RAND Corporation, 1776 Main St, Santa Monica, CA, 90407, USA.
Division of Chronic Disease and Injury Prevention, Los Angeles County Department of Public Health, Los Angeles, CA, USA.
J Urban Health. 2020 Aug;97(4):543-551. doi: 10.1007/s11524-020-00433-x.
Neighborhood conditions are associated with health outcomes, but whether individual health behaviors are independent of or associated with the settings are not clear. We analyzed the California Health Interview Survey (CHIS) (N = 11,152) data to determine if the perceptions and behaviors of similar individuals with an income low enough to be eligible for SNAP-Ed services differed based on whether they lived in high- or low-income neighborhoods. We found that SNAP-Ed eligible individuals living in low-income neighborhoods walked for transportation more frequently (3.04 times versus 2.38 times, p = 0.001), drank sugary beverages more frequently in the past month (2.93 times versus 1.69 times, p = 0.000), and had a higher risk of obesity than similar low-income individuals living in high-income neighborhoods (0.34 versus 0.26, p = 0.012).
社区环境与健康结果相关,但个人健康行为是否独立于环境或与环境相关尚不清楚。我们分析了加利福尼亚健康访谈调查(CHIS)(N=11152)的数据,以确定是否有足够收入获得 SNAP-Ed 服务的类似个人的感知和行为因居住在高收入或低收入社区而有所不同。我们发现,居住在低收入社区的 SNAP-Ed 合格个人更频繁地步行出行(3.04 次与 2.38 次,p=0.001),过去一个月更频繁地饮用含糖饮料(2.93 次与 1.69 次,p=0.000),并且肥胖风险高于居住在高收入社区的类似低收入个人(0.34 与 0.26,p=0.012)。