Ethnic-group socioeconomic status as an indicator of community-level disadvantage: A study of overweight/obesity in Asian American adolescents
Ethnic-group socioeconomic status as an indicator of community-level disadvantage: A study of overweight/obesity in Asian American adolescents
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DOI：
10.1016/j.socscimed.2017.04.027
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发表时间：
2017-07-01
影响因子：
5.4
通讯作者：
Lui, Camillia
中科院分区：
文献类型：
--
作者：
Cook, Won Kim;Tseng, Winston;Lui, Camillia
亚裔美国儿童和青少年是肥胖研究中一个调查不足的亚群。亚裔美国人族群之间广泛的社会经济多样性，本研究探讨了族群的社会经济地位（SES）作为一个指标，社区层面的劣势，可能会影响超重/肥胖的亚裔美国青少年。我们假设，种族组SES与亚裔美国青少年超重/肥胖呈负相关。使用2007-2012年加州健康访谈调查（CHIS）汇总数据中的1525名12-17岁亚裔美国青少年样本拟合多元逻辑回归模型。年龄，性别，出生，个人层面的SES（收入和教育），和两个生活方式变量（快餐消费和体育活动）进行了控制。我们发现，高或中等社会经济地位的种族群体的青少年超重/肥胖的可能性远远低于低社会经济地位的种族群体。此外，这些关系在外国出生的青少年中更为明显，但在美国出生的青少年中并不显著。出生的青少年族群SES可能是社区层面社会经济差异的一个有意义的指标，这些差异影响亚裔美国人的健康，并可能影响其他具有不同社会经济和种族背景移民比例高的人群。(C)2017爱思唯尔有限公司版权所有
Asian American children and adolescents are an under-investigated subpopulation in obesity research. Informed by a wide socioeconomic diversity among Asian American ethnic groups, this study explored ethnic-group socioeconomic status (SES) as an indicator of community-level disadvantage that may influence overweight/obesity in Asian American adolescents. We hypothesized that ethnic-group SES was inversely associated with overweight/obesity in Asian American adolescents. Multiple logistic regression models were fitted using a sample of 1525 Asian American adolescents ages 12-17 from pooled 2007-2012 California Health Interview Survey (CHIS) data. Age, gender, nativity, individual-level SES (income and education), and two lifestyle variables (fast food consumption and physical activity) were controlled for. We found that adolescents in high- or middle-level SES ethnic groups were far less likely to be overweight/obese than those in low-SES ethnic groups. Further, these relationships were more pronounced for foreign-born adolescents but not significant for U.S.-born adolescents. Ethnic group SES may be a meaningful indicator of community-level socioeconomic disparities that influence the health of Asian Americans and, potentially, other populations with high proportions of immigrants of diverse socioeconomic and ethnic backgrounds. (C) 2017 Elsevier Ltd. All rights reserved.