The role of stress and health behaviour in linking weight discrimination and health: a secondary data analysis in England.
The role of stress and health behaviour in linking weight discrimination and health: a secondary data analysis in England.
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压力和健康行为在联系体重歧视和健康中的作用：英格兰的二级数据分析。
DOI：
10.1136/bmjopen-2023-072043
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发表时间：
2023-09-14
期刊：
影响因子：
2.9
通讯作者：
Steptoe, Andrew
中科院分区：
文献类型：
--
作者：
Hackett, Ruth A.;Jackson, Sarah E.;Corker, Elizabeth;Steptoe, Andrew
研究压力和健康风险行为在体重歧视与健康和福祉之间的关系中的作用。观察性队列研究的次要数据分析。英国老龄化纵向研究。数据来自4341名超重/肥胖成人（≥ 50岁）。我们测试了基线时（2010/2011）感知的体重歧视与自测健康之间的关联，限制了4年随访（2010/2011; 2014/2015）的长期疾病，抑郁症状，生活质量和生活满意度。评估了压力暴露（头发皮质醇）和健康风险行为（吸烟、缺乏身体活动、饮酒）的潜在中介作用。从横断面上看，感知到的体重歧视与较高的自我健康状况良好/较差的几率相关。（OR = 2.05（95% CI 1.49 - 2.82）），限制长期疾病（OR = 1.76（95%CI 1.29~2.41））和抑郁症状（OR = 2.01（95%CI 1.41 - 2.85））和较低的生活质量（B = − 5.82（95%CI − 7.01 - 4.62））和生活满意度（B = − 2.36（95%CI − 3.25 - 1.47））。根据基线状态调整后，体重歧视与一般/较差自评健康（OR = 1.63（95%CI 1.10至2.40））和抑郁症状（OR = 2.37（95%CI 1.57至3.60））的几率较高相关。那些报告歧视的人有更高的头发皮质醇浓度（B = 0.14（95% CI 0.03至0.25））和更高的身体不活动几率（OR = 1.90（95% CI 1.18至3.05））。这些变量并没有显着介导歧视和健康结果之间的关联。体重歧视与健康和幸福状况不佳有关。虽然这种歧视与压力暴露和身体活动不足有关，但这些变量几乎不能解释歧视与较差结果之间的关联。
To examine the role of stress and health-risk behaviours in relationships between weight discrimination and health and well-being. Secondary data analysis of an observational cohort study. The English Longitudinal Study of Ageing. Data were from 4341 adults (≥50 years) with overweight/obesity. We tested associations between perceived weight discrimination at baseline (2010/2011) and self-rated health, limiting long-standing illness, depressive symptoms, quality of life and life satisfaction over 4-year follow-up (2010/2011; 2014/2015). Potential mediation by stress exposure (hair cortisol) and health-risk behaviours (smoking, physical inactivity, alcohol consumption) was assessed. Cross-sectionally, perceived weight discrimination was associated with higher odds of fair/poor self-rated health (OR=2.05 (95% CI 1.49 to 2.82)), limiting long-standing illness (OR=1.76 (95% CI 1.29 to 2.41)) and depressive symptoms (OR=2.01 (95% CI 1.41 to 2.85)) and lower quality of life (B=−5.82 (95% CI −7.01 to −4.62)) and life satisfaction (B=−2.36 (95% CI −3.25 to −1.47)). Prospectively, weight discrimination was associated with higher odds of fair/poor self-rated health (OR=1.63 (95% CI 1.10 to 2.40)) and depressive symptoms (OR=2.37 (95% CI 1.57 to 3.60)) adjusting for baseline status. Those who reported discrimination had higher hair cortisol concentrations (B=0.14 (95% CI 0.03 to 0.25)) and higher odds of physical inactivity (OR=1.90 (95% CI 1.18 to 3.05)). These variables did not significantly mediate associations between discrimination and health outcomes. Weight discrimination is associated with poor health and well-being. While this discrimination is associated with stress exposure and physical inactivity, these variables explain little of the association between discrimination and poorer outcomes.
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