공간회귀모형을 활용한 도시환경이 지역사회 비만도와 자가건강도에 미치는 영향 분석: 수도권을 중심으로
Effects of Built Environmental Factors on Obesity and Self-reported Health Status in Seoul Metropolitan Area Using Spatial Regression Model
0
조회
0
다운로드
38
인용
0
참고문헌
키워드
초록
본 연구의 목적은 공간적 자기상관분석기법을 활용하여 수도권의 도시환경이 지역(시·군·구)별 비만인구비율과 건강인구비율에 미치는 영향을 분석하는 데 있다. 연구의 방법으로 시·군·구별 비만도(체질량지수)와 자가건강도를 종속변수로 활용하고, 이에 영향을 미치는 23개의 도시환경변수가 독립변수로 고려되었고, 31개의 개인특성변수가 혼란변수로 이용되었다. 분석 결과, 수도권 시·군·구별 비만인구비율 및 건강인구비율의 평균값은 각각 31.8%, 50.5%이며, 모란지수(Moran’s I) 값은 0.2781, -0.0413으로 나타나 비만인구비율은 공간자기상관성이 존재하나 건강인구비율은 존재하지 않는 것으로 나타났다. 따라서 도시환경의 영향분석을 위해 비만인구비율 모형은 공간회귀모형을, 건강인구비율은 일반 회귀모형을 활용하여 분석하였다. 실증분석 결과 지역별 비만인구비율은 패스트푸드점 수(+), 자전거도로 연장(-) 등의 유의미한 영향을 받고, 지역별 건강인구비율은 도시환경의 영향이 없는 것으로 나타났다. 본 연구는 건강을 고려한 도시계획의 중요성을 시사하는 점에서 연구의 중요성이 높으며, 본 연구의 결과가 향후 토지이용, 교통, 환경 등 다양한 부문에서 건강요소를 고려한 계획수립에 기초적인 자료로 활용될 수 있을 것이다.
Abstract
The purpose of this study is to analyze effects of built environmental factors on obesity and self-reported health status using spatial autocorrelation analysis. Spatial unit was 53 si, gun, and gu (local government unit) while spatial area was Seoul Metropolitan Area(SMA). Body mass index(BMI) and self-reported health status were used as dependent variables while 23 built environmental factors and 31 personal factors were used as independent and confounding variables, respectively. Obese (i.e., BMI > 25) population and healthy (i.e., self-reported health status =good, very good) population rates were 31.8% and 50.5%. The Moran’s Is of obese and healthy population were 0.2781 and -0.0413, respectively. Therefore, this study used spatial regression model for obese population while this employed OLS regression model for healthy population. Empirical result showed that obesity population was correlated with the number of fast food restaurants(-) and the length of bike route(-) while no built environmental correlates of healthy population. The significance of this study is to consider the built environmental factor on community health planning.
참고문헌 (34)
- 김은정, "Effects of Built Environmental Factors on Perceived Health Status and Health Disparity", 국토연구, 59, pp.203~222 (2008), 국토연구원
- 국민건강영양조사 제3기-총괄편, "한국보건사회연구원", 보건복지부, ~ (2006)
- 국민건강영양조사 제4기-1차년도, "한국보건사회연구원", 보건복지부, ~ (2007)
- Chainey, S. P, "GIS and Crime Mapping" (2005), Wiley and Sons
- Policies and Strategies to Promote Social Equity in Health, "Dahlgren, G", Institute for Future Studies, ~ (1991)
- Dilley, M., "Natural Disaster Hotspots, a Global Risk Analysis" (2005), The World Bank Press
- Ewing, R, "Relationship between Urban Sprawl and Physical Activity, Oobesity, and Morbidity", American Journal of Health Promotion, 18(1), pp.47~57 (2003)
- Frank, L. D., "Obesity Relationships with Community Design, Physical Ativity, and time spent in cars", American Journal of Preventive Medicine, 27(2), pp.87~96 (2004), Elsevier Science
- Giles-Corti, B, "The Relative Influence of Individual, Social and Physical Environment Determinants of Physical Activity", Social Science and Medicine, 54(12), pp.1793~1812 (2002), Pergamon-Elsevier Science
- Goodman, E., "Adolescents’ Perceptions of Social Status:Development and Evaluation of a New Indictor", Pediatrics, 108(2), pp.31~ (2001), American Academy of Pediatrics
- Grubesic, T. H, "On the Application of Fuzzy Clustering for Crime Hot Spot Detection", Journal of Quantitative Criminology, 22(1), pp.77~105 (2006), Springer[DOI]
- Kesaniemi, Y. K., "Dose-response Issues Concerning Physical Activity and Health:An Evidence-based Symposium", Medicine and Science in Sports and Exercise, 33(6), pp.351~358 (2001), Lippincott Williams & Wilkins
- Kerani, R. P, "Comparative Geographic Concentrations of 4 Sexually Transmitted Infections", American Journal of Public Health, 95(2), pp.324~330 (2005), American Public Health Association
- Kinman, E. L, "Evaluating Health Service Equity at a Primary Care Clinic in Chilimarca. Bolivia", Social Science and Medicine, 49(5), pp.663~678 (1999), Pergamon-Elsevier Science
- Lee, C., "Physical Activity and Environment Research in the Health Field:Implications for Urban and Transportation Planning Practice and Research", Journal of Planning Literature, 19(2), pp.147~181 (2004), Sage Publications
- Manor, O., "Comparing Measures of Health Inequality", Social Science and Medicine, 45(5), pp.761~771 (1997), Pergamon-Elsevier Science
- Moudon, A.V., "Attributes of Environments Supporting Walking", American Journal of Health Promotion, 21(5), pp.448~459 (2007), American Journal of Health Promotion
- National Heart, Lung, and Blood Institute, "Clinical Guidelines on the Identification, Evaluation, and Treatment of Overweight and Obesity in Adult", National Institutes of Health, ~ (1998)
- Olshansky, S. J., "A Potential Decline in Life Expectancy in the United States in the 21st century", New England Journal of Medicine, 352, pp.1138~1145 (2005), Massachusetts Medical Society
- Pikora, T., "Developing a Framework for Assessment of the Environmental Determinants of Walking and Cycling", Social Science and Medicine, 56(8), pp.1693~1703 (2003), Pergamon-Elsevier Science
- Pope III, C. A, "Lung Cancer, Cardiopulmonary Mortality, and Long-term Exposure to Fine Particulate air Pollution", Journal of the American Medical Association, 287(9), pp.1132~1141 (2002), American Medical Association
- Rauh, V. A., "Deteriorated Housing Contributes to High Cockroach Allergen Levels in Inner-city Households", Environmental Health Perspectives, 110, pp.323~327 (2002), US Department of Health and Human Services
- Saelens, B. E., "Neighborhood-based Differences in Physical Activity:An Environment Scale Evaluation", American Journal of Public Health, 93(9), pp.1552~1558 (2003), American Public Health Association
- Sesso, H. D., "Physical Activity and Cardiovascular Disease Risk in Middle-aged and Older Women", American Journal of Epidemiology, 150, pp.408~416 (1999), Oxford University Press
- Srinivasan, S., "Creating Healthy Communities, Healthy Homes, Healthy People: Initiating a Research Agenda on the Built Environment and Public Health", American Journal of Public Health, 93(9), pp.1446~1450 (2003), American Public Health Association
- Steptoe, A, "Neighborhood Problems as Sources of Chronic Stress:Development of a Measure of Neighborhood Problems, and Sssociations with Socioeconomic Status and Health", Annals of Behavioral Medicine, 23(3), pp.177~185 (2001), Springer
- Swinburn, B., "Dissecting Obesogenic Environments:The Development and Application of a Framework for Identifying and Prioritizing Environmental Interventions for Obesity", Preventive Medicine, 29(6), pp.563~570 (1999), Academic Press Inc Elsevier Science
- US Department of Health and Human Services, "Healthy People 2010 Understanding and Improving Health", US Government Printing Office, ~ (2000)
- Van Doorslaer, E., "Equity in the Delivery of Health Care in Europe and the US", Journal of Health Economics, 19(5), pp.553~583 (2000), Elsevier Science
- Van Doorslaer, E., "Income-related Inequalities in Health:Some International Comparisons", Journal of Health Economics, 16(1), pp.93~112, Elsevier Science
- Wagstaff, A., "On the Measurement of Inequalities in Health", Social Science and Medicine, 33(5), pp.545~557 (1991), Pergamon-Elsevier Science
- Waters, H. R, "Measuring Equity in Access to Health Care", Social Science and Medicine, 51(4), pp.599~612 (2000), Pergamon-Elsevier Science
- WHO, "Obesity and Overweight", Physical Activity and Health, ~ (2003)
- Xue, Y. F, "Spatial Analysis with Preference Specification of Latent Decision Makers for Criminal Event Prediction", Decision Support Systems, 41(3), pp.560~573 (2006), Elsevier Science
