Women's beliefs about what causes obesity: variation by race/ethnicity and acculturation in a Washington State sample.
Women's beliefs about what causes obesity: variation by race/ethnicity and acculturation in a Washington State sample.
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DOI：
10.1080/13557858.2017.1414156
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发表时间：
2020-02
影响因子：
3.1
通讯作者：
Bowen DJ
中科院分区：
文献类型：
--
作者：
Knerr S;Ceballos RM;Chan KCG;Beresford SAA;Bowen DJ
个人对多因素健康状况原因的信念（因果归因）塑造了他们如何概念化和应对健康威胁，因此对健康促进很重要。然而，关于肥胖因果信念的种族/民族和文化差异的研究却很少。为了解决这一差距，这项研究描述了西班牙裔和非西班牙裔白色妇女参与华盛顿州南金县纵向队列研究（n=1,002）的肥胖（遗传遗传，饮食和体力活动）的根本原因的信念。分析基线调查数据。使用多项逻辑回归模型生成的边际效应估计值，通过种族/民族和文化适应指标（调查语言和出生地）比较自我报告的肥胖因果信念。西班牙裔女性更不相信遗传和体力活动是肥胖的原因--比非西班牙裔白色女性分别增加了33%和5%。这两个文化适应指标也与不相信遗传是肥胖原因的可能性更高有关，尽管用英语完成调查并出生在美国的西班牙裔女性的遗传因果信念与非西班牙裔白色女性相似。行为归因没有不同的文化适应指标在西班牙裔妇女。肥胖因果信念的差异，特别是遗传归因，存在，并可能是重要的发展和提供有效的肥胖相关的健康促进干预措施。确定肥胖归因的文化差异的决定因素和公共卫生后果应该是未来研究的重点。
Individuals’ beliefs about the causes of multifactorial health conditions (causal attributions) shape how they conceptualize and respond to health threats and are therefore important for health promotion. Studies of racial/ethnic and cultural variation in obesity causal beliefs, however, are scarce. To address this gap, this study described beliefs about the underlying causes of obesity (genetic inheritance, diet, and physical activity) in Hispanic and non-Hispanic White women participating in a longitudinal cohort study in South King County, Washington State (n=1,002). Analysis of baseline survey data. Self-reported obesity causal beliefs were compared by race/ethnicity and acculturation indicators (survey language and nativity) using marginal effect estimates generated from multinomial logistic regression models. Hispanic women had a higher probability of not believing ‘at all’ in inheritance and physical activity as causes of obesity—an absolute increase of 33% and 5% over non-Hispanic White women, respectively. Both acculturation indicators were also associated with a higher probability of not believing ‘at all’ in inheritance as a cause of obesity, though Hispanic women who completed the survey in English and were born in the United States had genetic causal beliefs similar to non-Hispanic White women. Behavioral attributions did not vary by acculturation indicators in Hispanic women. Differences in obesity casual beliefs, particularly genetic attributions, exist and may be important for developing and delivering effective obesity-related health promotion interventions. Identifying the determinants and public health consequences of cultural variation in obesity attributions should be the focus of future research.
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影响因子：
5
作者：
GREMBOWSKI, D;PATRICK, D;HECHT, J
通讯作者：
HECHT, J
影响因子：
5.4
作者：
Ro, Annie;Bostean, Georgiana
通讯作者：
Bostean, Georgiana
影响因子：
4.8
作者：
Williams, Richard
通讯作者：
Williams, Richard
影响因子：
5.4
作者：
Alegria, Margarita
通讯作者：
Alegria, Margarita
影响因子：
16.4
作者：
Schwartz, Seth J.;Unger, Jennifer B.;Zamboanga, Byron L.;Szapocznik, Jose
通讯作者：
Szapocznik, Jose