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Associations of perceived neighbourhood safety from traffic and crime with overweight/obesity among South African adults of low-socioeconomic status

PloS one, 2018-10, Vol.13 (10), p.e0206408-e0206408 [Peer Reviewed Journal]

COPYRIGHT 2018 Public Library of Science ;2018 Malambo et al. This is an open access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License. ;2018 Malambo et al 2018 Malambo et al ;ISSN: 1932-6203 ;EISSN: 1932-6203 ;DOI: 10.1371/journal.pone.0206408 ;PMID: 30379921

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Title:
Associations of perceived neighbourhood safety from traffic and crime with overweight/obesity among South African adults of low-socioeconomic status
Author: Malambo, Pasmore ; De Villiers, Anniza ; Lambert, Estelle V ; Puoane, Thandi ; Kengne, Andre P
van Wouwe, Jacobus P.
Subjects: Accidents, Traffic - psychology ; Adult ; Adults ; Aged ; Analysis ; Biology and Life Sciences ; Body mass index ; Body weight ; Cohort Studies ; Confidence intervals ; Crime ; Crime - psychology ; Cross-Sectional Studies ; Epidemiology ; Exercise ; Female ; Health sciences ; Humans ; Male ; Medical research ; Medicine and Health Sciences ; Middle Aged ; Neighborhood ; Neighborhoods ; Obesity ; Obesity - psychology ; Overweight ; People and places ; Perception ; Perceptions ; Physical Sciences ; Public health ; Public opinion ; Residence Characteristics - statistics & numerical data ; Safety ; Safety - statistics & numerical data ; Safety and security measures ; Social Class ; Social Sciences ; Socioeconomic factors ; Socioeconomics ; South Africa ; Statistical analysis ; Teenagers ; Traffic ; Traffic safety ; Traffic speed ; Trends ; Walking ; Weight
Is Part Of: PloS one, 2018-10, Vol.13 (10), p.e0206408-e0206408
Description: The relationship between perceived neighbourhood safety from traffic and crime with overweight/obesity can provide intervention modalities for obesity, yet no relevant study has been conducted in sub-Saharan African contexts. We investigated the association between perceived neighbourhood safety from traffic and crime with overweight/obesity among urban South African adults. This cross-sectional study included 354 adults aged ≥35 years drawn from the Prospective Urban Rural Epidemiology (PURE) cohort study. The Neighborhood Walkability Scale-Africa (NEWS-A) was used to evaluate the perceived neighbourhood safety. Adjusted odds ratios (ORs) and 95% confidence intervals (CIs) were calculated to examine the associations between perceived neighborhood safety and overweight/obesity defined "normal weight" and "overweight/obese" using the 25 Kg/m2 cutoff criterion. In the overall sample, adults who agreed that "the speed of traffic on most nearby roads in their neighborhood was usually slow" were less likely to be overweight/obese (adjusted OR = 0.42; 95%CI 0.23-0.76). Those who agreed that "there was too much crime in their neighborhood to go outside for walks or play during the day" were more likely to be overweight/obese (OR = 2.41; 1.09-5.29). These associations were driven by significant associations in women, and no association in men, with significant statistical interactions. Perceived neighborhood safety from traffic and crime was associated with overweight/obesity among South African adults. Our findings provide preliminary evidence on the need to secure safer environments for walkability. Future work should also consider perceptions of the neighbourhood related to food choice.
Publisher: United States: Public Library of Science
Language: English
Identifier: ISSN: 1932-6203
EISSN: 1932-6203
DOI: 10.1371/journal.pone.0206408
PMID: 30379921
Source: Public Library of Science (PLoS) Journals Open Access
Open Access: PubMed Central
Geneva Foundation Free Medical Journals at publisher websites
AUTh Library subscriptions: ProQuest Central
MEDLINE
DOAJ Directory of Open Access Journals

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Associations of perceived neighbourhood safety from traffic and crime with overweight/obesity among South African adults of low-socioeconomic status

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