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分析公共交通使用对肥胖的影响。

Analyzing the impact of public transit usage on obesity.

作者信息

She Zhaowei, King Douglas M, Jacobson Sheldon H

机构信息

H. Milton Stewart School of Industrial and Systems Engineering, Georgia Institute of Technology, Atlanta, GA, United States.

Department of Industrial and Enterprise Systems Engineering, University of Illinois at Urbana-Champaign, Urbana, IL, United States.

出版信息

Prev Med. 2017 Jun;99:264-268. doi: 10.1016/j.ypmed.2017.03.010. Epub 2017 Mar 16.

Abstract

The objective of this paper is to estimate the impact of county-level public transit usage on obesity prevalence in the United States and assess the potential for public transit usage as an intervention for obesity. This study adopts an instrumental regression approach to implicitly control for potential selection bias due to possible differences in commuting preferences among obese and non-obese populations. United States health data from the 2009 Behavioral Risk Factor Surveillance System and transportation data from the 2009 National Household Travel Survey are aggregated and matched at the county level. County-level public transit accessibility and vehicle ownership rates are chosen as instrumental variables to implicitly control for unobservable commuting preferences. The results of this instrumental regression analysis suggest that a one percent increase in county population usage of public transit is associated with a 0.221 percent decrease in county population obesity prevalence at the α=0.01 statistical significance level, when commuting preferences, amount of non-travel physical activity, education level, health resource, and distribution of income are fixed. Hence, this study provides empirical support for the effectiveness of encouraging public transit usage as an intervention strategy for obesity.

摘要

本文的目的是评估美国县级公共交通使用情况对肥胖患病率的影响,并评估将公共交通使用作为肥胖干预措施的潜力。本研究采用工具回归方法,以隐含地控制由于肥胖人群和非肥胖人群通勤偏好可能存在的差异而导致的潜在选择偏差。来自2009年行为风险因素监测系统的美国健康数据和来自2009年全国家庭旅行调查的交通数据在县级进行汇总和匹配。选择县级公共交通可达性和车辆拥有率作为工具变量,以隐含地控制不可观察的通勤偏好。当通勤偏好、非出行体力活动量、教育水平、健康资源和收入分布固定时,这种工具回归分析的结果表明,在α=0.01的统计显著性水平下,县级公共交通使用率每增加1%,县级人口肥胖患病率就会下降0.221%。因此,本研究为鼓励使用公共交通作为肥胖干预策略的有效性提供了实证支持。

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