Neighborhood-level socioeconomic deprivation predicts weight gain in a multi-ethnic population: longitudinal data from the Dallas Heart Study.
Neighborhood-level socioeconomic deprivation predicts weight gain in a multi-ethnic population: longitudinal data from the Dallas Heart Study.
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邻里级别的社会经济剥夺预测了多种族人口的体重增加：达拉斯心脏研究的纵向数据。
DOI：
10.1016/j.ypmed.2014.05.011
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发表时间：
2014-09
影响因子：
5.1
通讯作者：
Hoehner, Christine M.
中科院分区：
文献类型：
--
作者：
Powell-Wiley, Tiffany M.;Ayers, Colby;Agyemang, Priscilla;Leonard, Tammy;Berrigan, David;Ballard-Barbash, Rachel;Lian, Min;Das, Sandeep R.;Hoehner, Christine M.
探讨来自德克萨斯州达拉斯县的多种族队列中社区水平的社会经济剥夺与体重变化之间的关系，以及行为/心理社会因素是否减弱了这种关系。在达拉斯心脏研究（DHS）中，年龄在18-65岁（N=939）的非搬家者（在整个研究期间住在同一社区的人）在2000-2009年（中位7年随访）之间进行了体重测量。地理编码的家庭地址定义块组;邻里剥夺指数（NDI）的创建（更高的NDI=更大的剥夺）。多水平建模确定了相对于NDI的体重变化。模型拟合的改善，增加身体活动和邻里环境的看法（分数越高=更不利的看法）作为协变量进行了检查。发现居住时间和NDI之间存在显著的相互作用（p-相互作用=0.04）;结果按中位数居住时间（11年）分层。调整年龄，性别，种族/民族，吸烟，教育/收入，那些居住在社区>11年的人每增加一个单位的NDI增加1.0公斤（kg）（p=0.03），或者最高NDI三分位数的人与最低三分位数的人相比增加6公斤。身体活动改善模型拟合;调整身体活动和邻里环境感知后，NDI仍与体重增加相关。对于≤11岁的邻居，NDI和体重变化之间没有显著关系。在DHS中，长期生活在社会经济贫困的社区与体重增加有关。
To examine relationship between neighborhood-level socioeconomic deprivation and weight change in a multi-ethnic cohort from Dallas County, Texas and whether behavioral/psychosocial factors attenuate the relationship. Non-movers (those in the same neighborhood throughout the study period) aged 18–65 (N=939) in Dallas Heart Study (DHS) underwent weight measurements between 2000–2009 (median 7-year follow-up). Geocoded home addresses defined block groups; a neighborhood deprivation index (NDI) was created (higher NDI=greater deprivation). Multi-level modeling determined weight change relative to NDI. Model fit improvement was examined with adding physical activity and neighborhood environment perceptions (higher score=more unfavorable perceptions) as covariates. A significant interaction between residence length and NDI was found (p-interaction=0.04); results were stratified by median residence length (11 years). Adjusting for age, sex, race/ethnicity, smoking, education/income, those who lived in neighborhood>11 years gained 1.0 kilograms (kg) per one-unit increment of NDI (p=0.03), or 6 kg for those in highest NDI tertile compared with those in the lowest tertile. Physical activity improved model fit; NDI remained associated with weight gain after adjustment for physical activity and neighborhood environment perceptions. There was no significant relationship between NDI and weight change for those in their neighborhood≤11 years. Living in more socioeconomically deprived neighborhoods over a longer time period was associated with weight gain in DHS.
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