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dc.contributor.authorBaldock, KL
dc.contributor.authorPaquet, C
dc.contributor.authorHoward, NJ
dc.contributor.authorCoffee, NT
dc.contributor.authorTaylor, AW
dc.contributor.authorDaniel, M
dc.date.accessioned2020-12-18T04:01:17Z
dc.date.available2020-12-18T04:01:17Z
dc.date.issued2018-02-01
dc.identifierpii: ijerph15020224
dc.identifier.citationBaldock, K. L., Paquet, C., Howard, N. J., Coffee, N. T., Taylor, A. W. & Daniel, M. (2018). Are Perceived and Objective Distances to Fresh Food and Physical Activity Resources Associated with Cardiometabolic Risk?. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH, 15 (2), https://doi.org/10.3390/ijerph15020224.
dc.identifier.issn1660-4601
dc.identifier.urihttp://hdl.handle.net/11343/256017
dc.description.abstractPerceived and objective measures of neighbourhood features have shown limited correspondence. Few studies have examined whether discordance between objective measures and individual perceptions of neighbourhood environments relates to individual health. Individuals with mismatched perceptions may benefit from initiatives to improve understandings of resource availability. This study utilised data from n = 1491 adult participants in a biomedical cohort to evaluate cross-sectional associations between measures of access (perceived, objective, and perceived-objective mismatch) to fruit and vegetable retailers (FVR) and public open space (POS), and clinically-measured metabolic syndrome and its component risk factors: central obesity, dyslipidaemia, hypertension and pre-diabetes/diabetes. Access measures included perceived distances from home to the nearest FVR and POS, corresponding objectively-assessed road network distances, and the discordance between perceived and objective distances (overestimated (i.e., mismatched) distances versus matched perceived-objective distances). Individual and neighbourhood measures were spatially joined using a geographic information system. Associations were evaluated using multilevel logistic regression, accounting for individual and area-level covariates. Hypertension was positively associated with perceived distances to FVR (odds ratio (OR) = 1.14, 95% confidence interval (CI) = 1.02, 1.28) and POS (OR = 1.19, 95% CI = 1.05, 1.34), after accounting for covariates and objective distances. Hypertension was positively associated with overestimating distances to FVR (OR = 1.36, 95% CI = 1.02, 1.80). Overestimating distances to POS was positively associated with both hypertension (OR = 1.42, 95% CI = 1.11, 1.83) and dyslipidaemia (OR = 1.25, 95% CI = 1.00, 1.57). Results provide new evidence for specific associations between perceived and overestimated distances from home to nearby resources and cardiometabolic risk factors.
dc.languageEnglish
dc.publisherMDPI
dc.rights.urihttps://creativecommons.org/licenses/by/4.0
dc.titleAre Perceived and Objective Distances to Fresh Food and Physical Activity Resources Associated with Cardiometabolic Risk?
dc.typeJournal Article
dc.identifier.doi10.3390/ijerph15020224
melbourne.affiliation.departmentMedicine (St Vincent's)
melbourne.affiliation.facultyMedicine, Dentistry & Health Sciences
melbourne.source.titleInternational Journal of Environmental Research and Public Health
melbourne.source.volume15
melbourne.source.issue2
dc.rights.licenseCC BY
melbourne.elementsid1305612
melbourne.contributor.authorDaniel, Mark
dc.identifier.eissn1660-4601
melbourne.accessrightsOpen Access


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