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Please use this identifier to cite or link to this item: http://hdl.handle.net/2440/74522

Type: Journal article
Title: Associations between resident perceptions of the local residential environment and metabolic syndrome
Author: Baldock, K.
Paquet, C.
Howard, N.
Coffee, N.
Hugo, G.
Taylor, A.
Adams, R.
Daniel, M.
Citation: Journal of Environmental and Public Health, 2012; 2012:1-11
Publisher: Hindawi Publishing Corporation
Issue Date: 2012
ISSN: 1687-9805
1687-9813
Statement of
Responsibility: 
Katherine Baldock, Catherine Paquet, Natasha Howard, Neil Coffee, Graeme Hugo, Anne Taylor, Robert Adams, and Mark Daniel
Abstract: A substantial body of research has arisen concerning the relationships between objective residential area features, particularly area-level socioeconomic status and cardiometabolic outcomes. Little research has explored residents’ perceptions of such features and how these might relate to cardiometabolic outcomes. Perceptions of environments are influenced by individual and societal factors, and may not correspond to objective reality. Understanding relations between environmental perceptions and health is important for the development of environment interventions. This study evaluated associations between perceptions of local built and social environmental attributes and metabolic syndrome, and tested whether walking behaviour mediated these associations. Individual-level data were drawn from a population-based biomedical cohort study of adults in Adelaide, South Australia (North West Adelaide Health Study). Participants’ local-area perceptions were analysed in cross-sectional associations with metabolic syndrome using multilevel regression models (n = 1,324). A nonparametric bootstrapping procedure evaluated whether walking mediated these associations. Metabolic syndrome was negatively associated with greater local land-use mix, positive aesthetics, and greater infrastructure for walking, and was positively associated with greater perceived crime and barriers to walking. Walking partially mediated associations between metabolic syndrome and perceived environmental features. Initiatives targeting residents’ perceptions of local areas may enhance the utility of environmental interventions to improve population health.
Keywords: Humans; Metabolic Syndrome X; Walking; Cohort Studies; Cross-Sectional Studies; Health Behavior; Perception; Esthetics; Environment; Housing; Environment Design; Residence Characteristics; Crime; Adolescent; Adult; Aged; Middle Aged; Health Promotion; South Australia; Female; Male; Young Adult
Description: Extent: 11p.
Rights: Copyright © 2012 Katherine Baldock et al. This is an open access article distributed under the Creative Commons AttributionLicense, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properlycited.
RMID: 0020122522
DOI: 10.1155/2012/589409
Appears in Collections:Geography, Environment and Population publications
Australian Population and Migration Research Centre publications
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