An examination of processes linking perceived neighborhood disorder and obesity

An examination of processes linking perceived neighborhood disorder and obesity
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DOI:
10.1016/j.socscimed.2008.03.029
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发表时间:
2008-07-01
影响因子:
5.4
通讯作者:
Hill, Terrence D.
Hill, Terrence D.
中科院分区:
医学2区
文献类型:
--
作者:
Burdette, Amy M.;Hill, Terrence D.

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在本文中,我们使用从美国德克萨斯州成年人的全州概率样本中收集的数据来测试邻里关系障碍的感知是否与肥胖风险增加相关。在先前研究的基础上,我们还测试了邻里关系障碍和肥胖之间的关联是否由心理,生理和行为机制介导。我们提出并测试了一个理论模型,该模型表明,心理困扰是一个关键机制,通过慢性激活的生理应激反应,不良的自我评价的整体饮食质量,和不规律的运动与肥胖风险的邻里关系障碍。我们的分析结果与这个理论模型基本一致。我们发现邻里关系障碍与肥胖风险增加有关,这种联系完全是由心理困扰介导的。我们还观察到,心理困扰和肥胖之间的正相关完全介导的生理困扰和自我评价的整体饮食质量差,只有部分介导的不规律的运动。(C)2008爱思唯尔有限公司保留所有权利。
In this paper, we use data collected from a statewide probability sample of Texas, USA adults to test whether perceptions of neighborhood disorder are associated with increased risk of obesity. Building on prior research, we also test whether the association between neighborhood disorder and obesity is mediated by psychological, physiological, and behavioral mechanisms. We propose and test a theoretical model which suggests that psychological distress is a lynchpin mechanism that links neighborhood disorder with obesity risk through chronic activation of the physiological stress response, poor self-rated overall diet quality, and irregular exercise. The results of our analyses are generally consistent with this theoretical model. We find that neighborhood disorder is associated with increased risk of obesity, and this association is entirely mediated by psychological distress. We also observe that the positive association between psychological distress and obesity is fully mediated by physiological distress and poor self-rated overall diet quality and only partially mediated by irregular exercise. (C) 2008 Elsevier Ltd. All rights reserved.