Interplay of Socioeconomic Status and Supermarket Distance Is Associated with Excess Obesity Risk: A UK Cross-Sectional Study.
Interplay of Socioeconomic Status and Supermarket Distance Is Associated with Excess Obesity Risk: A UK Cross-Sectional Study.
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DOI：
10.3390/ijerph14111290
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发表时间：
2017-10-25
影响因子：
--
通讯作者：
Monsivais P
中科院分区：
文献类型：
--
作者：
Burgoine T;Mackenbach JD;Lakerveld J;Forouhi NG;Griffin SJ;Brage S;Wareham NJ;Monsivais P
美国的政策举措寻求通过吸引社区超市投资来改善健康。几乎没有证据表明这些政策将是有效的，特别是在健康饮食存在社会经济障碍的情况下。我们测量了超市门槛和社会经济地位与肥胖之间的独立关联和相互作用。使用9702名英国成年人的数据，我们使用调整后的回归分析来估计测量的体重指数(kg/m2)、超重(25≥BMI<；30)和肥胖(≥30)，包括参与者的最高教育程度(三组)和从住所到最近的超市的街道网络距离(KM)。联合分类模型估计了教育和超市距离以及因相互作用而产生的相对超额风险(RERI)的组合关联性。与住得最近的人相比，离他们最近的超市的参与者患肥胖症的几率更高(OR 1.33，95%CI：1.11，1.58)。受教育程度较低也与肥胖的几率较高有关。那些受教育程度最低、居住距离最远的人患肥胖症的几率是那些受教育程度最高、居住距离最近的人的3.39倍(2.46-4.65)，他们有超重的肥胖风险(RERI=0.09)；超重的结果类似。我们的结果表明，通过规划更好地进入超市，并结合应对社会经济障碍的干预措施，可以改善公共卫生。
U.S. policy initiatives have sought to improve health through attracting neighborhood supermarket investment. Little evidence exists to suggest that these policies will be effective, in particular where there are socioeconomic barriers to healthy eating. We measured the independent associations and combined interplay of supermarket access and socioeconomic status with obesity. Using data on 9702 UK adults, we employed adjusted regression analyses to estimate measured BMI (kg/m2), overweight (25 ≥ BMI < 30) and obesity (≥30), across participants’ highest educational attainment (three groups) and tertiles of street network distance (km) from home location to nearest supermarket. Jointly-classified models estimated combined associations of education and supermarket distance, and relative excess risk due to interaction (RERI). Participants farthest away from their nearest supermarket had higher odds of obesity (OR 1.33, 95% CI: 1.11, 1.58), relative to those living closest. Lower education was also associated with higher odds of obesity. Those least-educated and living farthest away had 3.39 (2.46–4.65) times the odds of being obese, compared to those highest-educated and living closest, with an excess obesity risk (RERI = 0.09); results were similar for overweight. Our results suggest that public health can be improved through planning better access to supermarkets, in combination with interventions to address socioeconomic barriers.
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影响因子：
15.8
作者：
Adams J;Mytton O;White M;Monsivais P
通讯作者：
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通讯作者：
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影响因子：
4.8
作者：
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