人均公园支出与心血管疾病和其他健康结果的关系。

IF 4.1 2区 医学 Q1 MEDICINE, GENERAL & INTERNAL
Deborah A Cohen, In-Lu Amy Liu, Aiyu Chen, Devin Teichrow, Ernest Shen
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引用次数: 0

摘要

公园与更多的体育活动和更好的健康有关,但健康与公园规划、维护或其他费用的资金支出之间的关系尚未得到调查。在美国最大的100个城市中,2022-2023年公园和娱乐设施的人均支出为126美元,其中人均规划支出为37.59美元,人均维护支出为63.11美元。相比之下,2022年的人均医疗保健支出为13493美元。本研究的目的是评估公园和娱乐部门的哪些拨款与健康结果有关。我们测试了2022年各部门在规划、维护和总支出方面的人均支出之间的关系。研究了南加州10个城市的公园和娱乐设施,以及2022-2023年凯撒医疗机构732,504名成年会员的健康状况,考虑了多种因素。人均在规划上每花费30美元,患病率比就更低:中风0.87(0.84-0.90)、心力衰竭0.87(0.84-0.89)、房颤0.92(0.90-0.95)、冠心病0.93(0.91-0.95)、肥胖0.94(0.93-0.95)、2型糖尿病0.96(0.95-0.97)、高血压0.96(0.96-0.97)。与公园维护相比,规划与健康结果的关系可能更强,因为运动、锻炼课程和活动(5k步行和跑步)更能吸引公园游客并支持身体活动(PA)。虽然这项新研究很有希望,但需要一项纵向研究来证明因果关系。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Per Capita Spending on Parks and Associations with Cardiovascular Disease and Other Health Outcomes.

Parks have been associated with more physical activity and better health, but the relationship between health and how funds are expended for park programming, maintenance, or other expenses has not yet been investigated. For the largest 100 US cities, the average spending for parks and recreation in 2022-2023 was $126 per capita, with $37.59 per capita for programming and $63.11 per capita for maintenance. In contrast, the spending for health care in 2022 was $13,493 per capita. The goal of this study was to assess which allocations by Depts of Parks and Recreation are related to health outcomes. We tested the association between per capita spending in programming, maintenance, and total spending in 2022 by Depts. of Parks and Recreation in 10 Southern California cities and health outcomes among 732,504 adult members of Kaiser Permanente in 2022-2023 accounting for multiple factors. For every $30 per capita spent on programming, the prevalence ratios were lower: 0.87 for stroke (CI 0.84-0.90), 0.87 for heart failure (CI 0.84-0.89), 0.92 for atrial fibrillation (CI 0.90-0.95), 0.93 for coronary heart disease (CI 0.91-0.95), 0.94 for obesity (CI 0.93-0.95), 0.96 for type 2 diabetes (CI 0.95-0.97), and 0.96 for hypertension (CI 0.96-0.97). It is likely that programming has a stronger relationship than park maintenance with health outcomes because sports, exercise classes, and events (5 K walks and runs) more strongly attract park visitors and support physical activity (PA). While this novel study is promising, a longitudinal study is needed to prove causality.

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来源期刊
Journal of Urban Health-Bulletin of the New York Academy of Medicine
Journal of Urban Health-Bulletin of the New York Academy of Medicine 医学-公共卫生、环境卫生与职业卫生
CiteScore
9.10
自引率
3.00%
发文量
105
审稿时长
6-12 weeks
期刊介绍: The Journal of Urban Health is the premier and authoritative source of rigorous analyses to advance the health and well-being of people in cities. The Journal provides a platform for interdisciplinary exploration of the evidence base for the broader determinants of health and health inequities needed to strengthen policies, programs, and governance for urban health. The Journal publishes original data, case studies, commentaries, book reviews, executive summaries of selected reports, and proceedings from important global meetings. It welcomes submissions presenting new analytic methods, including systems science approaches to urban problem solving. Finally, the Journal provides a forum linking scholars, practitioners, civil society, and policy makers from the multiple sectors that can influence the health of urban populations.
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