TY - JOUR
T1 - Fast food restaurant density and weight status
T2 - A spatial analysis among Filipina migrant workers in Macao (SAR), People's Republic of China
AU - Hall, Brian J.
AU - Huang, Lei
AU - Yi, Grace
AU - Latkin, Carl
N1 - Funding Information:
Macao (SAR) Government and the RSTKO, University of Macau ( MYRG2015-00109-FSS ), Macao (SAR), China, awarded to BJH. Stanley Ho Medical Foundation (no grant number), Macao (SAR), China, awarded to BJH. Center for Global Health, Johns Hopkins Bloomberg School of Public Health (no grant number) USA, awarded to GY. No funding bodies had any role in study design, data collection and analysis, decision to publish, or preparation of the manuscript. Authors declare no conflicts of interest..
Funding Information:
Macao (SAR) Government and the RSTKO, University of Macau (MYRG2015-00109-FSS), Macao (SAR), China, awarded to BJH. Stanley Ho Medical Foundation (no grant number), Macao (SAR), China, awarded to BJH. Center for Global Health, Johns Hopkins Bloomberg School of Public Health (no grant number) USA, awarded to GY. No funding bodies had any role in study design, data collection and analysis, decision to publish, or preparation of the manuscript. Authors declare no conflicts of interest.
Publisher Copyright:
© 2020 Elsevier Ltd
PY - 2021/1
Y1 - 2021/1
N2 - Background: Female migrant populations are at high risk of being overweight or obese. Beyond individual risk factors, exposure to the neighborhood food environment may contribute to their unhealthy weight status in the host region. Incorporating spatial analysis, this study examined the association between exposure to fast food restaurants and unhealthy weight status among Filipina domestic workers in Macao (SAR), China. Methods and Findings: Data were collected from 1388 Filipina domestic workers recruited using respondent-driven sampling between November 2016 to August 2017. Self-reported data on demographic characteristics, residential mailing address, and health-related behaviors were collected using tablet devices. Height and weight were objectively measured at the study site. Restaurant locations and resident addresses were geocoded and integrated into a shapefile for residential locations using ArcGIS. Nearly 64% of participants were classified as being overweight or obese, with 25.02% overweight and 38.96% obese. Adjusted multivariable logistic regression indicated that increased fast food restaurant density within a 0.5-mile buffer zone around a residential address was positively associated with higher odds of being overweight and obese (aOR = 1.07; 95% CI [1.01–1.14]. Conclusions: Increased fast food restaurant density was associated with unhealthy weight status among Filipina domestic workers in Macao (SAR), China. Providing healthy working environment, including access to healthy food, is indicated to improve the health of this population. Keywords: overweight; obesity; migrant workers; fast food restaurant density; spatial analysis.
AB - Background: Female migrant populations are at high risk of being overweight or obese. Beyond individual risk factors, exposure to the neighborhood food environment may contribute to their unhealthy weight status in the host region. Incorporating spatial analysis, this study examined the association between exposure to fast food restaurants and unhealthy weight status among Filipina domestic workers in Macao (SAR), China. Methods and Findings: Data were collected from 1388 Filipina domestic workers recruited using respondent-driven sampling between November 2016 to August 2017. Self-reported data on demographic characteristics, residential mailing address, and health-related behaviors were collected using tablet devices. Height and weight were objectively measured at the study site. Restaurant locations and resident addresses were geocoded and integrated into a shapefile for residential locations using ArcGIS. Nearly 64% of participants were classified as being overweight or obese, with 25.02% overweight and 38.96% obese. Adjusted multivariable logistic regression indicated that increased fast food restaurant density within a 0.5-mile buffer zone around a residential address was positively associated with higher odds of being overweight and obese (aOR = 1.07; 95% CI [1.01–1.14]. Conclusions: Increased fast food restaurant density was associated with unhealthy weight status among Filipina domestic workers in Macao (SAR), China. Providing healthy working environment, including access to healthy food, is indicated to improve the health of this population. Keywords: overweight; obesity; migrant workers; fast food restaurant density; spatial analysis.
KW - Fast food restaurant density
KW - Migrant workers
KW - Obesity
KW - Overweight
KW - Spatial analysis
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U2 - 10.1016/j.socscimed.2020.113192
DO - 10.1016/j.socscimed.2020.113192
M3 - Article
C2 - 32713761
AN - SCOPUS:85088389178
SN - 0277-9536
VL - 269
JO - Social Science and Medicine
JF - Social Science and Medicine
M1 - 113192
ER -