Race-specific associations between psychological distress and obesity: the role of social cohesion.
Race-specific associations between psychological distress and obesity: the role of social cohesion.
复制标题
心理困扰和肥胖之间的种族特异性关联：社会凝聚力的作用。
DOI：
10.1080/13557858.2022.2052713
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发表时间：
2023
影响因子：
3.1
通讯作者：
VanKim,NicoleA
中科院分区：
文献类型：
--
作者：
Fields,NicoleD;Whitcomb,BrianW;Bertone-Johnson,ElizabethR;Martínez,AirínD;VanKim,NicoleA
美国近三分之二的黑人女性肥胖。研究更多地关注生活方式和行为因素来解释种族差异;很少有研究探讨心理困扰和社会凝聚力等心理社会因素。虽然研究表明社会凝聚力可能对健康有益，但没有研究评估社会凝聚力与心理健康和肥胖以及潜在种族差异的关系。我们的研究考察了黑人和白色成年女性的心理困扰、社会凝聚力和肥胖之间的关联。设计数据来自2014-2018年国家健康访谈调查（n= 66，743）。参与者自我报告心理困扰（Kessler K6量表），肥胖（体重指数≥30 kg/m2）和社会凝聚力。 我们适合Logistic回归模型的肥胖与似然比测试的社会凝聚力和种族的影响修改。ResultsPsychological distress与1.19和1.31高几率的肥胖黑人（95%置信区间：1.05，1.36）和白色妇女（1.24，1.39），分别。社会凝聚力与白色女性（0.69，0.81）肥胖的几率低0.75相关，但与黑人女性无关（比值比0.94; 0.80，1.10）。测试的互动表明，社会凝聚力或种族之间的心理困扰和obesity.ConclusionFindings突出的心理困扰，肥胖和社会凝聚力在黑色和白色妇女之间的复杂关系之间没有差异。公共卫生工作应侧重于了解社会因素与健康的关系。
ObjectiveNearly two-thirds of Black women in the US are obese. Studies have focused more on lifestyle and behavioral factors to explain racial disparities; less research has examined psychosocial factors such as psychological distress and social cohesion. While research suggests that social cohesion may confer benefits for health, no studies have assessed how social cohesion is related to both mental health and obesity, and potential racial differences. Our study examined associations between psychological distress, social cohesion, and obesity among Black and White adult women.DesignData are from the 2014–2018 National Health Interview Survey (n= 66,743). Participants self-reported psychological distress (Kessler K6 scale), obesity (body mass index≥30 kg/m2), and social cohesion. We fit logistic regression models of obesity with likelihood ratio tests for effect modification by social cohesion and by race.ResultsPsychological distress was associated with a 1.19 and 1.31 higher odds of obesity for Black (95% confidence interval: 1.05, 1.36) and White women (1.24, 1.39), respectively. Social cohesion was associated with a 0.75 lower odds of obesity among White (0.69, 0.81) but not Black women (odds ratio 0.94; 0.80, 1.10). Tests of interaction indicated no differences by social cohesion or race in the association between psychological distress and obesity.ConclusionFindings highlight complex relationships between psychological distress, obesity, and social cohesion in Black and White women. Public health efforts should focus on understanding mechanisms relating social factors to health.