中国乡村建成环境对肥胖的影响:基于村民BMI数据的实证*

The Impact of Rural Built Environment on Obesity in China: An Empirical Study Based on BMI Data of Villagers

姚夏劼
华东师范大学 中国行政区划研究中心 城市与区域科学学院 硕士研究生

尹 春
华东师范大学 中国行政区划研究中心 城市与区域科学学院 博士

仲 政
华东师范大学 统计学院

孙斌栋(通信作者)
华东师范大学 中国行政区划研究中心 城市与区域科学学院 教授,博士生导师

摘要: 随着我国经济快速发展,乡村居民的肥胖问题日益严峻。乡村建成环境是影响村民行为和健康的重要因素之一,但我国学术界对此问题的讨论较少。在此背景下,基于2012年中国劳动力动态调查数据,采用多层次线性回归模型检验乡村建成环境因素对村民身体质量指数(BMI)的影响。研究发现,控制社会经济属性后,人口密度、村到乡镇的距离与村民BMI呈显著负相关,而公交站密度与村民BMI呈显著正相关。但健身设施与村民BMI并没有显著的相关性。这些结论表明,乡村建成环境与肥胖关系不同于我国城市地区,因此在制定健康政策时,需要从乡村实际出发,合理优化乡村建成环境。

Abstract: With the rapid development of China's economy, the obesity problem of rural residents is increasingly serious. Rural built environment is one of the important factors that affect the behavior and health of villagers, but there is little discussion on this issue in China's academic circles. In this context, based on the data of China's labor force dynamic survey in 2012, the multilevel linear regression model was used to test the impact of rural built environmental factors on villagers' BMI. The results show that population density and the distance from villages to the township are significantly negatively correlated with BMI, while the density of bus station is significantly positively correlated with BMI. In addition, there is no significant correlation between fitness facilities and villagers' BMI. The results indicate that the relation between the built environment and obesity in rural areas is different from that in urban areas in China. Therefore, when making health policies, we need to proceed from the reality of rural areas and optimize the rural built environment rationally.

关键词:建成环境;健康;超重;身体质量指数;农村;中国

Keyword: built environment; health; overweight; body mass index; rural area; China

中图分类号:TU984

文献标识码: A

资金资助

国家自然科学基金项目 “中国城市建成环境对居民肥胖的影响及其机制分析”

BAGCHI D, PREUSS H G. Obesity: epidemiology, pathophysiology, and prevention[M]. Boca Raton: CRC Press, 2007.
FIELD A E, COAKLEY E H, MUST A, et al. Impact of overweight on the risk of developing common chronic diseases during a 10-year period[J]. Archives of Internal Medicine, 2001, 161(13): 1581.
CALLE E E, THUN M J, PETRELLI J M, et al. Body-mass index and mortality in a prospective cohort of U.S. adults[J]. New England Journal of Medicine, 1999, 341(15): 1097-1105.
赵文华,翟屹,胡建平,等. 中国超重和肥胖造成相关慢性疾病的经济负担研究[J]. 中华流行病学杂志,2006,27(7):555-559.
ZHAO Wenhua, ZHAI Yi, HU Jianping, et al. Economic burden of obesity related chronic diseases in China[J]. Chinese Journal of Epidemiology, 2006, 27(7): 555-559.
武阳丰,马冠生,胡永华,等. 中国居民的超重和肥胖流行现状[J]. 中华预防医学杂志,2005,39(5):316-320.
WU Yangfeng, MA Guansheng, HU Yonghua, et al. The current prevalence status of body overweight and obesity in China: data from the China National Nutrition and Health Survey[J]. Chinese Journal of Preventive Medicine, 2005, 39(5): 316-320.
BIXBY H, BENTHAM J, ZHOU B, et al. Rising rural body-mass index is the main driver of the global obesity epidemic in adults[J]. Nature, 2019, 569: 260-264.
张艺宏,王梅,孙君志,等. 2014年中国城乡居民超重肥胖流行现状——基于22省(市、区)国家国民体质监测点的形态数据[J]. 成都体育学院学报,2016,42(5):93-100.
ZHANG Yihong, WANG Mei, SUN Junzhi, et al. Prevalence of overweight and obesity among urban and rural residents in 2014 - an analysis based on the data from the national physical fitness surveillance stations in 22 provinces[J]. Journal of Chengdu Sport University, 2016, 42(5): 93-100.
FENG J, GLASS T A, CURRIERO F C, et al. The built environment and obesity: a systematic review of the epidemiologic evidence[J]. Health & Place, 2010, 16(2): 175-190.
HUMPEL N, OWEN N, LESLIE E. Environmental factors associated with adults' participation in physical activity: a review[J]. American Journal of Preventive Medicine, 2002, 22(3): 188-199.
BLACK J L, MACINKO J. Neighborhoods and obesity[J]. Nutrition Reviews, 2008, 66(1): 2-20.
CERVERO R, KOCKELMAN K M. Travel demand and the 3Ds: density, diversity, and design[J]. Transportation Research Part D, 1997(3): 199-219.
EWING R, GREENWALD M J, ZHANG M, et al. Measuring the impact of urban form and transit access on mixed use site trip generation rates—Portland pilot study[M]. Washington, DC: U.S. Environmental Protection Agency, 2009.
FRANK L D, ENGELKE P O. The built environment and human activity patterns: exploring the impacts of urban form on public health[J]. Journal of Planning Literature, 2001, 16(2): 202-218.
PAPAS M A, ALBERG A J, EWING R, et al. The built environment and obesity[J]. Epidemiologic Reviews, 2007, 29(1): 129-143.
FROST S S, GOINS R T, HUNTER R H, et al. Effects of the built environment on physical activity of adults living in rural settings[J]. American Journal of Health Promotion, 2010, 24(4): 267-283.
郜彗,金家胜,李锋,等. 中国省域农村人居环境建设评价及发展对策[J]. 生态与农村环境学报,2015,31(6):835-843.
GAO Hui, JIN Jiasheng, LI Feng, et al. Evaluation and development strategy of provincial rural human settlement construction in China[J]. Journal of Ecology and Rural Environment, 2015, 31(6): 835-843.
HANSEN A Y, UMSTATTD MEYER M R, LENARDSON J D, et al. Built environments and active living in rural and remote areas: a review of the literature[J]. Current Obesity Reports, 2015(4): 484-493.
ZHANG X, HOLT J B, LU H, et al. Neighborhood commuting environment and obesity in the United States: an urban-rural stratified multilevel analysis[J]. Preventive Medicine, 2014, 59: 31-36.
MOORE J B, BRINKLEY J, CRAWFORD T W, et al. Association of the built environment with physical activity and adiposity in rural and urban youth[J]. Preventive Medicine, 2013, 56(2): 145-148.
ZHANG X, ZHANG M, ZHAO Z P, et al. Obesogenic environmental factors of adult obesity in China: a nationally representative cross-sectional study[J/OL]. Environmental Research Letters, 2020, 15(4) [2020-07-30]. https://iopscience.iop.org/article/10.1088/1748-9326/ab6614.
BOEHMER T K, LOVEGREEN S L, HAIRE-JOSHU D, et al. What constitutes an obesogenic environment in rural communities?[J]. American Journal of Health Promotion, 2006, 20(6): 411-421.
王东敏,南希•莫罗—豪厄尔,武继磊,等. 我国农村老年人体力活动状况及其环境影响因素研究[J]. 人口与发展,2017,23(3):76-83.
WANG Dongmin, MORROW-HOWELL N, WU Jilei, et al. The physical activity status of rural elders and environmental factors analysis in China[J]. Population & Development, 2017, 23(3): 76-83.
XU F, LI J Q, LIANG Y Q, et al. Residential density and adolescent overweight in a rapidly urbanising region of mainland China[J]. Journal of Epidemiology and Community Health, 2010, 64(11): 480-488.
孙斌栋,阎宏,张婷麟. 社区建成环境对健康的影响——基于居民个体超重的实证研究[J]. 地理学报,2016,71(10):1721-1730.
SUN Bindong, YAN Hong, ZHANG Tinglin. Impact of community built environment on residents' health: a case study on individual overweight[J]. Acta Geographica Sinica, 2016, 71(10): 1721-1730.
孙斌栋,尹春. 建成环境对居民健康的影响——来自拆迁安置房居民的证据[J]. 城市与区域规划研究,2018,10(4):48-58.
SUN Bindong, YIN Chun. Impacts of built environment on residents' health: evidence from residents living in relocation housing[J]. Journal of Urban and Regional Planning, 2018, 10(4): 48-58.
黄晖明,王人卫,汤强,等. 江苏省成年人超重和肥胖的流行趋势研究[J]. 体育与科学,2015(4):99-104,120.
HUANG Huiming, WANG Renwei, TANG Qiang, et al. Prevalence and trends of overweight and obesity in Jiangsu adults[J]. Journal of Sports and Science, 2015(4): 99-104, 120.
孙瑞霞,曹彩霞,李莉,等. 山东沿海成人超重和肥胖的流行病学特征分析[J]. 山东大学学报(医学版),2010,48(9):9-13.
SUN Ruixia, CAO Caixia, LI Li, et al. Epidemiological characteristics of overweight and obesity among adults of the Shandong coastal area in 2004[J]. Journal of Shandong University (Health Sciences), 2010, 48(9): 9-13.
杨丽,钟庆,孙婷,等. 济南市成年居民慢性病危险因素现状调查[J]. 现代预防医学,2017(6):1051-1055,1059.
YANG Li, ZHONG Qing, SUN Ting, et al. Investigation of the current conditions concerning risk factors of chronic diseases in adult residents in Jinan City[J]. Modern Preventive Medicine, 2017(6): 1051-1055, 1059.
孙斌栋,尹春. 人口密度对居民通勤时耗的影响及条件效应——来自上海证据[J]. 地理科学,2018,38(1):41-48.
SUN Bindong, YIN Chun. Impacts and conditional effects of population density on commuting duration: evidence from Shanghai[J]. Scientia Geographica Sinica, 2018, 38(1): 41-48.
刘雪姣. 我国农村休闲体育开发研究[D]. 武汉:华中师范大学,2013.
LIU Xuejiao. Leisure sports development in rural[D]. Wuhan: Central China Normal University, 2013.
姜勇,赵文华. 成人肥胖的评价方法、指标及标准在公共卫生中应用的研究进展[J]. 卫生研究,2013,42(4):701-705,711.
JIANG Yong, ZHAO Wenhua. Research progress of adult obesity evaluation methods, indicators and standards in public health[J]. Journal of Hygiene Research, 2013, 42(4): 701-705, 711.

微信扫一扫
关注“上海城市规划”
公众号