Autor: |
Joseph C. Cleveland, Juan Espinoza, Elizabeth A. Holzhausen, Michael I. Goran, Tanya L. Alderete |
Jazyk: |
angličtina |
Rok vydání: |
2023 |
Předmět: |
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Zdroj: |
BMC Public Health, Vol 23, Iss 1, Pp 1-14 (2023) |
Druh dokumentu: |
article |
ISSN: |
1471-2458 |
DOI: |
10.1186/s12889-022-14868-1 |
Popis: |
Abstract Background Social determinants of health (SDoH) describe the complex network of circumstances that impact an individual before birth and across the lifespan. SDoH contextualize factors in a community that are associated with chronic disease risk and certain health disparities. The main objective of this study was to explore the impact of SDoH on the prevalence of obesity and diabetes, and whether these factors explain disparities in these health outcomes among Latinos in Southern California. Methods We utilized three composite indices that encompass different SDoH: the Healthy Places Index (HPI), Social Vulnerability Index (SVI), and CalEnviroScreen (CES). Univariate linear regression models explored the associations between index scores with adult obesity, adult diabetes, and childhood obesity. Results Communities with lower HPI scores were associated with higher prevalence of metabolic disease and a greater proportion of Latino residents. Cities in the lowest decile of HPI scores had 71% of the population identifying as Latino compared to 12% in the highest decile. HPI scores explained 61% of the variability in adult obesity (p |
Databáze: |
Directory of Open Access Journals |
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