Relationships of Educational Attainment and Household Food Insecurity with Obesity: Findings from the 2007-2016 National Health and Nutrition Examination Survey.
Relationships of Educational Attainment and Household Food Insecurity with Obesity: Findings from the 2007-2016 National Health and Nutrition Examination Survey.
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DOI：
10.3390/ijerph18157820
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发表时间：
2021-07-23
影响因子：
--
通讯作者：
Thorpe RJ Jr
中科院分区：
文献类型：
--
作者：
McMillian MM;Thorpe RJ Jr
这项研究旨在确定1882名黑人年轻成年人的教育程度是否与他们的肥胖([BMI]≥30)有关，以及这种联系是否与家庭食物不安全有关。分析了对黑人年轻人的采访数据和2007-2016年全国健康和营养检查调查的体检数据。使用了具有稳健标准误差的修正泊松回归。在调整了年龄、性别、婚姻状况、吸烟状况、饮酒状况、收入、医疗保险状况、体力活动水平和家庭食物不安全因素后，受教育程度与肥胖无关(患病率[PR]=1.05，95%可信区间[CI]：0.85，1.30)。调整相同协变量后，受教育程度与家庭食物不安全之间的交互作用也不显著(PR=1.11，95%CI：0.56，2.19)。这些发现表明，大学毕业生与受教育程度较低的人一样容易肥胖，教育程度和肥胖之间的关系并不随家庭食物不安全而变化。未来的研究应该对这些关系进行纵向分析。有必要确定教育、家庭食品不安全和其他衡量社会经济地位的指标在黑人年轻人肥胖中所起的作用。
This study aimed to determine whether 1882 Black young adults’ educational attainment was associated with their obesity ([BMI] ≥ 30) and whether this association varied with household food insecurity. Data from interviews with Black young adults and a medical examination from the 2007–2016 National Health and Nutrition Examination Survey were analyzed. Modified Poisson regressions with robust standard errors were used. Educational attainment was not associated with obesity (prevalence ratio [PR] = 1.05, 95% confidence interval [CI]: 0.85, 1.30) after adjusting for age, sex, marital status, smoking status, drinking status, income, health insurance status, physical activity level, and household food insecurity. The interaction between educational attainment and household food insecurity was also not significant (PR = 1.11, 95% CI: 0.56, 2.19) after adjusting for the same covariates. These findings indicated that college graduates were as likely to be obese as those with less education, and the relationship between educational attainment and obesity did not vary with household food insecurity. Future studies should conduct longitudinal analyses of these relationships. There is a need to identify the roles that education, household food insecurity, and other measures of socioeconomic status play in Black young adults’ obesity.
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