Mau Marjorie K, Wong Kara N, Efird Jimmy, West Margaret, Saito Erin P, Maddock Jay
Department of Native Hawaiian Health, John A. Bums School of Medicine, University of Hawai'i, Honolulu, HI, USA.
Hawaii Med J. 2008 Sep;67(9):233-6.
To compare the fast food outlets and exercise resources across 3 communities with varying percentages of Native Hawaiians (NH) and to correlate these findings with obesity prevalence.
Data on all food and exercise resources were collected from January through July 2006 within a 1-mile radius in 3 distinct communities (site A = higher % NH to site C = lower % NH). Comparisons between communities were analyzed in 2007 using Fisher's Exact and ANOVA.
Trends in obesity prevalence paralleled the percentage of NHs. After adjusting for population size, site B had a greater number of fast food outlets (p < 0.001) than site A or C, and more exercise facilities compared to site A (p = 0.05). Availability of fast food outlets was significantly greater at site A compared to site C (p = 0.03). Usage of exercise facilities was not significantly different between sites although exercise resources were in 'poorer' condition at site A compared to site B or C (p < or = 0.05).
Results confirm the increased frequency of obesogenic environmental factors and their correlation with obesity trends across 3 distinct NH communities. These results suggest that environmental factors may offer another means for reducing obesity disparities in minority communities.
比较三个社区中夏威夷原住民（NH）比例不同的快餐店和运动资源，并将这些结果与肥胖患病率进行关联分析。
2006年1月至7月，收集了三个不同社区（A社区 = 较高比例的NH到C社区 = 较低比例的NH）半径1英里范围内所有食品和运动资源的数据。2007年使用Fisher精确检验和方差分析对各社区之间进行比较分析。
肥胖患病率趋势与NH的比例平行。在调整人口规模后，B社区的快餐店数量比A社区或C社区更多（p < 0.001），与A社区相比，运动设施更多（p = 0.05）。与C社区相比，A社区的快餐店数量显著更多（p = 0.03）。尽管与B社区或C社区相比，A社区的运动资源状况“较差”（p ≤ 0.05），但各社区运动设施的使用情况无显著差异。
结果证实了致肥胖环境因素的频率增加及其与三个不同NH社区肥胖趋势的相关性。这些结果表明，环境因素可能为减少少数族裔社区的肥胖差异提供另一种方法。
