OVERWEIGHT, PERCEIVED ENVIRONMENT, AND SOCIAL DEPRIVATION: A STUDY ON THE PERCEPTION OF PARENTS OR GUARDIANS.

EXCESSO DE PESO, AMBIENTE PERCEBIDO E PRIVAÇÃO SOCIAL: UM ESTUDO DA PERCEPÇÃO DE PAIS OU RESPONSÁVEIS.

Publisher: Sociedade De Pediatria De Sao Paulo Country of Publication: Brazil NLM ID: 9109353 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1984-0462 (Electronic) Linking ISSN: 01030582 NLM ISO Abbreviation: Rev Paul Pediatr Subsets: MEDLINE

Publication: 2017- : Sao Paulo : Sociedade De Pediatria De Sao Paulo
Original Publication: Sao Paulo : Sociedade De Pediatria De Sao Paulo

Attitude to Health* ; Overweight* ; Psychosocial Deprivation* ; Residence Characteristics*; Caregivers/*psychology ; Parents/*psychology; Adolescent ; Brazil ; Child ; Cross-Sectional Studies ; Female ; Humans ; Male ; Socioeconomic Factors

Objective: To investigate parents' or guardians' perception of their residential proximity to food retailers, leisure areas, and spaces for physical activity according to neighborhood social deprivation, and test associations between the perceived environment and their children's overweight.
Methods: Cross-sectional study conducted with 408 children and adolescents (6- to 15-year-olds) attending public schools in a medium-sized Brazilian city. Data were collected from 2011 to 2014. A telephone interview using a structured research tool determined the presence of overweight and the walking time between the participants' home and the places evaluated. The indicator of social deprivation adopted was the Health Vulnerability Index. Logistic regression models were constructed to predict the perception of proximity (social deprivation as an explanatory variable) and evaluate perceived environmental factors (explanatory variables) associated with overweight (outcome).
Results: Residents of areas with higher social vulnerability showed a probability of perceived proximity 50 to 71% lower to supermarkets, street/produce markets, parks, recreation areas/community centers, and gyms compared to residents of less vulnerable areas. The perceived proximity to parks reduced the chance of overweight in children and adolescents in 73%, with an odds ratio (OR) of 0.27 (95%CI 0.07-0.95; p<0.05).
Conclusions: The perceived environment of the residential area infrastructure might be related to neighborhood social deprivation and the presence of overweight in children and adolescents.

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Local Abstract: [Publisher, Portuguese] Investigar a percepção de pais ou responsáveis sobre a proximidade residencial a locais de venda de alimentos, de lazer e de atividade física segundo a privação social da vizinhança e testar associações do ambiente percebido com o excesso de peso de seus filhos. [Publisher, Portuguese] Estudo transversal conduzido com 408 crianças e adolescentes (6 a 15 anos de idade) de escolas públicas de um município de médio porte brasileiro. A coleta de dados ocorreu de 2011 a 2014. Foram determinados a presença de excesso de peso e o tempo de deslocamento da residência dos participantes aos locais avaliados, questionados durante entrevista telefônica com instrumento de pesquisa estruturado. O indicador de privação social adotado foi o Índice de Vulnerabilidade da Saúde. Modelos de regressão logística foram construídos para predizer a proximidade percebida (privação social como variável explicativa) e para avaliar os fatores do ambiente percebido (variáveis explicativas) associados ao excesso de peso (desfecho). [Publisher, Portuguese] Moradores de áreas com maior vulnerabilidade social apresentaram chances de percepção de proximidade 50 a 71% menores para supermercados, feiras/sacolões, parques, áreas de lazer/centros comunitários e academias de ginástica, quando comparados a residentes de áreas com menor vulnerabilidade. A percepção de proximidade a parques reduziu em 73% a chance de excesso de peso em crianças e adolescentes, com Odds Ratio (OR) de 0,27 (IC95% 0,07-0,95; p<0,05). [Publisher, Portuguese] A percepção ambiental sobre a infraestrutura da área residencial pode estar relacionada com a privação social da vizinhança e a presença de excesso de peso em crianças e adolescentes.

Date Created: 20181122 Date Completed: 20190624 Latest Revision: 20220330

20240105

PMC6322807

10.1590/1984-0462/;2018;36;4;00011

30462779