西方城市和社区环境对糖尿病的影响路径研究评述

A Review of Research on the Impact Path of Western Urban and Community Environments on the Risk of Diabete

2019年我国糖尿病患者数量达1. 16亿, 位居世界第一。糖尿病对国民健康和社会经济发展产生了巨大威胁, 迫切需要多学科的协同研究。基于此, 本文系统梳理了近年来西方学界关于城市和社区环境对糖尿病影响的研究, 归纳出城市层面的城市化水平、城市形态、族裔文化与居住隔离、通勤方式等因素驱动的影响路径, 和社区层面的社区食物环境、社区体力活动空间、社区及周边绿色空间、社区社会环境和噪音等因素驱动的影响路径, 并评述以上环境因素主要通过影响个体的生活方式、体力活动、饮食行为、心理压力、睡眠等行为和心理因素, 进而对糖尿病患病风险产生间接影响。本文将为正在起步的我国城市建成环境对糖尿病影响的研究提供借鉴, 亦为“健康我国2030”策略提供研究支撑。

The number of people with diabetes in China reached 116 million in 2019, ranking first in the world. Diabetes is a great threat to national health and socio-economic development, which requires multidisciplinary collaborative research and intervention. Based on this, this paper systematically reviews the empirical studies on the impact of urban and community environments on diabetes in western academic fields in recent years. This paper summarizes the impact path driven by influencing factors such as urbanization level, urban form, ethnic culture and residential isolation, as well as commuting mode at the city level, and that driven by influencing factors such as community food environment, community physical activity space, community and surrounding green space, community social environment, as well as noise at the community level. It is pointed out that the above-mentioned environmental factors have an indirect influence on the risk of diabetes mainly through influencing individual lifestyle, physical activity, dietary behavior, psychological stress, sleep and other behavioral and psychological factors. This paper is aimed at providing theoretical reference for the emerging empirical research on the impact of urban built environment on diabetes in China, and providing research support for Health China 2030 strategies.