Associations of neighborhood physical and crime environments with obesity-related outcomes in Jamaica

Autor: Novie O. Younger-Coleman, Parris Lyew-Ayee, Rainford J. Wilks, Katherine P. Theall, Colette Cunningham-Myrie, Lisa-Gaye Greene
Jazyk: angličtina
Rok vydání: 2021
Předmět:
Male
Intraclass correlation
Physiology
Social Sciences
Criminology
Social Geography
Geographical locations
Body Mass Index
Urban Environments
0302 clinical medicine
Sociology
Residence Characteristics
Risk Factors
Medicine and Health Sciences
Public and Occupational Health
030212 general & internal medicine
Multidisciplinary
Geography
Middle Aged
Terrestrial Environments
Socioeconomic Aspects of Health
Physiological Parameters
Neighborhoods
Medicine
Female
Crime
Research Article
Public park
Adult
Jamaica
Waist
Adolescent
Science
030209 endocrinology & metabolism
Human Geography
03 medical and health sciences
Young Adult
medicine
Area of residence
Humans
Obesity
Socioeconomic status
Life Style
Aged
Caribbean
Body Weight
Ecology and Environmental Sciences
Biology and Life Sciences
Small island
Physical Activity
medicine.disease
Health Care
Cross-Sectional Studies
Social Class
North America
Earth Sciences
People and places
Body mass index
Demography
Zdroj: PLoS ONE, Vol 16, Iss 4, p e0249619 (2021)
PLoS ONE
ISSN: 1932-6203
Popis: Objective To examine whether proximity and density of public open spaces, public parks, street connectivity, and serious and violent crimes were associated with Body Mass Index (BMI) and Waist Circumference (WC) within and across levels of urbanicity, sex and socioeconomic status (SES) in Jamaica, a small island developing state (SIDS). Methods Secondary analysis was conducted using data from the Jamaica Health and Lifestyle Survey 2008 (JHLS II). All respondents were geocoded to area of residence in Enumeration Districts (EDs). Intraclass correlation coefficients (ICCs) were derived and multilevel mixed effects regression models applied to 2529 participants nested within 101 EDs from all 14 parishes in Jamaica. Results There was significant clustering across neighborhoods for mean BMI (ICC = 4.16%) and mean WC (ICC = 4.42%). In fully adjusted models statistically significant associations included: increased mean BMI among men, with increased intersection density/ km2 (β = 0.02; 95% CI = 1.96 x10-3, 0.04, p = 0.032); increased mean WC among urban residents with increased crimes/km2/yr (β = 0.09; 95% CI = 0.03, 0.16, pp Conclusions Neighborhood physical and crime environments were associated with obesity-related outcomes in Jamaica. Policymakers in SIDS such as Jamaica should also note the important differences by urbanicity, sex and SES in prevention efforts designed to stem the growing obesity epidemic.
Databáze: OpenAIRE
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