素分开，应能提供重要的政策见解。然而，在这方面所作的努力非常有限，特别是对发展中国家而言。本文以武汉市为例，试图捕捉中年人肥胖患病率的土地利用决定因素，并比较其与邻里社会经济和食品环境的相对重要性。首先提出了一个概念框架，以指导土地利用政策范围内的分析。在2010年中国国民体质调查期间收集数据，并采用多元线性回归分析了地区水平的影响因素。结果显示，社区社会经济、食物环境和土地利用对中年人肥胖患病率均有显著影响。男性肥胖与职业、文化程度和住房有关，女性肥胖与收入和住房有关。女性肥胖与健康的饮食环境有关，而男性肥胖与不健康的饮食环境有关。开放性公共空间与女性肥胖呈负相关，机构用地与男性肥胖呈负相关。更好的步行性和街道连通性与男女肥胖风险降低有关。方差分解结果表明，食物环境是男性肥胖的最重要的决定因素，而土地利用是女性肥胖的最根本的决定因素。对于总人口的肥胖患病率，邻里社会经济是关键的决定因素。基于我们的分析，我们最后提供了一些见解，旨在解决发展中国家的肥胖问题的土地利用政策。
Recent literature has advocated the connection between land use policies with public health promotion. In this regard, examining the land use determinants of public health and isolating the relative importance with other influential factors should provide essential policy insights. However, very limited efforts have been made in this aspect, particularly for the developing countries. Using a case of Wuhan (China), this paper attempts to capture the land use determinants of obesity prevalence among middle-aged adults and to compare the relative importance with neighborhood socioeconomics and food environment. A conceptual framework is first proposed to guide the analysis within a land use policy context. Data are then collected during the China’s National Physical Fitness Survey in 2010 and multivariate linear regression is applied to analyze the district level determinants. Results show that neighborhood socioeconomics, food environment and land use all have significant effects on obesity prevalence among the middle-aged adults. The men obesity is associated with the occupation, education and housing, while women obesity is correlated with income and housing. Women obesity associates with healthy food environment, while men obesity correlates with unhealthy food environment. Open public space is negative to women obesity, and institutional land is negative to men obesity. Greater walkability and street connectivity associate with lower obesity risk for both genders. The variance decomposition demonstrates that food environment is the most important determinant of men obesity, while land use is the most essential determinant of women obesity. For the obesity prevalence among total population, neighborhood socioeconomics are key determinants. Based on our analysis, we finally provide some insights for land use policies that aim at addressing the obesity issue in developing countries.
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DOI：
10.1016/j.apgeog.2014.10.006
发表时间：
2015-06
期刊：
Applied geography (Sevenoaks, England)
影响因子：
--
作者：
Xu Y;Wen M;Wang F
通讯作者：
Wang F
影响因子：
4.9
作者：
López-Cima MF;García-Pérez J;Pérez-Gómez B;Aragonés N;López-Abente G;Tardón A;Pollán M
通讯作者：
Pollán M
影响因子：
4.8
作者：
Borrell, Carme;Mari-Dell'Olmo, Marc;Gotsens, Merce
通讯作者：
Gotsens, Merce
影响因子：
4.9
作者：
K. Cambra;T. Martínez-Rueda;E. Alonso-Fustel;F. Cirarda;B. Ibáñez;S. Esnaola;M. Calvo;E. Aldasoro;I. Montoya
通讯作者：
K. Cambra;T. Martínez-Rueda;E. Alonso-Fustel;F. Cirarda;B. Ibáñez;S. Esnaola;M. Calvo;E. Aldasoro;I. Montoya
影响因子：
5.1
作者：
K. Maiden;Marina Kaplan;Lee Ann Walling;P. P. Miller-P.;Gina Crist
通讯作者：
K. Maiden;Marina Kaplan;Lee Ann Walling;P. P. Miller-P.;Gina Crist