Associations of Perceived Neighbourhood Safety from Traffic and Crime with Overweight/obesity Among South African Adults of Low-socioeconomic Status

Overview

Journal PLoS One

Specialties General Medicine
Science

Date 2018 Nov 1

PMID 30379921

Citations 10

Authors

Pasmore Malambo

Anniza de Villiers

Estelle V Lambert

Thandi Puoane

Andre P Kengne

Affiliations

Soon will be listed here.

Abstract

Background: 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.

Methods: 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.

Results: 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.

Conclusion: 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.

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References

Oyeyemi A, Adegoke B, Oyeyemi A, Deforche B, De Bourdeaudhuij I, Sallis J . Environmental factors associated with overweight among adults in Nigeria. Int J Behav Nutr Phys Act. 2012; 9:32. PMC: 3331819. DOI: 10.1186/1479-5868-9-32. View

Van Hoving D, Lategan H, Wallis L, Smith W . The epidemiology of major incidents in the Western Cape Province, South Africa. S Afr Med J. 2015; 105(10):831-4. DOI: 10.7196/SAMJnew.7766. View

Ferrao M, Gama A, Marques V, Mendes L, Mourao I, Nogueira H . Association between parental perceptions of residential neighbourhood environments and childhood obesity in Porto, Portugal. Eur J Public Health. 2013; 23(6):1027-31. DOI: 10.1093/eurpub/cks187. View

Baldock K, Paquet C, Howard N, Coffee N, Hugo G, Taylor A . Associations between resident perceptions of the local residential environment and metabolic syndrome. J Environ Public Health. 2012; 2012:589409. PMC: 3463172. DOI: 10.1155/2012/589409. View

Case A, Menendez A . Sex differences in obesity rates in poor countries: evidence from South Africa. Econ Hum Biol. 2009; 7(3):271-82. PMC: 2767444. DOI: 10.1016/j.ehb.2009.07.002. View

Richardson A, Troxel W, Ghosh-Dastidar M, Hunter G, Beckman R, Colabianchi N . Pathways through which higher neighborhood crime is longitudinally associated with greater body mass index. Int J Behav Nutr Phys Act. 2017; 14(1):155. PMC: 5679366. DOI: 10.1186/s12966-017-0611-y. View

Duncan D, Johnson R, Molnar B, Azrael D . Association between neighborhood safety and overweight status among urban adolescents. BMC Public Health. 2009; 9:289. PMC: 2734852. DOI: 10.1186/1471-2458-9-289. View

Boutayeb A, Boutayeb S . The burden of non communicable diseases in developing countries. Int J Equity Health. 2005; 4(1):2. PMC: 546417. DOI: 10.1186/1475-9276-4-2. View

Mayosi B, Flisher A, Lalloo U, Sitas F, Tollman S, Bradshaw D . The burden of non-communicable diseases in South Africa. Lancet. 2009; 374(9693):934-47. DOI: 10.1016/S0140-6736(09)61087-4. View

10.

Morrison D, Thomson H, Petticrew M . Evaluation of the health effects of a neighbourhood traffic calming scheme. J Epidemiol Community Health. 2004; 58(10):837-40. PMC: 1763332. DOI: 10.1136/jech.2003.017509. View

11.

Cook I, Alberts M, Brits J, Choma S, Mkhonto S . Descriptive epidemiology of ambulatory activity in rural, black South Africans. Med Sci Sports Exerc. 2009; 42(7):1261-8. DOI: 10.1249/MSS.0b013e3181ca787c. View

12.

Zwald M, Hipp J, Corseuil M, Dodson E . Correlates of walking for transportation and use of public transportation among adults in St Louis, Missouri, 2012. Prev Chronic Dis. 2014; 11:E112. PMC: 4082435. DOI: 10.5888/pcd11.140125. View

13.

Oyeyemi A, Kasoma S, Onywera V, Assah F, Adedoyin R, Conway T . NEWS for Africa: adaptation and reliability of a built environment questionnaire for physical activity in seven African countries. Int J Behav Nutr Phys Act. 2016; 13:33. PMC: 4782343. DOI: 10.1186/s12966-016-0357-y. View

14.

Teo K, Chow C, Vaz M, Rangarajan S, Yusuf S . The Prospective Urban Rural Epidemiology (PURE) study: examining the impact of societal influences on chronic noncommunicable diseases in low-, middle-, and high-income countries. Am Heart J. 2009; 158(1):1-7.e1. DOI: 10.1016/j.ahj.2009.04.019. View

15.

Sturm R, An R, Maroba J, Patel D . The effects of obesity, smoking, and excessive alcohol intake on healthcare expenditure in a comprehensive medical scheme. S Afr Med J. 2013; 103(11):840-4. PMC: 3807241. DOI: 10.7196/samj.7260. View

16.

Cerin E, Saelens B, Sallis J, Frank L . Neighborhood Environment Walkability Scale: validity and development of a short form. Med Sci Sports Exerc. 2006; 38(9):1682-91. DOI: 10.1249/01.mss.0000227639.83607.4d. View

17.

Micklesfield L, Pedro T, Kahn K, Kinsman J, Pettifor J, Tollman S . Physical activity and sedentary behavior among adolescents in rural South Africa: levels, patterns and correlates. BMC Public Health. 2014; 14:40. PMC: 3897951. DOI: 10.1186/1471-2458-14-40. View

18.

Pham D, Ommerborn M, Hickson D, Taylor H, Clark C . Neighborhood safety and adipose tissue distribution in African Americans: the Jackson Heart Study. PLoS One. 2014; 9(8):e105251. PMC: 4148311. DOI: 10.1371/journal.pone.0105251. View

19.

Fish J, Ettner S, Ang A, Brown A . Association of perceived neighborhood safety with [corrected] body mass index. Am J Public Health. 2010; 100(11):2296-303. PMC: 2951920. DOI: 10.2105/AJPH.2009.183293. View

20.

Oyeyemi A, Adegoke B, Sallis J, Oyeyemi A, De Bourdeaudhuij I . Perceived crime and traffic safety is related to physical activity among adults in Nigeria. BMC Public Health. 2012; 12:294. PMC: 3355030. DOI: 10.1186/1471-2458-12-294. View