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通过照片评估建筑环境及其与21个国家的肥胖相关性:PURE研究
Daniel J Corsi1, Simone Marschner2, Scott Lear3
1School of Epidemiology and Public Health, Faculty of Medicine, University of Ottawa, Ottawa, ON, Canada.
像自行车道和行人安全等建筑环境特征与全球较低的肥胖率有关. 然而,社区障碍与肥胖率的增加有关,突出显示了社区设计对公共健康的影响.
科学领域:
- 环境健康 环境健康
- 流行病学 流行病学
- 城市规划 城市规划
背景情况:
- 建筑环境对人类健康的影响是公认的,但研究不足,特别是在高收入国家之外.
- 现有的证据主要集中在高收入国家的城市地区,需要进行更广泛的调查.
- 未来城市和农村流行病学研究 (PURE) 提供了一个平台,可以在不同的环境中检查这些协会.
研究的目的:
- 分析建筑环境的特征及其与肥胖的关联.
- 在21个不同发展水平的国家和地区的城市和农村社区中调查这些协会.
- 评估特定建筑环境特征的影响以及对肥胖患病率的综合评分.
主要方法:
- 社区的照片使用社区健康环境概况 (EPOCH) 摄影仪进行了评估.
- 评估的关键特征包括安全性,可行性,社区美化和社区混乱.
- 通过使用多层回归模型计算和分析了综合建筑环境得分,并与单个特征一起进行分析,并对混因素进行了调整.
主要成果:
- 综合建筑环境得分与减少肥胖症有显著的关联 (RR 0.58为高与低得分).
- 发现社区美化,自行车道,行人安全和交通信号与降低肥胖的积极关联.
- 社区疾病与更高的肥胖患病率有显著的关联 (RR 1.48).
结论:
- 社区建筑环境的特点,包括可行性,安全性,美化和混乱,与肥胖有很大关系.
- 这些关联在城市和农村社区中都被观察到,在城市环境中联系更为紧密.
- 摄影评估方法提供了一种新的方法来评估建筑环境对健康的影响.
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