Social context explains race disparities in obesity among women.
Social context explains race disparities in obesity among women.
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社会背景解释了妇女肥胖的种族差异。
DOI：
10.1136/jech.2009.096297
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发表时间：
2010-05
影响因子：
6.3
通讯作者：
Laveist TA
中科院分区：
文献类型：
--
作者：
Bleich SN;Thorpe RJ Jr;Sharif-Harris H;Fesahazion R;Laveist TA
国家数据没有考虑到种族隔离或种族与社会经济地位之间的相关性造成的健康风险的种族差异。因此，这些数据可能不准确地将肥胖的差异归因于种族，而不是不同的社会背景。这项研究的目的是调查在一个黑人和白色人生活在相同的社会背景下，收入相似的社区中，女性肥胖的种族差异是否持续存在。在黑人妇女和白色妇女之间的肥胖的种族差异进行了检查，生活在相同的社会背景下，类似的收入，使用的数据，从探索健康差距在综合社区-SWB（EHDIC-SWB）研究，这些估计进行了比较，以确定是否种族差异的肥胖在EHDIC-SWB的妇女之间的衰减。肥胖是基于参与者自我报告的身高和体重。Logistic回归分析用于研究种族与肥胖之间的关系。在全国样本中，在控制协变量后，黑人女性肥胖的几率（OR 1.99，95%CI 1.71至2.32）比白色女性更大。在EHDIC-SWB样本中，调整协变量后，黑人女性肥胖的几率（OR 1.25，95%CI 0.90 - 1.75）与白色女性相似。在相同社会背景下的贫穷城市妇女中，肥胖没有种族差异。制定侧重于改变环境的社会方面的政策可能会减少生活在城市社区的低收入妇女在肥胖方面的差异。
National data do not account for race differences in health risks resulting from racial segregation or the correlation between race and socioeconomic status. Therefore, these data may inaccurately attribute differences in obesity to race rather than differing social context. The goal of this study was to investigate whether race disparities in obesity among women persist in a community of black people and white people living in the same social context with similar income. Race disparities in obesity were examined among black women and white women living in the same social context with similar income, using the data from the Exploring Health Disparities in Integrated Communities-SWB (EHDIC-SWB) study, and these estimates were compared to national data (National Health Interview Survey) to determine if race disparities in obesity were attenuated among women in EHDIC-SWB. Obesity was based on participants’ self-reported height and weight. Logistic regression was used to examine the association between race and obesity. In the national sample, black women exhibited greater odds of being obese (OR 1.99, 95% CI 1.71 to 2.32) than white women after controlling for covariates. In the EHDIC-SWB sample, black women had similar odds of being obese (OR 1.25, 95% CI 0.90 to 1.75) as compared to white women, after adjusting for covariates. There are no race disparities in obesity among poor, urban women sharing the same social context. Developing policies that focus on modifying social aspects of the environment may reduce disparities in obesity among low-income women living in urban communities.
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影响因子：
120.7
作者：
Flegal, KM;Carroll, MD;Johnson, CL
通讯作者：
Johnson, CL
影响因子：
12.7
作者：
Acevedo-Garcia, D
通讯作者：
Acevedo-Garcia, D
影响因子：
2.7
作者：
Maddock, J
通讯作者：
Maddock, J
影响因子：
5.1
作者：
Burdette, HL;Whitaker, RC
通讯作者：
Whitaker, RC
影响因子：
5.4
作者：
Kaufman, JS;Cooper, RS;McGee, DL
通讯作者：
McGee, DL