Influence of Neighborhood Environment on Korean Adult Obesity Using a Bayesian Spatial Multilevel Model

International Journal of Environmental Research and Public Health

Jungsoon Choi¹  Sugie Lee²  Bo Youl Choi³  Eun Young Lee³ 

[1] Department of Mathematics, Hanyang University, Seoul 04763, Korea;Department of Urban Planning and Engineering, Hanyang University, Seoul 04763, Korea;Institute for Health and Society, Hanyang University, Seoul 04763, Korea;

关键词: neighborhood;    environment;    obesity;    bayesian spatial multilevel model;    korea;   

DOI  :  10.3390/ijerph16203991

来源: DOAJ

【 摘 要 】

Previous studies using spatial statistical modeling that account for spatial associations between geographic areas are scarce. Therefore, this study examines the association between neighborhood environment and obesity using a Bayesian spatial multilevel model. Data from 78,014 adults living in Gyeonggi province in Korea were drawn from the 2013−2014 Korean Community Health Survey. Korean government databases and ArcGIS software (version 10.1, ESRI, Redlands, CA) were used to measure the neighborhood environment for 546 administrative districts of Gyeonggi province. A Bayesian spatial multilevel model was implemented across gender and age groups. The findings indicate that women aged 19−39 years who lived in neighborhoods farthest away from parks were more likely to be obese. Men aged 40−59 years who lived in neighborhoods farther from public physical activity facilities and with lower population density were more likely to be obese. Obesity for women aged 19−39 years was the most spatially dependent, while obesity for women aged 40−59 years was the least spatially dependent. The results suggest that neighborhood environments that provide more opportunities for physical activity are negatively related to obesity. Therefore, the creation of physical activity in favorable neighborhood environments, considering gender and age, may be a valuable strategy to reduce obesity.

【 授权许可】

Unknown