Socioeconomic Correlates of Obesity in African-American and Caribbean-Black Men and Women
Socioeconomic Correlates of Obesity in African-American and Caribbean-Black Men and Women
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DOI：
10.1007/s40615-020-00798-4
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发表时间：
2020-07-04
影响因子：
3.9
通讯作者：
Williams, David R.
中科院分区：
文献类型：
--
作者：
Barrington, Debbie S.;James, Sherman A.;Williams, David R.
美国黑人肥胖的高患病率值得进一步调查其与社会经济地位（SEP），性别和种族的关系。这项横断面研究利用2001-2003年的数据，从美国生活的全国调查，一个全国代表性的样本3570非洲裔美国人和1621加勒比黑人年龄在18岁及以上。按种族和性别分层的多变量logistic回归模型描述了在调整年龄，个人，家庭和社区水平的其他SEP测量以及健康行为（如体力活动，饮酒和吸烟）后，肥胖和多层次社会经济因素之间的独立关联。在非裔美国人和加勒比黑人男性中，肥胖与家庭收入之间存在正相关关系。接受公共援助是加勒比黑人男女肥胖的一个强相关因素。在非裔美国女性中，肥胖与教育、职业和家庭收入之间存在负相关关系;居住在有超市的社区也降低了肥胖的几率。居住在一个有公园的社区只会降低非洲裔美国人的肥胖几率，而居住在一个有超市的社区会降低加勒比黑人男性的肥胖几率。在这些横断面分析中，个体、家庭和社区社会经济资源对非裔美国人和加勒比黑人男性和女性肥胖的社会模式不同;对这些差异的认识可能是为这两个人群制定有效的体重控制干预措施和政策的先决条件。
The high prevalence of obesity among Black Americans warrants additional investigation into its relationship with socioeconomic position (SEP), sex, and ethnicity. This cross-sectional study utilizes 2001-2003 data from the National Survey of American Life, a nationally representative sample of 3570 African-Americans and 1621 Caribbean-Blacks aged 18 years and older. Multivariate logistic regression models stratified by ethnicity and sex describe the independent associations between obesity and multilevel socioeconomic factors after adjustment for age, other SEP measures at the individual, family and neighborhood levels, and health behaviors such as physical activity, alcohol intake, and smoking. A positive relationship was observed between obesity and family income among African-American and Caribbean-Black men. Receipt of public assistance was a strongly associated factor for obesity in Caribbean-Black men and women. Among African-American women, inverse relationships were observed between obesity and education, occupation, and family income; residence within a neighborhood with a supermarket also decreased their odds of obesity. Residence in a neighborhood with a park decreased the odds of obesity only among African-American men, whereas residence in a neighborhood with a supermarket decreased the odds of obesity among Caribbean-Black men. The social patterning of obesity by individual, household, and neighborhood socioeconomic resources differs for African-American and Caribbean-Black men and women within these cross-sectional analyses; an appreciation of these differences may be a prerequisite for developing effective weight control interventions and policies for these two populations.