Racial/ethnic disparities in exercise and dietary behaviors of middle-aged and older adults.
Racial/ethnic disparities in exercise and dietary behaviors of middle-aged and older adults.
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DOI：
10.1007/s11606-010-1514-7
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发表时间：
2011-03
影响因子：
5.7
通讯作者：
Sorkin, Dara H.
中科院分区：
文献类型：
--
作者：
August, Kristin J.;Sorkin, Dara H.
健康行为的差异可能是成年人健康状况中种族/民族差异的重要因素。迄今为止的研究还没有比较在四个最大的种族/民族类别中，中年和老年人在运动和饮食行为方面是否存在健康行为差异。调查中老年人运动和饮食行为的种族/民族差异。我们使用了2007年加州健康访谈调查的数据。多变量逻辑回归被用来检查年龄和种族/民族之间的相互作用，预测两类健康行为。分析进行调整的社会人口学特征，健康保险状况和医疗保健利用。一项基于人口的样本，包括33，189名加州45岁及以上的成年人：26，522名非西班牙裔白人，1，686名非洲裔美国人/黑人，2，565名亚洲/太平洋岛民（1，741名英语熟练; 824名英语有限熟练）和2，416名拉丁美洲人（1，538名英语熟练; 878名英语有限熟练）。自我报告休闲时间的身体活动（中度和剧烈）和每日水果和蔬菜的消费。种族/少数民族通常比白人从事更少的健康运动和饮食行为，在成年中期差异更为明显。在英语熟练的少数民族中，这种差距最大。具体而言，在中年受访者中，所有种族/少数民族的体力活动都不如白人（OR范围= 0.28至0.73; 95% CI范围= 0.16-1.00）。此外，与白人相比，中年英语熟练的少数民族从事较少的中等体力活动（OR范围=0.57至0.67; 95% CI范围= 0.45-0.79）。此外，中年，英语熟练的拉丁美洲人的饮食比白人差（OR = 0.54; 0.39-0.75）。在老年人的运动和饮食行为中，几乎没有明显的种族/民族差异。运动和饮食行为的种族/民族差异在中年，文化适应的少数民族中最为明显。结果强调，需要促进积极的运动和饮食行为在关键的预防年龄，当种族/民族差异很大，预防慢性病的潜力是巨大的。
Differences in health behaviors may be important contributors to racial/ethnic disparities in the health status of adults. Studies to date have not compared whether there are health behavior differences in exercise and dietary behaviors among middle-age and older adults in the four largest racial/ethnic categories. To investigate racial/ethnic differences in exercise and dietary behaviors of middle-aged and older adults. We used data from the 2007 California Health Interview Survey. Multivariable logistic regression was used to examine interactions between age and race/ethnicity in predicting two categories of health behaviors. Analyses were conducted adjusting for sociodemographic characteristics, health insurance status, and healthcare utilization. A population-based sample of 33,189 California adults 45 years old and older: 26,522 non-Hispanic whites, 1,686 African American/blacks, 2,565 Asian/Pacific Islanders (1,741 English-proficient; 824 limited English-proficient), and 2,416 Latinos (1,538 English-proficient; 878 limited English-proficient). Self-report leisure-time physical activity (moderate and vigorous) and daily consumption of fruits and vegetables. Racial/ethnic minorities generally engaged in less healthy exercise and dietary behaviors than whites, with differences more pronounced in middle adulthood. The disparities were the greatest among English-proficient minorities. Specifically, among middle-aged respondents, all racial/ethnic minorities engaged in less vigorous physical activity than whites (ORs range = 0.28 to 0.73; 95% CI range = 0.16-1.00). Additionally, middle-aged, English-proficient minorities engaged in less moderate physical activity compared to whites (ORs range =0.57 to 0.67; 95% CI range = 0.45-0.79). Furthermore, middle-aged, English-proficient Latinos had a poorer diet than whites (OR = 0.54; 0.39-0.75). Few significant racial/ethnic differences emerged in the exercise and dietary behaviors of older adults. Racial/ethnic disparities in exercise and dietary behaviors are most notable among middle-aged, acculturated minorities. Results highlight the need to promote positive exercise and dietary behaviors during critical preventive ages, when racial/ethnic disparities are large and the potential to prevent chronic disease is great.
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7.1
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