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Neighbourhood effects on body constitution–A case study of Hong Kong

Author

Listed:
  • Low, Chien Tat
  • Lai, Poh Chin
  • Li, Han Dong
  • Ho, Wai Kit
  • Wong, Paulina
  • Chen, Si
  • Wong, Wing Cheung

Abstract

Traditional Chinese Medicine (TCM) has long perceived environment as an integral part of the development of body constitution, which is a personal state of health closely related to disease presence. Despite of the ever-growing studies on the clinical effectiveness of TCM and the scientific linking between body constitution and diseases, the geographical influence on body constitution has yet remained an unexplored territory. This study sought to investigate whether the neighbourhood environment is relevant to the composition of body type of a population through statistical multilevel and Geographic Information Systems modelling. The analysis comprised 3277 participants who had completed their body type assessment between 2009 and 2012 inclusive. The multilevel analysis also took simultaneous accounts of both individual-level (gender, age, BMI, type of housing) and area-level (percent greenery, percent road surface, total road intersection, sky view factor, temperature, relative humidity, rainfall and social deprivation index) characteristics to explain geographical variation by body types. Significant random or place effects (p < 0.001) were identified in the multilevel models. The spatial variation of body constitution involved the dynamic interplay between individual and environmental factors. The findings amassed the first scientific indications to back the common belief that place does play a role in the development of body constitution and is worthy of further investigation. By considering spatial and personal attributes simultaneously, the study can yield valuable insights into the patterning of area variation in body constitution and disease presence.

Suggested Citation

  • Low, Chien Tat & Lai, Poh Chin & Li, Han Dong & Ho, Wai Kit & Wong, Paulina & Chen, Si & Wong, Wing Cheung, 2016. "Neighbourhood effects on body constitution–A case study of Hong Kong," Social Science & Medicine, Elsevier, vol. 158(C), pages 61-74.
    • Handle: RePEc:eee:socmed:v:158:y:2016:i:c:p:61-74
    DOI: 10.1016/j.socscimed.2016.04.011
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    References listed on IDEAS

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    1. Karen Witten & Jamie Pearce & Peter Day, 2011. "Neighbourhood Destination Accessibility Index: A GIS Tool for Measuring Infrastructure Support for Neighbourhood Physical Activity," Environment and Planning A, , vol. 43(1), pages 205-223, January.
    2. Diez Roux, A.V., 2001. "Investigating neighborhood and area effects on health," American Journal of Public Health, American Public Health Association, vol. 91(11), pages 1783-1789.
    3. Duncan, Craig & Jones, Kelvyn & Moon, Graham, 1993. "Do places matter? A multi-level analysis of regional variations in health-related behaviour in Britain," Social Science & Medicine, Elsevier, vol. 37(6), pages 725-733, September.
    4. Low, Chien-Tat & Lai, Poh-Chin & Tse, Wing-Sze Cindy & Tsui, Chung-Kan & Lee, Herman & Hui, Pak-Kwan, 2013. "Exploring tuberculosis by types of housing development," Social Science & Medicine, Elsevier, vol. 87(C), pages 77-83.
    5. Merlo, Juan & Viciana-Fernández, Francisco J. & Ramiro-Fariñas, Diego, 2012. "Bringing the individual back to small-area variation studies: A multilevel analysis of all-cause mortality in Andalusia, Spain," Social Science & Medicine, Elsevier, vol. 75(8), pages 1477-1487.
    6. Kearns, Robin A. & Joseph, Alun E., 1993. "Space in its place: Developing the link in medical geography," Social Science & Medicine, Elsevier, vol. 37(6), pages 711-717, September.
    Full references (including those not matched with items on IDEAS)

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