History, haldanes and health inequities: exploring phenotypic changes in body size by generation and income level in the US-born White and Black non-Hispanic populations 1959-1962 to 2005-2008.
History, haldanes and health inequities: exploring phenotypic changes in body size by generation and income level in the US-born White and Black non-Hispanic populations 1959-1962 to 2005-2008.
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历史、haldanes 和健康不平等:探索 1959-1962 年至 2005-2008 年美国出生的白人和黑人非西班牙裔人口中不同代际和收入水平的体型表型变化。
DOI:
10.1093/ije/dys206
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发表时间:
2013
影响因子:
7.7
通讯作者:
Beckfield,Jason
中科院分区:
文献类型:
--
作者:
Krieger,Nancy;Chen,JarvisT;Waterman,PamelaD;Kosheleva,Anna;Beckfield,Jason
BackgroundMost public health literature on trends in population health and health inequities pertains to observed or targeted changes in rates or proportions per year or decade. We explore, in novel analyses, whether additional insight can be gained by using the ‘haldane’, a metric developed by evolutionary biologists to measure change in traits in standard deviations per generation, thereby enabling meaningful comparisons across species and time periods.MethodsWe analysed the phenotypic embodied traits of body height, weight and body mass index of US-born White and Black non-Hispanic adults ages 20 to 44 as measured in six large nationally representative population samples spanning from the 1959–1962 National Health Examination Survey I to the 2005–2008 National Health and Nutrition Examination Survey. Setting the former as baseline, we computed the haldane for each outcome for each racial/ethnic group for each survey, overall and stratified by family income quintile.ResultsFor height, high rates of phenotypic change (haldane ≥ 0.3) occurred chiefly between 1960 and 1980, especially for the Black population in the higher income quintiles. By contrast, for weight, high rates of phenotypic change became evident for both the White and Black populations in the late 1980s and increased thereafter; for body mass index, the shift to high rates of change started in both groups in the late 1990s, especially in the middle income quintiles.ConclusionsOur results support use of the haldane as a supplemental metric to place changes in population health and health inequities in a larger biological and historical context.