Individual and socio-environmental determinants of overweight and obesity in urban Canada.

Auteur(s) :
Pouliou T., Elliott SJ.
Date :
Mar, 2010
Source(s) :
HEALTH PLACE. #16:2 p389-98
Adresse :
School of Geography and Earth Sciences, McMaster University, Hamilton, ON, Canada.

Sommaire de l'article

Overweight/obesity represent a significant public health problem in Canada and abroad. The objective of this paper is to identify potential associations between overweight/obesity and individual as well as socio-environmental determinants. The data sources used are the 2003 Canadian Community Health Survey and the Desktop Mapping Technologies Incorporated database. Geographical Information Systems are first employed to create neighbourhood-level variables such as neighbourhood walkability and fast food accessibility. Multivariate analysis is then applied to estimate the relative effects of individual- and neighbourhood-level risk-factors of overweight/obesity. Results demonstrate the important role of the built-environment after adjustment for demographic, socio-economic and behavioural characteristics. Findings support the rationale that reversing current trends will require a multifaceted public health approach where interventions are developed from the individual- to the neighbourhood-level, with a particular focus on altering obesogenic environments.

Source : Pubmed