Neighbourhood walkability and dietary attributes: effect modification by area-level socio-economic status.
Built environment
Cardiometabolic diseases
FFQ
Health inequalities
Population health
Journal
Public health nutrition
ISSN: 1475-2727
Titre abrégé: Public Health Nutr
Pays: England
ID NLM: 9808463
Informations de publication
Date de publication:
09 2022
09 2022
Historique:
pubmed:
19
5
2022
medline:
12
8
2022
entrez:
18
5
2022
Statut:
ppublish
Résumé
Higher neighbourhood walkability would be expected to contribute to better health, but the relevant evidence is inconsistent. This may be because residents' dietary attributes, which vary with socio-economic status (SES) and influence their health, can be related to walkability. We examined associations of walkability with dietary attributes and potential effect modification by area-level SES. The exposure variable of this cross-sectional study was neighbourhood walkability, calculated using residential density, intersection density and destination density within 1-km street-network buffer around each participant's residence. The outcome variables were dietary patterns (Western, prudent and mixed) and total dietary energy intake, derived from a FFQ. Main and interaction effects with area-level SES were estimated using two-level linear regression models. Participants were from all states and territories in Australia. The analytical sample included 3590 participants (54 % women, age range 34 to 86). Walkability was not associated with dietary attributes in the whole sample. However, we found interaction effects of walkability and area-level SES on Western diet scores ( Higher walkability may not be necessarily conducive to better health in socio-economically disadvantaged areas. Public health initiatives to enhance neighbourhood walkability need to consider food environments and socio-economic contexts.
Identifiants
pubmed: 35583044
pii: S1368980022001197
doi: 10.1017/S1368980022001197
pmc: PMC9991640
doi:
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
2593-2600Références
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