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Article: Public Rental Housing and Obesogenic Behaviors among Adults in Hong Kong: Mediator Role of Food and Physical Activity Environment

TitlePublic Rental Housing and Obesogenic Behaviors among Adults in Hong Kong: Mediator Role of Food and Physical Activity Environment
Authors
Keywordsphysical inactivity
prolonged sitting
sports facilities
street greenery
unhealthy diet
Issue Date2022
Citation
International Journal of Environmental Research and Public Health, 2022, v. 19, n. 5, article no. 2960 How to Cite?
AbstractPublic rental housing (PRH) for low-income families has been shown in several studies to be associated with poor health status and obesity. However, the causes of this health disparity are controversial, and the associations and pathways between PRH and obesogenic behaviors remain unknown. Using cross-sectional survey data of 1977 adults living in Hong Kong (aged or over 18) together with multi-source GIS-based environmental data, we examined the associations between PRH and obesogenic behaviors and the extent to which those associations can be explained by neighborhood food and physical environment. The unhealthy food environment, which relates with infrequent fruit and vegetables consumption, was calculated based on the relative density of fast food restaurants and convenience stores to grocery stores. The physical activity environment, which relates to physical inactivity and prolonged sitting, was assessed in terms of density of sports facilities and street greenery, separately. Regressions and mediation analyses show that PRH was negatively associated with physical inactivity directly and also indirectly via higher sports facilities density; however, PRH was positively associated with unhealthy diet largely directly and positively associated with prolonged sitting indirectly via less street greenery. We advanced the international literature of PRH health impact assessment and its environmental health pathways by providing evidence from the least housing-affordable city in the world. The findings provide planning implications in formulating a healthier PRH community for these low-income PRH households and mitigating health disparities induced by housing type.
Persistent Identifierhttp://hdl.handle.net/10722/329792
ISSN
2019 Impact Factor: 2.849
2023 SCImago Journal Rankings: 0.808
ISI Accession Number ID

 

DC FieldValueLanguage
dc.contributor.authorZhang, Ting-
dc.contributor.authorHuang, Bo-
dc.contributor.authorWong, Hung-
dc.contributor.authorWong, Samuel Yeung Shan-
dc.contributor.authorChung, Roger Yat Nork-
dc.date.accessioned2023-08-09T03:35:22Z-
dc.date.available2023-08-09T03:35:22Z-
dc.date.issued2022-
dc.identifier.citationInternational Journal of Environmental Research and Public Health, 2022, v. 19, n. 5, article no. 2960-
dc.identifier.issn1661-7827-
dc.identifier.urihttp://hdl.handle.net/10722/329792-
dc.description.abstractPublic rental housing (PRH) for low-income families has been shown in several studies to be associated with poor health status and obesity. However, the causes of this health disparity are controversial, and the associations and pathways between PRH and obesogenic behaviors remain unknown. Using cross-sectional survey data of 1977 adults living in Hong Kong (aged or over 18) together with multi-source GIS-based environmental data, we examined the associations between PRH and obesogenic behaviors and the extent to which those associations can be explained by neighborhood food and physical environment. The unhealthy food environment, which relates with infrequent fruit and vegetables consumption, was calculated based on the relative density of fast food restaurants and convenience stores to grocery stores. The physical activity environment, which relates to physical inactivity and prolonged sitting, was assessed in terms of density of sports facilities and street greenery, separately. Regressions and mediation analyses show that PRH was negatively associated with physical inactivity directly and also indirectly via higher sports facilities density; however, PRH was positively associated with unhealthy diet largely directly and positively associated with prolonged sitting indirectly via less street greenery. We advanced the international literature of PRH health impact assessment and its environmental health pathways by providing evidence from the least housing-affordable city in the world. The findings provide planning implications in formulating a healthier PRH community for these low-income PRH households and mitigating health disparities induced by housing type.-
dc.languageeng-
dc.relation.ispartofInternational Journal of Environmental Research and Public Health-
dc.subjectphysical inactivity-
dc.subjectprolonged sitting-
dc.subjectsports facilities-
dc.subjectstreet greenery-
dc.subjectunhealthy diet-
dc.titlePublic Rental Housing and Obesogenic Behaviors among Adults in Hong Kong: Mediator Role of Food and Physical Activity Environment-
dc.typeArticle-
dc.description.naturelink_to_subscribed_fulltext-
dc.identifier.doi10.3390/ijerph19052960-
dc.identifier.pmid35270652-
dc.identifier.scopuseid_2-s2.0-85126423019-
dc.identifier.volume19-
dc.identifier.issue5-
dc.identifier.spagearticle no. 2960-
dc.identifier.epagearticle no. 2960-
dc.identifier.eissn1660-4601-
dc.identifier.isiWOS:000768259000001-

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