智利圣地亚哥公立学校中不健康食品环境的社会空间隔离。
Socio-Spatial Segregation of Unhealthy Food Environments across Public Schools in Santiago, Chile.
机构信息
Institute of Nutrition and Food Technology (INTA), University of Chile, Macul 7830490, Chile.
The Institute of Geography of the Pontifical Catholic University of Chile, Macul 7820436, Chile.
出版信息
Nutrients. 2023 Dec 28;16(1):108. doi: 10.3390/nu16010108.
Santiago, Chile is a very segregated city, with higher childhood obesity rates observed in vulnerable areas. We compared the counts and proximity of unhealthy food outlets (UFOs) around a 400 m buffer of 443 public schools (municipal and subsidized) located in socioeconomically diverse neighborhoods in 14 municipalities of Santiago. This was a cross-sectional study in which the socioeconomic status (SES) of the population living inside the buffer was classified as middle-high, middle, and low. We used the Kruskal-Wallis test for comparisons of density and proximity between type of school, SES, and population density. We used a negative binomial model (unadjusted and adjusted by population density) to determine the expected change in counts of UFOs by SES, which was compared to the reference (middle-high). Low SES neighborhoods had significantly more counts of UFOs, and these were located much closer to schools. Low and middle SES neighborhoods had an 88% and 48% higher relative risk of having UFOs compared to middle-high SES areas; (IRR = 1.88; 95% CI 1.59-2.23) and (IRR = 1.48; 95% CI 1.20-1.82), respectively. A socio-spatial segregation of UFOs associated with childhood obesity across public schools was observed in Santiago.
智利圣地亚哥是一个非常隔离的城市,弱势地区儿童肥胖率较高。我们比较了 14 个圣地亚哥市的 443 所公立学校(市立和补贴)周围 400 米缓冲区中不健康食品店(UFO)的数量和接近程度。这是一项横断面研究,其中缓冲区内部人口的社会经济地位(SES)被归类为中高、中、低。我们使用 Kruskal-Wallis 检验来比较学校类型、SES 和人口密度之间的密度和接近程度。我们使用负二项模型(未调整和按人口密度调整)来确定 SES 对 UFO 数量的预期变化,并与参考(中高)进行比较。低 SES 社区的 UFO 数量明显更多,而且这些 UFO 离学校更近。低 SES 和中 SES 社区与中高 SES 地区相比,拥有 UFO 的相对风险分别高 88%和 48%;(IRR = 1.88;95%CI 1.59-2.23)和(IRR = 1.48;95%CI 1.20-1.82)。在圣地亚哥,我们观察到与儿童肥胖有关的 UFO 在公立学校之间存在社会空间隔离。