文章基本信息

标题：Linking household level GIS-generated environmental exposure scores with individual level anonymised health data
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作者：Amy Mizen ; Sarah Rodgers ; Richard Fry 等
期刊名称：International Journal of Population Data Science
电子版ISSN：2399-4908
出版年度：2018
卷号：3
期号：4
页码：1-1
DOI：10.23889/ijpds.v3i4.926
出版社：Swansea University
摘要：IntroductionThe dose-response relationship between exposure to food and BMI, has not been widely investigated. Furthermore, household-level, GIS-generated food environment exposure scores have not previously been linked with individual-level, anonymised BMI data. This study linked GIS-generated residential level environmental exposure scores with historical anonymised, health data held in the SAIL databank. Objectives and ApproachHousehold level GIS-generated exposure data for a region of about 1 million people were anonymised into SAIL using the â€˜split-fileâ€™ method. All individuals living in the 633,884 homes at the time of data collection (2009-2010) were flagged using a population register. Separately, a cohort of 1147, 11-13 year old pupils were linked to their health data before joining to their environmental exposures. Two subgroups were established within the linked dataset: individuals living at 4.8km or less from the school they attended were assumed to walk to school (â€œwalkersâ€) and pupils who lived further than 4.8km were flagged as â€œnon-walkersâ€. ResultsA total of 916 pupils (80%) were successfully linked to the population register. The BMIs were collected in 2009-2010, but more recent data is likely to have a greater proportion of successful links (more recently, 97% of individuals and their health data have been linked to their home and exposures in SAIL). Erroneous BMIs were removed (n=33, 2.9%). Anonymised exposure data were linked with the remaining 883 (77%) individuals. The dataset contained 352 males (39.9%) and 531 females (60.1%); of these, 38% were from deprived areas and 62% lived in affluent areas. There were 431 (48.8%) pupils in the â€œwalkersâ€ group and 452 (51.2%) in the â€œnon-walkersâ€ group. In the â€œwalkersâ€ group, 13% were obese compared with 22% of â€œnon-walkersâ€ (chi-squared = 12.3, p <0.05). Conclusion/ImplicationsWe generated novel regional exposures to combine with historical anonymised health data. Household and individual level linkage of environmental data to health cohorts contributed to the literature to help develop beneficial societal policies. We recommend routine national collections of height and weight for children to allow longitudinal retrospective analyses.