Ethnicity, Neighborhood and Individual Socioeconomic Status, and Obesity: The Singapore Multiethnic Cohort

Park, Su Hyun; Nicolaou, Mary; Dickens, Borame Sue Lee; Yang, Qianyu; Tan, Ken Wei; Dam, Rob M. van

doi:10.1002/oby.22995

Cited by 23 publications

(15 citation statements)

References 38 publications

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“…Another finding from this study indicated that, as regards ethnicity, Malays, Indians, and other Bumiputeras were at greater risk of being obese when compared with Chinese. This finding was similar to other studies conducted in Malaysia 20 and Singapore 21 and this might be due to the cultural and food preference difference among the ethnic populations.…”

Section: Discussionsupporting

confidence: 91%

“…A study conducted in Singapore reported that obesity was higher among women, whereas lesser among men for adults aged 40 years and above. 21 This finding from this study might be due to the increase in food purchasing power and the availability of food higher in sugar content 22 as well as calorie-intensive food, along with increase in sedentary lifestyle 23 and technology attachment such as mobile devices and video games among young adults. 24 This study also indicated that adults with diabetes and hypertension were more likely to become obese.…”

Section: Discussionmentioning

confidence: 73%

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Prevalence of Obesity and Its Associated Factors Among Malaysian Adults: Finding From the National Health and Morbidity Survey 2019

Chong

Lai

Zainuddin

et al. 2022

Asia Pac J Public Health

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In 2016, World Health Organization (WHO) estimated more than 650 million obese adults, resulting in a country’s health burden. This study aims to determine the prevalence of obesity and its associated factors among Malaysian adults. A total of 5820 respondents, aged 18 to 59 years, from the National Health and Morbidity Survey 2019, were included for the data analysis. The prevalence of obesity was described and multivariate analyses were conducted to determine the factors associated with obesity. The prevalence of obesity among Malaysian adults was 20.1%, based on the findings from this study. Multivariate analyses showed that women, being Malays, Indians, and other Bumiputeras, were significantly associated with a higher risk of obesity. Besides, those diagnosed with diabetes mellitus and hypertension were also significantly associated with greater risk of obesity. This information is crucial for policy makers in formulating effective strategies or targeted programs in preventing obesity among Malaysian adults.

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Section: Discussionsupporting

confidence: 91%

Section: Discussionmentioning

confidence: 73%

Prevalence of Obesity and Its Associated Factors Among Malaysian Adults: Finding From the National Health and Morbidity Survey 2019

Chong

Lai

Zainuddin

et al. 2022

Asia Pac J Public Health

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“…The Singapore Multi-Ethnic Cohort (MEC) is a prospective cohort study of environmental, lifestyle, and genetic determinants of non-communicable diseases, with regular, ongoing participant re-visits, comprising health screenings and interviewer-administered questionnaires [ 35 , 36 ]. Detailed information about this study can be found on the study website [ 37 ].…”

Section: Methodsmentioning

confidence: 99%

Associations of park access, park use and physical activity in parks with wellbeing in an Asian urban environment: a cross-sectional study

Petrunoff

Dickens

et al. 2021

Int J Behav Nutr Phys Act

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Background Relationships between park access, park use, and wellbeing remain poorly understood. The objectives of this study were to investigate: (1) perceived and objective park access in relation to park use and physical activity in parks; and; (2) perceived and objective park access, park use and physical activity in parks and their associations with wellbeing. Methods An interviewer-assisted survey collected data on perceived time to walk to parks, park use time, park physical activity time and wellbeing (using a scale containing nine domains) amongst adult participants of the Singapore Multi-Ethnic Cohort. Geospatial maps of parks and the “walkable” street networks were created for the city-state of Singapore to objectively determine distances to accessible points on park boundaries. Multiple linear regression models estimated the importance of park access to park use and associations of park access and park use with wellbeing, adjusting for potential confounders. Results Participants’ (n = 3435) average age was 48.8 years (SD, 12.8), 44.8% were male and 72.6% were of Chinese ethnicity. Better perceived but not true park access was significantly associated with greater park use. Park access (perceived or true) was not associated with physical activity time in parks. Greater participant park time and physical activity time in parks were associated with higher wellbeing scores (p < 0.001). The differences in wellbeing scores between the reference groups, who spent negligible time in parks, and the highest quartiles of time in parks (10.8 h/month) and physical activity in parks (8.3 h/month) were 3.2 (95% CI 2.1–4.4) and 4.2 (95% CI 4.1–6.3) points out of 100 respectively. These associations were similar for most domains of wellbeing, with clear dose-response relationships. Conclusions While perceived park access was strongly associated with park use and well-being, true park access was not, and neither park access measure was associated with park physical activity. Future studies could investigate the influence of park attributes on park use, physical activity in parks and wellbeing. The consistent associations of park use and particularly physical activity in parks with wellbeing suggest that promoting park use, and especially physical activity in parks, is a promising strategy for improving wellbeing in urban settings.

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“…After fieldwork, we obtained building age from lease commencement year data obtained from the Singapore Land Authority [24,25], and median house price per public apartment block was used as a proxy for the socioeconomic status (SES) of its residents and valued at its resale price attained through a government website (https://data.gov.sg) [26], since building age and SES [27][28][29][30] have previously been found to be correlated with mosquito abundance.…”

Section: Plos Neglected Tropical Diseasesmentioning

confidence: 99%

Features of the urban environment associated with Aedes aegypti abundance in high-rise public apartments in Singapore: An environmental case-control study

et al. 2023

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Aedes aegypti abundance in residential estates is hypothesized to contribute to localised outbreaks of dengue in Singapore. Knowing the factors in the urban environment underlying high Ae. aegypti abundance could guide intervention efforts to reduce Ae. aegypti breeding and the incidence of dengue. In this study, objective data on Ae. aegypti abundance in public apartment blocks estimated by Singapore’s nationally representative Gravitrap surveillance system was obtained from the National Environmental Agency. Low and high abundance status public apartment blocks were classified based on the Gravitrap Aegypti Index, corresponding to the lowest and highest quartiles respectively. An environmental case-control study was conducted, wherein a blinded assessment of urban features hypothesised to form breeding habitats was conducted in 50 randomly sampled public apartment blocks with low and high abundance statuses each. Logistic regression was performed to identify features that correlated with abundance status. A multivariable logistic model was created to determine key urban features found in corridors and void decks which were predictive of the Ae. aegypti abundance status of the public apartment block. At a statistical level of significance of 0.20, the presence of gully traps [Odds Ratio (OR): 1.34, 95% Confidence Interval (CI): 1.10, 1.66], age of the public apartment block [OR: 2.23, 95% CI: 1.48, 3.60], housing price [OR: 0.33, 95% CI: 0.16, 0.61] and corridor cleanliness [OR: 0.67, 95% CI: 0.40, 1.07] were identified as important predictors of abundance status. To reduce Ae. aegypti abundance around public apartment blocks and potential onward dengue transmission, gully traps could be remodelled or replaced by other drainage types. Routine inspections of Ae. aegypti breeding should be targeted at older and low-income neighbourhoods. Campaigns for cleaner corridors should be promoted.

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Ethnicity, Neighborhood and Individual Socioeconomic Status, and Obesity: The Singapore Multiethnic Cohort

Cited by 23 publications

References 38 publications

Prevalence of Obesity and Its Associated Factors Among Malaysian Adults: Finding From the National Health and Morbidity Survey 2019

Prevalence of Obesity and Its Associated Factors Among Malaysian Adults: Finding From the National Health and Morbidity Survey 2019

Associations of park access, park use and physical activity in parks with wellbeing in an Asian urban environment: a cross-sectional study

Features of the urban environment associated with Aedes aegypti abundance in high-rise public apartments in Singapore: An environmental case-control study

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