地理科学进展 ›› 2020, Vol. 39 ›› Issue (1): 100-110.doi: 10.18306/dlkxjz.2020.01.010

• 研究论文 • 上一篇    下一篇

个体与环境交互作用下中国成人超重肥胖情况变化趋势及影响因素研究

王依茹, 王琛*(), 曾金迪   

  1. 浙江大学地球科学学院,杭州 310027
  • 收稿日期:2019-03-18 修回日期:2019-12-18 出版日期:2020-01-28 发布日期:2020-03-28
  • 作者简介:王依茹(1994— ),女,浙江温州人,研究方向为健康地理。E-mail: 1963704128@qq.com
  • 基金资助:
    国家自然科学基金项目(41871106);国家自然科学基金项目(41471101)

Study on the trend and influencing factors of overweight and obesity in Chinese adults under interactions of individual and environment

WANG Yiru, WANG Chen*(), ZENG Jindi   

  1. School of Earth Sciences, Zhejiang University, Hangzhou 310027, China
  • Received:2019-03-18 Revised:2019-12-18 Online:2020-01-28 Published:2020-03-28
  • Supported by:
    National Natural Science Foundation of China(41871106);National Natural Science Foundation of China(41471101)

摘要:

论文基于中国25个省份内635个社区的29586个成年居民2010—2016年的纵向追踪调查数据,分别利用非线性发展模型和多层Logistic回归模型,阐释中国居民超重肥胖情况的变化趋势,同时探究其在个体与环境交互作用下的影响机制。研究发现:① 以身体质量指数衡量的中国成人超重肥胖发生风险逐年增加,其中女性、年龄、有配偶人群、日均锻炼时长负向作用于成人身体质量指数增长速率;② 中国成人超重肥胖差异具有多层级性,个体层面社会经济属性、饮食习惯和行为方式,社区层面建成环境和自然环境,省域层面城市化水平,均能影响成人超重肥胖发生;③ 不同层级间超重肥胖影响因子具有交互作用关系,环境能通过影响个体心理状态及行为选择对个体健康结果的作用,间接作用于居民超重肥胖结果。研究结果旨在帮助中国成人居民达到更好的健康状态,以及为相关政府部门制定促进人口健康的政策提供理论依据。

关键词: 成人, 城市化, 超重肥胖, 多层回归模型, 中国家庭, 追踪调查

Abstract:

In recent years, with the rapid development of socio-economy and acceleration of urbanization, China has entered the stage of a health transition, which means a shift to low fiber, high sugar and cholesterol diet, as well as a sedentary lifestyle. During the health transition, Chinese residents are facing severe obesity and the problems caused by metabolic system-related diseases. So it is significantly important to find the factors which influencing the physical health of Chinese residents during the special period. This study is based on longitudinal tracking survey data of 29586 adult residents from 635 communities in 25 provinces across the country from 2010 to 2016, using non-linear development models and multi-level logistic regression models to explain the trends of overweight or obesity in Chinese residents, and explore the mechanism under the interaction of individuals and the environment. The results show that the risk of overweight and obesity in Chinese adults measured by body mass index increased year by year, in which women, age, spouses, and average daily exercise time negatively affect the growth rate of Chinese body mass index. Moreover, the differences in overweight and obesity among Chinese adults are multilayered. Socioeconomic attributes, dietary habits, and behavioral patterns at the individual level, the built environment and natural environment at the community level, and the level of urbanization at the provincial level can all affect the occurrence of overweight and obesity in China. Finally, the influence factors of overweight and obesity between different levels have an interactive relationship, and the environment can indirectly affect the residents' overweight and obesity results by affecting the individual's psychological state and behavior choices. The purpose of this research is to help residents achieve better health and to provide theoretical basis for government agencies to formulate policies to promote population health.

Key words: adult, urbanization, overweight or obesity, multilevel model, Chinese family, panel studies