Racial residential segregation and weight status among US adults
Racial residential segregation and weight status among US adults
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DOI：
10.1016/j.socscimed.2006.03.049
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发表时间：
2006-09-01
影响因子：
5.4
通讯作者：
Chang, Virginia W.
中科院分区：
文献类型：
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作者：
Chang, Virginia W.
众所周知，按种族划分居住区会影响美国被隔离的少数群体的社会和经济福祉，但隔离与健康之间的关系却较少受到关注。本研究探讨了美国大都市地区种族居住隔离（以隔离指数衡量）与个人体重状况之间的关系。多层次的，全国代表性的数据被用来考虑的中心假设，隔离与非裔美国人的体重状况呈正相关，这是一个高度隔离和不健康的体重结果不成比例的影响组。结果表明，在非西班牙裔黑人中，较高的种族隔离与较高的体重指数（BMI）和超重的可能性呈正相关，调整了多个协变量，包括个人社会经济地位的测量。隔离指数增加一个标准差，BMI增加0.423个单位（p < 0.01），超重几率增加14%（p < 0.01）。在白人中，隔离指数和体重状况之间没有显著联系。这些研究结果表明，除了人与人之间的差异之外，地方之间的差异，特别是人的空间组织的差异，可能与卫生政策和促进工作有关。(c)2006爱思唯尔有限公司保留所有权利。
While the segmentation of residential areas by race is well known to affect the social and economic well-being of the segregated minority group in the United States, the relationship between segregation and health has received less attention. This study examines the association between racial residential segregation, as measured by the isolation index, and individual weight status in US metropolitan areas. Multi-level, nationally representative data are used to consider the central hypothesis that segregation is positively associated with weight status among African Americans, a group that is hyper-segregated and disproportionately affected by unhealthy weight outcomes. Results show that among non-Hispanic blacks, higher racial isolation is positively associated with both a higher body mass index (BMI) and greater odds of being overweight, adjusting for multiple covariates, including measures of individual socioeconomic status. An increase of one standard deviation in the isolation index is associated with a 0.423 unit increase in BMI (p < 0.01), and a 14% increase in the odds of being overweight (p < 0.01). Among whites, there is no significant association between the isolation index and weight status. These findings suggest that in addition to differences among people, differences among places and, in particular, differences in the spatial organization of persons may be relevant to health policy and promotion efforts. (c) 2006 Elsevier Ltd. All rights reserved.