Disparities in obesity rates: Analysis by ZIP code area

Disparities in obesity rates: Analysis by ZIP code area
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DOI:
10.1016/j.socscimed.2007.07.001
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发表时间:
2007-12-01
影响因子:
5.4
通讯作者:
Solet, David
Solet, David
中科院分区:
医学2区
文献类型:
--
作者:
Drewnowski, Adam;Rehm, Colin D.;Solet, David

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在美国,肥胖与个人收入和教育程度有关。人们对它的地理分布知之甚少。这项研究的目的是确定华盛顿州金县的肥胖率是否与基于地区的社会经济地位和财富指标有关。分析来自行为危险因素监测系统的数据。在邮政编码的范围内,粗肥胖率相差六倍。在调整协变量和空间依赖性的模型中,财产价值是基于区域的平滑肥胖患病率的最强预测因子。卫生数据的地理编码为了解健康的社会决定因素的性质提供了新的见解。邮政编码地区的肥胖率差异大于个人收入或种族/民族的差异。(C) 2007 Elsevier Ltd.版权所有。
Obesity in the United States has been linked to individual income and education. Less is known about its geographic distribution. The goal of this study was to determine whether obesity rates in King County, Washington State, at the ZIP code scale were associated with area-based measures of socioeconomic status and wealth. Data from the Behavioral Risk Factor Surveillance System were analyzed. At the ZIP code scale, crude obesity rates varied six-fold. In a model adjusting for covariates and spatial dependence, property values were the strongest predictor of the area-based smoothed obesity prevalence. Geocoding of health data provides new insights into the nature of social determinants of health. Disparities in obesity rates by ZIP code area were greater than disparities associated with individual income or race/ethnicity. (C) 2007 Elsevier Ltd. All rights reserved.