Built Environment and Weight Disparities Among Children in High- and Low-Income Towns
Built Environment and Weight Disparities Among Children in High- and Low-Income Towns
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DOI：
10.1016/j.acap.2009.02.009
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发表时间：
2009-09-01
影响因子：
3.1
通讯作者：
Perrin, James M.
中科院分区：
文献类型：
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作者：
Oreskovic, Nicolas M.;Kuhlthau, Karen A.;Perrin, James M.
Objective.评估建筑环境和儿童体重的差异，以及它们在高收入和低收入社区之间的关联。通过横断面的临床和人口统计学数据的2至18岁的儿童从综合卫生系统在马萨诸塞州，我们链接主题（n = 6680）和地理信息系统的空间数据。我们选择了每个城镇至少有100名受试者的城镇（n = 46个城镇），并根据家庭收入将城镇分为四分位数。我们比较了环境特征（快餐店密度）最高和最低四分位数的城镇。与最近的快餐店的距离、与最近的适龄学校的距离）以及超重和肥胖流行率之间的关系。我们使用聚类逻辑回归来评估环境特征和体重之间的关系，并进行了类似的分析，按年龄分层（2至
Objective. To assess differences in built environment and child weight, and associations between them in high- and low-income communities.Methods. By means of cross-sectional clinical and demographic data for children aged 2 to 18 years from an integrated health system in Massachusetts, we linked subject (n = 6680) and spatial data from Geographic Information Systems. We selected towns with at least 100 subjects per town (n = 46 towns), and we divided towns into quartiles by household income. We compared highest and lowest quartile towns on environmental characteristics (density of fast food restaurants. distance to nearest fast food restaurant, distance to nearest age-appropriate school) and overweight and obesity prevalence. We used clustered logistic regression to assess for associations between environmental characteristics and weight and carried out similar analyses stratified by age (2 to