Neighborhood commuting environment and obesity in the United States: An urban-rural stratified multilevel analysis

作者：Zhang, Xingyou^*; Holt, James B.; Lu, Hua; Onufrak, Stephen; Yang, Jiawen; French, Steven P.; Sui, Daniel Z.

来源：Preventive Medicine, 2014, 59: 31-36.

DOI：10.1016/j.ypmed.2013.11.004

• Obesity
• Neighborhood automobile dependency
• Neighborhood commuting time
• Geocoded National Health Interview Survey (NHIS)
• Regional urbanization levels
• The United States

Objective. Automobile dependency and longer commuting are associated with current obesity epidemic. We aimed to examine the urban-rural differential effects of neighborhood commuting environment on obesity in the US @@@ Methods. The 1997-2005 National Health Interview Survey (NHIS) were linked to 2000 US Census data to assess the effects of neighborhood commuting environment: census tract-level automobile dependency and commuting time, on individual obesity status. @@@ Results. Higher neighborhood automobile dependency was associated with increased obesity risk in urbanized areas (large central metro (OR 1.11[1.09, 1.121), large fringe metro (OR 1.17[1.13, 1.22]), medium metro (OR 1.22[1.16, 1.29]), small metro (OR 1.11[1.04, 1.19]), and micropolitan (OR 1.09[1.00, 1.19])), but not in non-core rural areas (OR 1.00[0.92, 1.08]). Longer neighborhood commuting time was associated with increased obesity risk in large central metro (OR 1.09[1.04, 1.13]), and less urbanized areas (small metro (OR 1.08[1.01, 1.16]), micropolitan (OR 1.06[1.01, 1.121), and non-core rural areas (OR 1.0811.01, 1.17])), but not in (large fringe metro (OR 1.05[1.00, 1.11]), and medium metro (OR 1.04[0.98, 1.10])). @@@ Conclusion. The link between commuting environment and obesity differed across the regional urbanization levels. Urban and regional planning policies may improve current commuting environment and better support healthy behaviors and healthy community development.

• 出版日期2014-2
• 单位北京大学深圳研究生院; 中国疾病预防控制中心