Neighborhood Socioeconomic Conditions, Built Environments, And Childhood Obesity
Neighborhood Socioeconomic Conditions, Built Environments, And Childhood Obesity
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DOI：
10.1377/hlthaff.2009.0730
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发表时间：
2010-03-01
期刊：
影响因子：
9.7
通讯作者：
Kogan, Michael D.
中科院分区：
文献类型：
--
作者：
Singh, Gopal K.;Siahpush, Mohammad;Kogan, Michael D.
我们利用2007年全国儿童健康调查研究了社区社会经济条件和“建筑环境”对美国儿童和青少年肥胖和超重患病率的影响。在社会条件最不利的社区，如不安全的环境、糟糕的住房、无法进入人行道、公园和娱乐中心的儿童，儿童肥胖或超重的几率比没有这些条件的儿童高20%-60%。对女性和年幼儿童的影响要大得多；例如，10-11岁的女孩超重或肥胖的可能性是来自更有利社区的女孩的两到四倍。我们的发现有助于减少健康不平等和促进肥胖预防努力的政策决策，如基于社区的体育活动和健康饮食倡议。
We examine the impact of neighborhood socioeconomic conditions and "built environments" on obesity and overweight prevalence among U. S. children and adolescents using the 2007 National Survey of Children's Health. The odds of a child's being obese or overweight were 20-60 percent higher among children in neighborhoods with the most unfavorable social conditions such as unsafe surroundings; poor housing; and no access to sidewalks, parks, and recreation centers than among children not facing such conditions. The effects were much greater for females and younger children; for example, girls ages 10-11 were two to four times more likely than their counterparts from more favorable neighborhoods to be overweight or obese. Our findings can contribute to policy decisions aimed at reducing health inequalities and promoting obesity prevention efforts such as community-based physical activity and healthy diet initiatives.