期刊
JOURNAL OF EPIDEMIOLOGY AND COMMUNITY HEALTH
卷 65, 期 10, 页码 866-872出版社
B M J PUBLISHING GROUP
DOI: 10.1136/jech.2010.117580
关键词
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资金
- Swedish Research Council [K2005-27X-15428-01A, 2008-3110, 2008-2638]
- Swedish Council for Working Life and Social Research [2006-0386, 2007-1754, 2007-1962]
- Formas, the Swedish Research Council for Environment, Agricultural Sciences and Spatial Planning [2006-4255-6596-99, 2007-1352]
Background It has been hypothesised that the presence of health-damaging factors and lack of health-promoting factors lie in the causal pathway between neighbourhood deprivation and coronary heart disease (CHD). This study is the first to examine the associations between individual-level CHD risk and neighbourhood availability of fast-food restaurants, bars/pubs, physical activity facilities and healthcare resources. Methods Multilevel logistic regression models were used for the follow-up of 1 065 000 men and 1 100 000 women (aged 35-80 years) between 1 December 2005 and 31 December 2007, for individual-level CHD events (both morbidity and mortality). Results The relatively weak associations between neighbourhood availability of potentially health-damaging and health-promoting goods, services and resources, and CHD incidence no longer remained significant after adjustment for neighbourhood-level deprivation and individual-level age and income. Conclusions The presence of potentially health-damaging factors and lack of potentially health-promoting factors do not seem to contribute significantly to the development of CHD. Other features of deprived neighbourhoods appear to play a greater role.
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