社区致胖环境特征与机制解析——以河北省11个地级市为例
Analysis of the Characteristics and Mechanisms of Obesogenic Environment in Community: Cases Study of 11 Prefecture-level Cities in Hebei Province
盛明洁
天津大学建筑学院 副教授，博士
杨 磊
河北医科大学公共卫生学院 教授
唐龙妹（通信作者）
河北医科大学公共卫生学院流行病与卫生统计 教研室，河北省环境与人群健康重点实验室 副教授
杨美玉
天津大学建筑学院 硕士研究生
摘要: 随着我国城镇化进程加快，建成环境和居民生活方式发生巨大变化，致使超重和肥胖快速流行，严重威胁人民健康。近年来，西方学界对超重和肥胖诱发机制的关注从个体因素转向环境风险因素，认为城市环境的“致胖化”是促进超重和肥胖流行的根本原因。然而，国内相关研究尚处于起步阶段。在梳理国内外相关文献的基础上，基于2017—2018年《河北省人口与家庭健康状况调查》数据，采用多层线性模型解析10分钟生活圈和居住小区层面的建成和社会环境因素对居民超重和肥胖的影响。结果显示，在控制了个体因素后，10分钟生活圈层面的土地混合熵、不健康食品售卖点密度、绿地与开敞空间面积，以及居住小区层面的房价水平与居民超重和肥胖显著相关。初步揭示出中国情境下社区致胖环境的基本特征及其机制，为从城市规划视角控制超重和肥胖的流行提供一定依据。
Abstract: With the accelerated urbanization process in China, the built environment and residents' lifestyles have undergone great changes, resulting in the high prevalence of overweight and obesity, which seriously threatens people's health. In recent years, Western academia has shifted its attention to the triggers of overweight and obesity from individual factors to environmental risk factors, believing that the "obesogenization" of urban environment is the fundamental cause of the epidemic of overweight and obesity. However, domestic research is still in its initial stage. Accordingly, based on a systematic literature review, this paper investigates the effects of built and social environmental factors on overweight and obesity, both at the 10-minute living circle level and the residential neighborhood level. This paper employs a multilevel linear model, using data from the 2017-2018 Hebei Population and Family Health Survey. The results show that after controlling for individual factors, mixed entropy of land use, density of unhealthy food vending outlets, green space and open space area within the 10-minute living circle, and housing price level at the residential neighborhood level are significantly associated with overweight and obesity. This paper reveals the basic characteristics and mechanisms of the obesogenic environment at the community level in urban China, and provides some insights for controlling the overweight and obesity epidemic from the urban planning perspective.
关键词：致胖环境；超重和肥胖；10分钟生活圈；居住小区；影响机制；社区
Keyword: obesogenic environment; overweight and obesity; 10-minute living circle; residential neighborhood; influencing mechanism; community
中图分类号：TU984
文献标识码: A
资金资助
首都区域空间规划研究北京市重点实验室开放课题 京津冀特大城市地区社区建成环境与社会经济特征对超重和肥胖的影响研究 CLAB202008
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