neighborhood and weight-related health behaviors in the look ahead (action for health in diabetes) study社区和体重相关健康行为向前看(糖尿病)卫生行动研究.pdfVIP

Gary-Webb et al. BMC Public Health 2010, 10:312 /1471-2458/10/312 R E S E A R C H A R T I C L E Open Access Research article Neighborhood and weight-related health behaviors in the Look AHEAD (Action for Health in Diabetes) Study 1,2,3 2 4 5 6 Tiffany L Gary-Webb* , Kesha Baptiste-Roberts , Luu Pham , Jacqueline Wesche-Thobaben , Jennifer Patricio , F 6 7 8 2,3 Xavier Pi-Sunyer , Arleen F Brown , LaShanda Jones , Frederick L Brancati for the Look AHEAD Research Group Abstract Background: Previous studies have shown that neighborhood factors are associated with obesity, but few studies have evaluated the association with weight control behaviors. This study aims to conduct a multi-level analysis to examine the relationship between neighborhood SES and weight-related health behaviors. Methods: In this ancillary study to Look AHEAD (Action for Health in Diabetes) a trial of long-term weight loss among individuals with type 2 diabetes, individual-level data on 1219 participants from 4 clinic sites at baseline were linked to neighborhood-level data at the tract level from the 2000 US Census and other databases. Neighborhood variables included SES (% living below the federal poverty level) and the availability of food stores, convenience stores, and restaurants. Dependent variables included BMI, eating patterns, weight control behaviors and resource use related to food and physical activity. Multi-level models were used to account for individual-level SES and potential confounders. Results: The availability of restaurants was re lated to several eating and weight control behaviors. Compa