Neighborhood Environment and Body Mass Index Trajectories From Adolescence to Adulthood

Neighborhood Environment and Body Mass Index Trajectories From Adolescence to Adulthood
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DOI:
10.1016/j.jadohealth.2011.03.009
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发表时间:
2012-01-01
影响因子:
7.6
通讯作者:
Needham, Belinda L.
Needham, Belinda L.
中科院分区:
医学2区
文献类型:
--
作者:
Burdette, Amy M.;Needham, Belinda L.

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目的:调查青春期期间的邻里状况是否与延伸到成年期的体重指数(BMI)相关。方法:使用潜在生长曲线模型来检查全国青少年健康纵向研究(n = 9,115)的三波(1996年、2001年和2008年)的BMI。结果:父母对邻里混乱和邻里结构劣势的看法与基线时的BMI呈正相关。尽管父母对疾病的看法与体重指数随时间的变化率无关,但邻里结构劣势与体重指数的斜率呈正相关。居住在较弱势社区的青少年不仅在研究开始时具有较高的BMI,而且在第一波数据收集时,他们的体重增长速度也比居住在较有利社区的青少年更快。数据还揭示了邻里环境与 BMI 之间关系的显着性别、种族和族裔亚组差异。结论:青春期关键时期的邻里环境似乎对成年期的 BMI 有长期影响。关注邻里环境的政策干预可能对成人健康产生深远影响。 (C) 2012 年青少年健康与医学协会。版权所有。
Objectives: To investigate whether neighborhood conditions during adolescence are associated with body mass index (BMI) extending into young adulthood.Methods: Latent growth curve modeling was used to examine BMI over three waves (1996, 2001, and 2008) of the National Longitudinal Study of Adolescent Health (n = 9,115).Results: Parental perceptions of neighborhood disorder and neighborhood structural disadvantage were positively associated with BMI at baseline. Although parental perceptions of disorder were not associated with the rate of change in BMI over time, neighborhood structural disadvantage was positively associated with the slope of BMI. Adolescents who lived in more disadvantaged neighborhoods not only had higher BMI at the beginning of the study, but they also gained weight at a faster rate than those who lived in more advantaged neighborhoods at the first wave of data collection. The data also revealed notable gender, racial, and ethnic subgroup variations in the relationship between neighborhood context and BMI.Conclusion: The neighborhood environment during the critical period of adolescence appears to have a long-term effect on BMI in adulthood. Policy interventions focusing on the neighborhood environment may have far-reaching effects on adult health. (C) 2012 Society for Adolescent Health and Medicine. All rights reserved.