从城乡视角探讨儿童肥胖与沿海距离之间的关系。
Exploring the relationship between childhood obesity and proximity to the coast: A rural/urban perspective.
作者信息
Wood Sophie L, Demougin Philippe R, Higgins Sahran, Husk Kerryn, Wheeler Benedict W, White Mathew
机构信息
European Centre for Environment and Human Health, University of Exeter Medical School, Truro Campus, Knowledge Spa, Royal Cornwall Hospital, Truro TR1 3HD, Cornwall, UK.
College of Life and Environmental Sciences, Department of Geography, University of Exeter, Cornwall Campus, Penryn TR11 4DW, UK.
出版信息
Health Place. 2016 Jul;40:129-36. doi: 10.1016/j.healthplace.2016.05.010. Epub 2016 Jun 3.
Childhood obesity is one of the 21st century's most serious global health challenges. Research suggests that better access to 'greenspace' (e.g. parks) may encourage physical activity and reduce the risk of obesity amongst children. We extend earlier work by considering childhood obesity in relation to proximity to the coast, using data from England's National Child Measurement Programme. Results suggest that although the overall prevalence of childhood obesity is slightly lower at the coast (-0.68% points comparing <1km to >20km, p<0.001), the relationship depends on area type. Specifically, although a coastal proximity gradient (lower obesity rates nearer the coast) was found for rural areas and smaller cities and towns, it was not present among large urban conurbations (interaction p-value<0.001). Coastal environments and access to them are changing in many areas, and research to explore potential impacts on child health is warranted.
儿童肥胖是21世纪最严峻的全球性健康挑战之一。研究表明，更多地接触“绿色空间”（如公园）可能会促进身体活动，并降低儿童肥胖的风险。我们利用英国国家儿童测量计划的数据，通过考虑儿童肥胖与海岸距离的关系来扩展早期的研究工作。结果表明，尽管沿海地区儿童肥胖的总体患病率略低（比较距离海岸<1公里和>20公里的地区，患病率低0.68个百分点，p<0.001），但这种关系取决于地区类型。具体而言，虽然在农村地区以及规模较小的城镇发现了沿海距离梯度（离海岸越近肥胖率越低），但在大型城市集聚区中却不存在这种梯度（交互p值<0.001）。许多地区的沿海环境及其可达性正在发生变化，因此有必要开展研究以探索其对儿童健康的潜在影响。
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