The association between social cohesion in the neighborhood and body mass index (BMI): An examination of gendered differences among urban-dwelling Canadians
The association between social cohesion in the neighborhood and body mass index (BMI): An examination of gendered differences among urban-dwelling Canadians
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DOI：
10.1016/j.ypmed.2017.02.022
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发表时间：
2017-06-01
影响因子：
5.1
通讯作者：
Booth, Gillian L.
中科院分区：
文献类型：
--
作者：
Guilcher, Sara J. T.;Kaufman-Shriqui, Vered;Booth, Gillian L.
超重和肥胖是全球公共卫生的主要问题。肥胖的成因是多因素的，并受到遗传、心理社会因素、饮食和体育活动行为以及环境的影响。这项研究的目的是考察社会凝聚力对加拿大城市居民体重指数(BMI)性别差异的影响。横断面数据来自加拿大多伦多社区对健康和福祉的影响研究(NEHW)(n=2300)。我们的主要结果BMI是根据自我报告的身高和体重(体重(公斤)/身高(米)(2))计算出来的。使用多水平Logistic回归模型，我们发现社会凝聚力和性别在超重/肥胖方面存在显著的交互作用。与男性相比，社会凝聚力较高的女性超重/肥胖的几率略低(OR：0.96，95%CI：0.94至0.99)，调整了其他社会人口因素(例如，年龄、收入、教育程度)和社区特征(例如，步行、社区安全和物质匮乏)后，女性超重/肥胖的几率略低于男性。未来的公共卫生研究和干预措施应考虑按性别区分超重/肥胖的机制。社会环境如何影响这些途径背后的确切机制仍然不清楚，需要进一步研究。(C)2017 Elsevier Inc.保留所有权利。
Overweight and obesity are major global public health concerns. Obesity is multifactorial in origin and influenced by genetics, psychosocial factors, eating and physical activity behaviors, as well as the environment. The objective of this study is to examine the impact of social cohesion on gender differences in body mass index (BMI) for urban-dwelling Canadians. Cross-sectional data were used from the Neighborhood Effects on Health and Wellbeing Study (NEHW) in Toronto, Canada (n=2300). Our main outcome, BMI, was calculated from self-reported height and weight (weight (kg)/height (m)(2)). Usingmulti-level logistic regression models, we identified a significant interaction between social cohesion and gender on being overweight/obese. Women with higher social cohesion had slightly lower odds of being overweight/obese (OR: 0.96, 95% CI: 0.94 to 0.99) compared to men, after adjusting for other sociodemographic factors (e.g., age, income, education), and neighborhood characteristics (e.g., walkability, neighborhood safety and material deprivation). Future public health research and interventions should consider the differential mechanisms involved in overweight/obesity by gender. The exact mechanisms behind how the social environment influences these pathways are still unclear and require future research. (C) 2017 Elsevier Inc. All rights reserved.