德克萨斯州的社区可行性和心脏代谢疾病
1Department of Health Informatics and Information Management, Texas State University, Round Rock, TX, USA. m_y71@txstate.edu.
Scientific reports
|March 20, 2025
概括
更高的邻里可行性与较低的体重指数 (BMI) 和降低糖尿病风险有关. 这项研究强调了可步行社区对公共卫生的重要性,特别是对于非洲裔美国人来说.
科学领域:
- 公共卫生 公共卫生
- 城市规划 城市规划
- 流行病学 流行病学
背景情况:
- 糖尿病和心血管疾病等心脏代谢性疾病 (CMD) 在美国很普遍.
- 身体活动,如步行,对于减轻肥胖和糖尿病风险至关重要.
- 社区可行性对CMD的影响需要进一步调查,特别是在多样化的人口中.
研究的目的:
- 为了检查德克萨斯州社区可行性和心脏代谢疾病 (CMD) 指标之间的关联.
- 为了控制人口因素,包括年龄,性别,种族/民族和糖尿病家族病史.
- 确定不同种族/民族群体之间可行性和CMD的潜在差异.
主要方法:
- 利用了来自德克萨斯州行为风险因素监测系统和环境保护局的1994年德克萨斯州观测数据 (2019年).
- 采用多层线性回归和多层逻辑回归分析.
- 评估了社区可行性得分和心脏代谢健康指标之间的关系.
主要成果:
- 增加邻里可行性显示出与较低的体重指数 (BMI) 有显著的关联 (β = -0.28,CI -0.45至 -0.10).
- 更高的行走能力与降低糖尿病风险相关 (OR 0.93,CI 0.86-0.99),几率下降7%.
- 发现,与其他种族/族群相比,非洲裔美国人居住在步行能力得分较低的地区.
结论:
- 通过城市规划促进可步行社区对于公共卫生至关重要.
- 基于社区的健康促进战略应将可行性视为关键因素.
- 解决可行性差异可能有助于减少心脏代谢疾病负担,特别是在少数群体中.
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