Migration-Related Weight Changes among African Immigrants in the United States.
Migration-Related Weight Changes among African Immigrants in the United States.
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DOI：
10.3390/ijerph192315501
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发表时间：
2022-11-23
影响因子：
--
通讯作者：
Commodore-Mensah Y
中科院分区：
文献类型：
--
作者：
Byiringiro S;Koirala B;Ajibewa T;Broni EK;Liu X;Adeleye K;Turkson-Ocran RN;Baptiste D;Ogungbe O;Himmelfarb CD;Gbaba S;Commodore-Mensah Y
(1)背景资料：从低收入国家移徙到高收入国家的人体重增加的风险更大，而超重是心血管疾病的一个风险因素。很少有研究量化了非洲移民在移民前后的体重指数（BMI）变化。我们评估了从非洲移民到美国（US）前后BMI的变化及其相关风险因素。(2)研究方法：我们对非洲移民健康研究进行了横断面分析，该研究包括了哥伦比亚大都会地区巴尔的摩-华盛顿区的非洲移民。BMI类别变化是关注的结果，分为健康BMI变化或维持、不健康BMI维持和不健康BMI变化。我们探讨了以下BMI变化的潜在因素：性别，移民年龄，在美国生活的百分比，感知压力和移民原因。我们进行了多项逻辑回归调整就业，教育，收入和婚姻状况。(3)结果：我们纳入了300名参与者，平均（±SD）当前年龄为47（±11.4）岁，56%为女性。总体而言，14%的参与者有健康的BMI变化或维持，22%有不健康的BMI维持，64%有不健康的BMI变化。移民年龄每增加一岁，维持不健康BMI的相对风险就增加7%（相对风险比[RRR]：1.07; 95% CI 1.01，1.14），与男性相比，女性维持不健康BMI的相对风险是男性的两倍（RRR：2.67; 95% CI 1.02，7.02）。在美国度过25%或更多的生命与不健康的BMI变化风险高出3倍相关（RRR：2.78; 95% CI 1.1，6.97）。(4)结论：移民年龄、移民原因和在美国居住的时间可以为预防非洲移民不健康体重增加的健康促进干预提供信息。
(1) Background: people who migrate from low-to high-income countries are at an increased risk of weight gain, and excess weight is a risk factor for cardiovascular disease. Few studies have quantified the changes in body mass index (BMI) pre- and post-migration among African immigrants. We assessed changes in BMI pre- and post-migration from Africa to the United States (US) and its associated risk factors. (2) Methods: we performed a cross-sectional analysis of the African Immigrant Health Study, which included African immigrants in the Baltimore-Washington District of the Columbia metropolitan area. BMI category change was the outcome of interest, categorized as healthy BMI change or maintenance, unhealthy BMI maintenance, and unhealthy BMI change. We explored the following potential factors of BMI change: sex, age at migration, percentage of life in the US, perceived stress, and reasons for migration. We performed multinomial logistic regression adjusting for employment, education, income, and marital status. (3) Results: we included 300 participants with a mean (±SD) current age of 47 (±11.4) years, and 56% were female. Overall, 14% of the participants had a healthy BMI change or maintenance, 22% had an unhealthy BMI maintenance, and 64% had an unhealthy BMI change. Each year of age at immigration was associated with a 7% higher relative risk of maintaining an unhealthy BMI (relative risk ratio [RRR]: 1.07; 95% CI 1.01, 1.14), and compared to men, females had two times the relative risk of unhealthy BMI maintenance (RRR: 2.67; 95% CI 1.02, 7.02). Spending 25% or more of life in the US was associated with a 3-fold higher risk of unhealthy BMI change (RRR: 2.78; 95% CI 1.1, 6.97). (4) Conclusions: the age at immigration, the reason for migration, and length of residence in the US could inform health promotion interventions that are targeted at preventing unhealthy weight gain among African immigrants.
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影响因子：
5
作者：
COHEN, S;KAMARCK, T;MERMELSTEIN, R
通讯作者：
MERMELSTEIN, R
影响因子：
3.7
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Kröger H;Leopold L
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作者：
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通讯作者：
Levasseur, Pierre