Comparing the Self-Rated Health Effects of Obesity on the Health of African Americans and Caribbean Blacks.
Comparing the Self-Rated Health Effects of Obesity on the Health of African Americans and Caribbean Blacks.
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比较肥胖对非裔美国人和加勒比黑人健康的自评健康影响。
DOI：
10.1080/19371918.2019.1613277
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发表时间：
2019
影响因子：
2.5
通讯作者：
Hastings,JuliaF
中科院分区：
文献类型：
--
作者：
Hastings,JuliaF
黑人更有可能出现肥胖症并因相关疾病而变得虚弱。有大量证据表明肥胖与许多慢性疾病有关，但其与自我报告的健康状况的关系尚不清楚。该研究的目的是检查四个特定种族和性别的美国黑人群体的肥胖与自我报告的健康之间的关系，并评估健康差异是否是种族或性别驱动的。数据取自美国生活全国调查 (NSAL)，用于估计 5,191 人的单独多元逻辑回归模型。使用逻辑回归分析，将肥胖个体报告健康状况下降的几率与体重较健康的个体进行比较，并根据已知的对照进行调整。在非裔美国男性、非裔美国女性和加勒比黑人女性中，肥胖与自评健康之间存在统计学上显着的关联 (p < .001)。在所有群体中，报告健康状况良好的人数比例随着肥胖水平的增加而下降，但在两个种族的女性群体中更为明显。这项研究的结果提供了证据，表明肥胖对美国黑人（不包括加勒比黑人）的自评健康产生负面影响，即使没有糖尿病等慢性疾病。卫生专业人员应重点关注具有文化特色和相关性的预防性健康体重策略和干预措施，以解决非裔美国和加勒比黑人妇女的肥胖健康差异。
The Black population is more likely to experience obesity and to be debilitated by associated illnesses. Much evidence exists linking obesity to many chronic diseases, but the relationship with self-reported health is not clear. The study aims were to examine the relationship between obesity and self-reported health across four race- and gender-specific groups of Black Americans and to assess whether health disparities are race or gender driven. Data were drawn from the National Survey of American Life (NSAL) to estimate separate multivariate logistic regression models for 5,191 persons. Using logistic regression analysis, odds of reporting reduced health in obese individuals were compared with those for healthier weight individuals, adjusting for known controls. Among African American men, African American women, and Caribbean Black women, there was a statistically significant association between obesity and self-rated health (p < .001). The proportion of persons reporting excellent health decreased with increasing level of obesity in all groups, but more pronounced among both racial groups of women. The results of this study provide evidence that obesity has a negative impact on self-rated health among Black Americans, excluding Caribbean Black men, even in the absence of a chronic disease such as diabetes. Health professionals should focus on preventive healthy weight strategies and interventions that are culturally specific and relevant in order to address the obesity health disparity in African American and Caribbean Black women.
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