Obesity and awareness of obesity as risk factors for breast cancer in six ethnic groups
Obesity and awareness of obesity as risk factors for breast cancer in six ethnic groups
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DOI：
10.1038/oby.2004.208
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发表时间：
2004-10-01
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影响因子：
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通讯作者：
Neugut, AI
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文献类型：
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作者：
Consedine, NS;Magai, C;Neugut, AI
内森·S·康塞丁 (Consedine)、卡罗尔·马盖 (Carol Magai)、弗朗辛·康威 (Francine Conway) 和阿尔弗雷德·I·纽古特 (Alfred I. Neugut)。肥胖和对肥胖作为六个种族乳腺癌危险因素的认识。奥贝斯水库。 2004；12：1680-1689。目的：记录非洲裔、加勒比裔和欧洲裔美国女性亚人群中肥胖作为乳腺癌危险因素的 BMI 和知识，并考虑预测这些不同群体肥胖的变量。研究方法和程序：采用分层整群抽样计划，在 2000 年至 2002 年期间从纽约布鲁克林招募了 1364 名老年女性。有两个群体出生在美国（非洲裔美国人和欧洲裔美国人），而其他群体则来自加勒比海英语国家、海地、多米尼加共和国和东欧。参与者提供了人口统计数据、身高和体重测量数据，以及对肥胖导致乳腺癌风险的估计。结果：所有群体的女性均显着超重（BMI > 25 kg/m(2)），尽管欧洲裔美国人的体重最低，其次是多米尼加人和海地人；即使背景变量受到控制，非裔美国人和讲英语的加勒比海女性也属于肥胖范围。各群体对肥胖作为乳腺癌危险因素的了解也很差，但多米尼加人和海地人的知识得分最低。重要的是，即使在控制人口统计和种族的情况下，知识也与总体样本中的BMI无关，尽管将正常体重女性与超重和肥胖群体进行比较的逻辑回归表明，对超重群体而非肥胖群体的乳腺癌风险有所了解。讨论：研究结果提醒卫生专业人员需要考虑比迄今为止更具体的种族群体，并考虑种族和文化变量如何影响对肥胖的看法及其与癌症风险的关系。
CONSEDINE, NATHAN S., CAROL MAGAI, FRANCINE CONWAY, AND ALFRED I. NEUGUT. Obesity and awareness of obesity as risk factors for breast cancer in six ethnic groups. Obes Res. 2004;12:1680-1689.Objective: To document BMI and knowledge regarding obesity as a risk factor for breast cancer among subpopulations of African-, Caribbean-, and European-American women and to consider the variables predicting obesity in these diverse groups.Research Methods and Procedures: A stratified cluster-sampling plan was used to recruit 1364 older women from Brooklyn, NY, during 2000-2002. Two groups were born in the United States (African Americans and European Americans), whereas others were from the English-speaking Caribbean, Haiti, the Dominican Republic, and Eastern Europe. Participants provided demographics, height and weight measures, and estimates of the risk obesity posed for breast cancer.Results: Women from all groups were significantly overweight (BMI > 25 kg/m(2)), although European Americans were lowest, followed by Dominicans and Haitians; African-American and English-speaking Caribbean women fell into the obese range, even when background variables were controlled. Knowledge of obesity as a breast cancer risk factor was also poor across groups, but Dominicans and Haitians had the lowest scores on knowledge. Importantly, knowledge was not associated with BMI in the overall sample, even when controlling for demographics and ethnicity, although logistic regressions comparing normal weight women with overweight and obese groupings suggested some knowledge of breast cancer risk in the overweight, but not the obese, group.Discussion: The findings remind health professionals of the need to consider more specific ethnic groupings than has hitherto been the case, as well as consider how ethnic and cultural variables may influence perceptions of obesity and its relation to cancer risk.