邻里环境特征与休闲时间体力活动：健康促进研究

Neighborhood contextual characteristics and leisure-time physical activity: Pró-Saúde Study.

作者信息

Boclin Karine de Lima Sírio, Faerstein Eduardo, Leon Antônio Carlos Monteiro Ponce de

机构信息

Departamento de Epidemiologia, Instituto de Medicina Social, Universidade do Estado do Rio de Janeiro, Rio de Janeiro, RJ, Brasil.

出版信息

Rev Saude Publica. 2014 Apr;48(2):249-57. doi: 10.1590/s0034-8910.2014048004935.

DOI:10.1590/s0034-8910.2014048004935

PMID:24897046

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4206140/

Abstract

OBJECTIVE

To estimate the association between neighborhood contextual variables and leisure-time physical activity.

METHODS

Data were analyzed for 2,674 adults from Rio de Janeiro, RJ, Southeastern Brazil, participating in the longitudinal study in 1999. Leisure-time physical activity in the two preceding weeks was assessed dichotomously. Sex, age, income, education and marital status were analyzed as individual variables. Neighborhood contextual characteristics were the social development index, the Theil index and the proportion of the area occupied by parks, squares and gardens, categorized in quintiles. The unadjusted and adjusted odds ratios and 95% confidence intervals were estimated using multilevel logistic regression.

RESULTS

The prevalence of leisure-time physical activity was higher in residents in neighborhoods with higher indices of social development (between 32.3% and 53.1%) and a greater proportion of parks, squares and gardens (between 35.8% and 53.1%). Regarding the social development index, the adjusted odds ratios for physical activity were 1.22 (95%CI 0.93;1.61), 1.44 (95%CI 1.09;1.89), 1.75 (95%CI 1.31;2.34) and 2.25 (95%CI 1.70;3.00) for residents in neighborhoods in the second, third, fourth and fifth quintiles, respectively, compared with residents in neighborhoods in the first quintile. The odds ratios for the proportion of parks, squares and gardens were 0.90 (95%CI 0.69;1.19), 1.41 (95%CI 1.04;1.90), 1.63 (95%CI 1.24;2.14) and 1.05 (95%CI 0.80;1.38) for residents in neighborhoods in the second, third, fourth and fifth quintiles. After adjusting for the other variables, only the social development index continued to be associated with leisure-time physical activity, with odds ratios of 1.41 (95%CI 1.02;1.95); 1.54 (95%CI 1.12;2.12); 1.65 (95%CI 1.14;2.39) and 2.13 (95%CI 1.40;3.25) for residents in neighborhoods in the second, third, fourth and fifth quintiles.

CONCLUSIONS

Leisure-time physical activity was more common in residents in neighborhoods with higher social development indices. No association was observed between access to leisure areas and income inequality.

摘要

目的

评估邻里环境变量与休闲时间身体活动之间的关联。

方法

对来自巴西东南部里约热内卢2674名成年人的数据进行分析，这些人参与了1999年的纵向研究。对前两周的休闲时间身体活动进行二分法评估。将性别、年龄、收入、教育程度和婚姻状况作为个体变量进行分析。邻里环境特征包括社会发展指数、泰尔指数以及公园、广场和花园所占面积比例，按五分位数分类。使用多水平逻辑回归估计未调整和调整后的比值比及95%置信区间。

结果

社会发展指数较高（32.3%至53.1%之间）且公园、广场和花园所占比例较大（35.8%至53.1%之间）的社区居民，休闲时间身体活动的患病率较高。关于社会发展指数，与第一五分位数社区的居民相比，第二、第三、第四和第五五分位数社区居民身体活动的调整后比值比分别为1.22（95%CI 0.93；1.61）、1.44（95%CI 1.09；1.89）、1.75（95%CI 1.31；2.34）和2.25（95%CI 1.70；3.00）。公园、广场和花园所占比例的比值比，第二、第三、第四和第五五分位数社区居民分别为0.90（95%CI 0.69；1.19）、1.41（95%CI 1.04；1.90）、1.63（95%CI 1.24；2.14）和1.05（95%CI 0.80；1.38）。在对其他变量进行调整后，只有社会发展指数继续与休闲时间身体活动相关，第二、第三、第四和第五五分位数社区居民的比值比分别为1.41（95%CI 1.02；1.95）、1.54（95%CI 1.12；2.12）、1.65（95%CI 1.14；2.3 Nine）和2.13（95%CI 1.40；3.25）。