Neighborhood commuting environment and obesity in the United States: an urban-rural stratified multilevel analysis.

摘要: Abstract Objective Automobile dependency and longer commuting are associated with current obesity epidemic. We aimed to examine the urban–rural differential effects of neighborhood environment on in US Methods The 1997–2005 National Health Interview Survey (NHIS) were linked 2000 Census data assess environment: census tract-level automobile time, individual status. Results Higher was increased risk urbanized areas (large central metro (OR 1.11[1.09, 1.12]), large fringe 1.17[1.13, 1.22]), medium 1.22[1.16, 1.29]), small 1.11[1.04, 1.19]), micropolitan 1.09[1.00, 1.19])), but not non-core rural 1.00[0.92, 1.08]). Longer time 1.09[1.04, 1.13]), less (small 1.08[1.01, 1.16]), 1.06[1.01, 1.17])), 1.05[1.00, 1.11]), 1.04[0.98, 1.10])). Conclusion link between differed across regional urbanization levels. Urban planning policies may improve better support healthy behaviors community development.