儿童零食摄入行为与周边女性之间的关联：基于人群的空间区域化横断面分析。
Association between snack intake behaviors of children and neighboring women: A population-based cross-sectional analysis with spatial regionalization.
作者信息
Yamamoto Emiko, Takagi Daisuke, Hashimoto Hideki
机构信息
Department of Health and Social Behavior, School of Public Health, The University of Tokyo, 7-3-1 Hongo, Bunkyo-ku, Tokyo, 113-0033, Japan.
出版信息
SSM Popul Health. 2024 Oct 13;28:101720. doi: 10.1016/j.ssmph.2024.101720. eCollection 2024 Dec.
BACKGROUND
Accumulated evidence indicates that neighborhood environments affect children's health behaviors. However, measuring neighborhood environments remains challenging because there exist strengths and weaknesses both in objective and perceived environment measures. Drawing on a recent conceptual model of how environment, perception, and behavior interact, we hypothesized that neighbors' behavioral similarities indicate the combined influence of physical and social environmental opportunities on specific behaviors. We then examined how these similarities (i.e. the behavioral tendencies of children's adult neighbors) relate to children's obesogenic dietary behaviors.
METHODS
We used data for 2275 women and 821 elementary schoolchildren from a 2012-2013 population-based survey in greater Tokyo, Japan. Snack intake was defined as the total consumption of various types of snacks, estimated using a validated self-administered diet history questionnaire. Spatial regionalization, a type of spatial clustering, was used to empirically identify segments that could effectively differentiate regional variation in women's snack intake behaviors. We conducted multiple regression analysis to assess the cross-sectional association between children's snack intake and the mean snack intake of neighborhood women, adjusting for mother's intake.
RESULTS
A 1-g increase in the mean snack intake of neighborhood women was associated with a 0.23-g (95% confidence interval: 0.00-0.45) increase in children's intake, while a 1-g increase in mother's intake was associated with a 0.34-g (95% confidence interval: 0.26-0.41) increase in children's intake.
DISCUSSION
The results suggest that the out-of-home physical and social neighborhood environments may have non-ignorable associations with children's dietary behaviors by offering behavioral opportunities in addition to maternal influence.
背景
越来越多的证据表明社区环境会影响儿童的健康行为。然而，衡量社区环境仍然具有挑战性，因为客观环境指标和主观感知环境指标都各有优缺点。基于最近一个关于环境、感知和行为如何相互作用的概念模型，我们假设邻居的行为相似性表明了物理和社会环境机会对特定行为的综合影响。然后，我们研究了这些相似性（即儿童成年邻居的行为倾向）与儿童致肥胖饮食行为之间的关系。
方法
我们使用了2012年至2013年在日本大东京地区进行的一项基于人群的调查中2275名女性和821名小学生的数据。零食摄入量被定义为各类零食的总消费量，通过一份经过验证的自我管理饮食史问卷进行估算。空间区域化是一种空间聚类方法，用于实证识别能够有效区分女性零食摄入行为区域差异的区域。我们进行了多元回归分析，以评估儿童零食摄入量与社区女性平均零食摄入量之间的横断面关联，并对母亲的摄入量进行了调整。
结果
社区女性平均零食摄入量每增加1克，儿童的摄入量就增加0.23克（95%置信区间：0.00 - 0.45），而母亲的摄入量每增加1克，儿童的摄入量就增加0.34克（95%置信区间：0.26 - 0.41）。
讨论
结果表明，家庭外的物理和社会社区环境除了母亲的影响外，还可能通过提供行为机会，与儿童的饮食行为存在不可忽视的关联。
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