朋友选择对肥胖的社会影响

The effect of friend selection on social influences in obesity.

作者信息

Trogdon Justin G, Allaire Benjamin T

机构信息

Health Policy and Management, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, 1101B McGavran-Greenberg, 135 Dauer Dr., CB 7411, Chapel Hill, NC 27599-7411, USA.

Public Health Economics Program, RTI International, 3040 Cornwallis Road, Research Triangle Park, NC 27709, USA.

出版信息

Econ Hum Biol. 2014 Dec;15:153-64. doi: 10.1016/j.ehb.2014.08.004. Epub 2014 Sep 16.

Abstract

We present an agent-based model of weight choice and peer selection that simulates the effect of peer selection on social multipliers for weight loss interventions. The model generates social clustering around weight through two mechanisms: a causal link from others' weight to an individual's weight and the propensity to select peers based on weight. We simulated weight loss interventions and tried to identify intervention targets that maximized the spillover of weight loss from intervention participants to nonparticipants. Social multipliers increase with the number of intervention participants' friends. For example, when friend selection was based on a variable exogenous to weight, the weight lost among non-participants increased by 23% (14.3lb vs. 11.6lb) when targeting the most popular obese. Holding constant the number of participants' friends, multipliers increase with increased weight clustering due to selection, up to a point. For example, among the most popular obese, social multipliers when matching on a characteristic correlated with weight (1.189) were higher than when matching on the exogenous characteristic (1.168) and when matching on weight (1.180). Increased weight clustering also implies more obese "friends of friends" of participants, who reduce social multipliers.

摘要

我们提出了一个基于主体的体重选择和同伴选择模型,该模型模拟了同伴选择对减肥干预措施的社会乘数效应。该模型通过两种机制围绕体重产生社会聚类:他人体重与个体体重之间的因果联系,以及基于体重选择同伴的倾向。我们模拟了减肥干预措施,并试图确定能够使减肥效果从干预参与者最大程度地溢出到非参与者的干预目标。社会乘数随着干预参与者朋友数量的增加而增加。例如,当基于与体重无关的变量进行朋友选择时,针对最受欢迎的肥胖者进行干预时,非参与者的体重减轻增加了23%(从11.6磅降至14.3磅)。在参与者朋友数量保持不变的情况下,由于选择导致的体重聚类增加,社会乘数会增加,但到一定程度后不再增加。例如,在最受欢迎的肥胖者中,基于与体重相关特征进行匹配时的社会乘数(1.189)高于基于无关特征进行匹配时的社会乘数(1.168)以及基于体重进行匹配时的社会乘数(1.180)。体重聚类增加也意味着参与者有更多肥胖的“朋友的朋友”,这会降低社会乘数。

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