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首页> 外文OA文献 >Association of neighborhood socioeconomic status with physical fitness in healthy young adults: the Coronary Artery Risk Development in Young Adults (CARDIA) study
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Association of neighborhood socioeconomic status with physical fitness in healthy young adults: the Coronary Artery Risk Development in Young Adults (CARDIA) study

机译：邻里社会经济状况与健康青年身体健康的关系：青年人冠状动脉风险发展（CaRDIa）研究

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BACKGROUND: Impaired physical fitness, a contributor to obesity and cardiovascular disease, has been associated with both an individual\u27s socioeconomic status (SES) and with residence in disadvantaged neighborhoods. The aim of the study was to examine the extent to which neighborhood socioeconomic status (SES) is associated with impaired fitness, independent of clinical characteristics and individual-level SES.METHODS: Two thousand five hundred five participants 25 to 42 years old examined in the CARDIA study from 1992 to 1993 underwent symptom-limited exercise stress testing. Physical fitness was considered impaired if metabolic equivalents were in the lowest sex-specific quintile. Neighborhood SES was determined for each census tract using 1990 census data. Generalized estimating equations assessed the association between neighborhood SES and physical fitness, before and after adjustments for individual SES, sociodemographic, and clinical characteristics, and accounted for clustering within census tracts.RESULTS: Individuals in disadvantaged neighborhoods had lower educational attainment and income, and were more likely unemployed, black, and uninsured. The odds ratio (95% CI) for impaired physical fitness in the lowest vs highest tertile of neighborhood SES was 5.8 (3.7-7.3). These became 3.9 (2.7-5.7) after adjusting for individuals\u27 educational attainment, personal income, employment status, and ability to pay for basic needs; and 1.9 (1.2-2.9) after additional adjustment for other sociodemographic and clinical factors.CONCLUSIONS: Features of one\u27s neighborhood of residence are relevant to cardiovascular health. A health policy perspective that looks beyond an individual\u27s characteristics may therefore be useful in identifying more effective interventions to reduce the prevalence of low physical fitness and its consequences in young adults.
机译：背景：身体健康受损，是肥胖和心血管疾病的病因，已与个人的社会经济地位（SES）以及在弱势社区的居住有关。这项研究的目的是研究邻里社会经济状况（SES）与健康受损相关的程度，与临床特征和个体水平SES无关。方法：在25至42岁的2555名参与者中进行了检查。从1992年至1993年，CARDIA进行了症状受限运动压力测试。如果代谢当量处于最低的性别特异性五分位数之内，则认为身体健康受损。使用1990年的人口普查数据为每个人口普查区域确定了邻里SES。广义估计方程评估了个体SES，社会人口统计学和临床​​特征调整前后的邻里SES与身体健康之间的关联，并解释了人口普查范围内的聚类情况。结果：处境不利的邻里居民的教育程度和收入较低，并且更可能是失业，黑人和没有保险的人。最低和最高三分位数的邻里SES中体能受损的几率（95％CI）为5.8（3.7-7.3）。在根据个人的受教育程度，个人收入，就业状况和支付基本需求的能力进行调整之后，这些值为3.9（2.7-5.7）；结论：一个居民区的特征与心血管健康有关；而在其他社会人口统计学和临床​​因素进行额外调整后，则为1.9（1.2-2.9）。因此，超越个人特征的健康政策观点可能有助于确定更有效的干预措施，以减少低体能运动的流行及其对年轻人的影响。

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