Please use this identifier to cite or link to this item: http://hdl.handle.net/2440/111760
Citations
Scopus Web of Science® Altmetric
?
?
Type: Journal article
Title: Are perceived and objective distances to fresh food and physical activity resources associated with cardiometabolic risk?
Author: Baldock, K.
Paquet, C.
Howard, N.
Coffee, N.
Taylor, A.
Daniel, M.
Citation: International Journal of Environmental Research and Public Health, 2018; 15(2):224-1-224-17
Publisher: MDPI
Issue Date: 2018
ISSN: 1661-7827
1660-4601
Statement of
Responsibility: 
Katherine L. Baldock, Catherine Paquet, Natasha J. Howard, Neil T. Coffee, Anne W. Taylor and Mark Daniel
Abstract: Perceived and objective measures of neighbourhood features have shown limited correspondence. Few studies have examined whether discordance between objective measures and individual perceptions of neighbourhood environments relates to individual health. Individuals with mismatched perceptions may benefit from initiatives to improve understandings of resource availability. This study utilised data from n = 1491 adult participants in a biomedical cohort to evaluate cross-sectional associations between measures of access (perceived, objective, and perceived-objective mismatch) to fruit and vegetable retailers (FVR) and public open space (POS), and clinically-measured metabolic syndrome and its component risk factors: central obesity, dyslipidaemia, hypertension and pre-diabetes/diabetes. Access measures included perceived distances from home to the nearest FVR and POS, corresponding objectively-assessed road network distances, and the discordance between perceived and objective distances (overestimated (i.e., mismatched) distances versus matched perceived-objective distances). Individual and neighbourhood measures were spatially joined using a geographic information system. Associations were evaluated using multilevel logistic regression, accounting for individual and area-level covariates. Hypertension was positively associated with perceived distances to FVR (odds ratio (OR) = 1.14, 95% confidence interval (CI) = 1.02, 1.28) and POS (OR = 1.19, 95% CI = 1.05, 1.34), after accounting for covariates and objective distances. Hypertension was positively associated with overestimating distances to FVR (OR = 1.36, 95% CI = 1.02, 1.80). Overestimating distances to POS was positively associated with both hypertension (OR = 1.42, 95% CI = 1.11, 1.83) and dyslipidaemia (OR = 1.25, 95% CI = 1.00, 1.57). Results provide new evidence for specific associations between perceived and overestimated distances from home to nearby resources and cardiometabolic risk factors.
Keywords: Australia; cardiometabolic risk factors; food environment; geographic information system; neighbourhood; perceptions; physical activity environment
Rights: © 2018 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
RMID: 0030081719
DOI: 10.3390/ijerph15020224
Grant ID: http://purl.org/au-research/grants/nhmrc/631917
http://purl.org/au-research/grants/nhmrc/570150
http://purl.org/au-research/grants/nhmrc/570139
http://purl.org/au-research/grants/nhmrc/631947
Appears in Collections:Medicine publications

Files in This Item:
File Description SizeFormat 
hdl_111760.pdfPublished version1.5 MBAdobe PDFView/Open


Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.