Environmental Profile of a Community's Health (EPOCH): an instrument to measure environmental determinants of cardiovascular health in five countries.
Environmental Profile of a Community's Health (EPOCH): an instrument to measure environmental determinants of cardiovascular health in five countries.
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DOI：
10.1371/journal.pone.0014294
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发表时间：
2010-12-10
期刊：
影响因子：
3.7
通讯作者：
Yusuf S
中科院分区：
文献类型：
--
作者：
Chow CK;Lock K;Madhavan M;Corsi DJ;Gilmore AB;Subramanian SV;Li W;Swaminathan S;Lopez-Jaramillo P;Avezum A;Lear SA;Dagenais G;Teo K;McKee M;Yusuf S
众所周知，人们生活的环境在影响饮食、身体活动、吸烟、心理社会和心血管（CV）疾病的其他风险因素方面很重要。然而，目前还没有一种工具可以对社区的这些多重环境因素进行评估，并适用于不同的社区、区域和国家。本报告描述了测量CV风险因素的环境决定因素的工具的设计和可靠性。社区健康环境概况（EPOCH）工具包括两个部分：（I）物理环境评估，以及（II）访谈员管理的问卷调查，以收集居民对其社区的看法。我们研究了来自5个国家（加拿大，哥伦比亚，巴西，中国和印度）93个农村和城市社区的仪器（EPOCH I）的直接观察部分的每个区域的3名观察员之间的评分员可靠性。使用EPOCH工具收集数据在所有社区都是可行的。38个项目中有24个项目的仪器可靠性极佳（组内相关系数- ICC>0.75），38个项目中有14个项目的仪器可靠性一般至良好（ICC 0.4-0.75）。这份报告表明，EPOCH仪器的数据收集是可行的，直接观察社区措施可靠。EPOCH工具将使人们能够进一步研究健康的环境决定因素，以便从广泛的背景下进行人口研究。
The environment in which people live is known to be important in influencing diet, physical activity, smoking, psychosocial and other risk factors for cardiovascular (CV) disease. However no instrument exists that evaluates communities for these multiple environmental factors and is suitable for use across different communities, regions and countries. This report describes the design and reliability of an instrument to measure environmental determinants of CV risk factors. The Environmental Profile of Community Health (EPOCH) instrument comprises two parts: (I) an assessment of the physical environment, and (II) an interviewer-administered questionnaire to collect residents' perceptions of their community. We examined the inter-rater reliability amongst 3 observers from each region of the direct observation component of the instrument (EPOCH I) in 93 rural and urban communities in 5 countries (Canada, Colombia, Brazil, China and India). Data collection using the EPOCH instrument was feasible in all communities. Reliability of the instrument was excellent (Intraclass Correlation Coefficient - ICC>0.75) for 24 of 38 items and fair to good (ICC 0.4–0.75) for 14 of 38 items. This report shows data collection with the EPOCH instrument is feasible and direct observation of community measures reliable. The EPOCH instrument will enable further research on environmental determinants of health for population studies from a broad range of settings.
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影响因子：
5.5
作者：
Saelens, Brian E.;Glanz, Karen;Frank, Lawrence D.
通讯作者：
Frank, Lawrence D.
DOI：
10.1249/01.mss.0000227639.83607.4d
发表时间：
2006-09-01
期刊：
MEDICINE AND SCIENCE IN SPORTS AND EXERCISE
影响因子：
--
作者：
Cerin, Ester;Saelens, Brian E.;Frank, Lawrence D.
通讯作者：
Frank, Lawrence D.
影响因子：
5.5
作者：
Brownson, Ross C.;Hoehner, Christine M.;Day, Kristen;Forsyth, Ann;Sallis, James F.
通讯作者：
Sallis, James F.
DOI：
10.1249/01.mss.0000210189.64458.f3
发表时间：
2006-04-01
期刊：
MEDICINE AND SCIENCE IN SPORTS AND EXERCISE
影响因子：
--
作者：
Pikora, TJ;Giles-Corti, B;Donovan, RJ
通讯作者：
Donovan, RJ
影响因子：
5.2
作者：
Joossens, L.;Raw, M.
通讯作者：
Raw, M.