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Built Environment and Children's Hea...

Bernardinello, Milena.

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Built Environment and Children's Health in Wisconsin: A Geospatial Epidemiology Analysis.

紀錄類型:	書目-電子資源 : Monograph/item
正題名/作者:	Built Environment and Children's Health in Wisconsin: A Geospatial Epidemiology Analysis./
作者:	Bernardinello, Milena.
出版者:	Ann Arbor : ProQuest Dissertations & Theses, : 2018,
面頁冊數:	199 p.
附註:	Source: Dissertations Abstracts International, Volume: 80-01, Section: A.
Contained By:	Dissertations Abstracts International80-01A.
標題:	Public health. -
電子資源:	http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=10830555
ISBN:	9780438082656

Built Environment and Children's Health in Wisconsin: A Geospatial Epidemiology Analysis.
Bernardinello, Milena.

Built Environment and Children's Health in Wisconsin: A Geospatial Epidemiology Analysis. - Ann Arbor : ProQuest Dissertations & Theses, 2018 - 199 p.

Source: Dissertations Abstracts International, Volume: 80-01, Section: A.

Thesis (Ph.D.)--The University of Wisconsin - Madison, 2018.

This item must not be sold to any third party vendors.

It is well established that the built environment is a social determinant of health. Homes, schools, and their surroundings are the main built environment elements during childhood that shape how healthy children grow. It is also recognized that physical fitness is as important as body weight for a healthy life style. However, only recently has evidence shown that the fit-fat imbalance is one of the leading causes of child obesity, also varying by age and ethnicity. While the association of the built and food environment with body weight has been extensively studied, the same association with level of fitness, and their interaction, has yet to be fully investigated. This dissertation aims to: (1) evaluate whether attributes of the built environments surrounding Latino children's homes are associated with their level of fitness controlling for BMI, (2) investigate whether a composite measure of the built environment is related to prevalence of child obesity, and (3) assess whether the school-sites and their surrounding are associated with school-level fitness. Understanding these associations is necessary to institutionalize health in planning policies and planning practice, such as school-siting, and to develop healthy and equitable communities. Data come from University of Wisconsin School of Medicine and Public Health (UW-SMPH) for, (1) the 2010 H.A.P.P.Y. 2 project conducted in the city of Milwaukee; (2) the Public Health Information Exchange (PHINEX) Electronic Health Records dataset -years 2007-2012- for Dane County, owned by the UW Family Medicine and Community Health, and (3) the statewide Fitnessgram database jointly collected in 2009-2010 by the UW-SMPH and the Wisconsin Department of Instructions. Geospatial and non-spatial multivariate linear regression are used to investigate the aims of this dissertation. The main findings are (1) specific types of food retailers and parks, within a certain distance from home, are associated with children's aerobic fitness, and that BMI mediates the association; (2) the composite measure of the built environment is associated with child obesity prevalence; and (3) typologies of school-sites and specific types of food retailers, surroundings schools, are associated with school-level fitness scores. Implications for policy and practice, in addition to further research are discussed.

ISBN: 9780438082656Subjects--Topical Terms:

534748
Public health.
Subjects--Index Terms:

Active living

Built Environment and Children's Health in Wisconsin: A Geospatial Epidemiology Analysis.
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520 $a It is well established that the built environment is a social determinant of health. Homes, schools, and their surroundings are the main built environment elements during childhood that shape how healthy children grow. It is also recognized that physical fitness is as important as body weight for a healthy life style. However, only recently has evidence shown that the fit-fat imbalance is one of the leading causes of child obesity, also varying by age and ethnicity. While the association of the built and food environment with body weight has been extensively studied, the same association with level of fitness, and their interaction, has yet to be fully investigated. This dissertation aims to: (1) evaluate whether attributes of the built environments surrounding Latino children's homes are associated with their level of fitness controlling for BMI, (2) investigate whether a composite measure of the built environment is related to prevalence of child obesity, and (3) assess whether the school-sites and their surrounding are associated with school-level fitness. Understanding these associations is necessary to institutionalize health in planning policies and planning practice, such as school-siting, and to develop healthy and equitable communities. Data come from University of Wisconsin School of Medicine and Public Health (UW-SMPH) for, (1) the 2010 H.A.P.P.Y. 2 project conducted in the city of Milwaukee; (2) the Public Health Information Exchange (PHINEX) Electronic Health Records dataset -years 2007-2012- for Dane County, owned by the UW Family Medicine and Community Health, and (3) the statewide Fitnessgram database jointly collected in 2009-2010 by the UW-SMPH and the Wisconsin Department of Instructions. Geospatial and non-spatial multivariate linear regression are used to investigate the aims of this dissertation. The main findings are (1) specific types of food retailers and parks, within a certain distance from home, are associated with children's aerobic fitness, and that BMI mediates the association; (2) the composite measure of the built environment is associated with child obesity prevalence; and (3) typologies of school-sites and specific types of food retailers, surroundings schools, are associated with school-level fitness scores. Implications for policy and practice, in addition to further research are discussed.
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653 $a Healthy communities
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653 $a Walkability
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