A national study of obesity prevalence and trends by type of rural county
A national study of obesity prevalence and trends by type of rural county
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DOI：
10.1111/j.1748-0361.2005.tb00074.x
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发表时间：
2005-03-01
影响因子：
4.9
通讯作者：
Hart, LG
中科院分区：
文献类型：
--
作者：
Jackson, JE;Doescher, MP;Hart, LG
背景：肥胖在美国很流行，但关于这种趋势的农村地区的信息是有限的。目的：评估居住在农村地区的美国成年人肥胖的患病率和近期趋势。研究方法：分析1994-1996年（n = 342，055）和2000-2001年（n = 385，384）行为风险因素监测系统的数据。主要的结果测量是肥胖（身体质量指数[BMI] >= 30），通过计算受访者自我报告的身高和体重的BMI来确定。结果如下：2000-2001年，肥胖患病率为23.0%（95%置信区间[CI] 22.6%-23.4%），农村成人和20.5%（95%CI 20.2%-20.7%），自1994-1996年以来分别增加了4.8%（95%CI 4.2%-5.3%）和5.5%（95%CI 5.1%-5.9%）。路易斯安那州、密西西比州和得克萨斯州的农村县的肥胖患病率最高;在研究期间，除佛罗里达州外，所有州的农村居民的肥胖患病率都有所增加。非裔美国人的肥胖患病率最高的任何组，高达31.4%（95%CI 29.1%-33.6），在农村县毗邻城市县。在城市地区，受过大学教育的人与没有高中文凭的人相比，肥胖患病率的最大差异发生在城市地区（分别为18.4% [95% CI 17.9%-18.9%] vs 23.5% [95% CI 22.5%-24.5%]）;最小的差异发生在偏远的小农村县（分别为20.3% [95%CI 18.7%-21.9%]和22.3% [95%CI 20.7%-24.0%]）。结论：农村县肥胖患病率高于城市县，农村县部分居民存在肥胖问题。不成比例。
Context: Obesity is epidemic in the United States, but information on this trend by type of rural locale is limited. Purpose: To estimate the prevalence of and recent trends in obesity among US adults residing in rural locations. Methods: Analysis of data from the Behavioral Risk Factor Surveillance System (BRFSS) for the years 1994-1996 (n = 342,055) and 2000-2001 (n = 385,384). The main outcome measure was obesity (body mass index [BMI] >= 30), as determined by calculating BMI from respondents' self-reported height and weight. Results: In 2000-2001, the prevalence of obesity was 23.0% (95% confidence interval [CI] 22.6%-23.4%) for rural adults and 20.5% (95% CI 20.2%-20.7%) for their urban counterparts, representing increases of 4.8% (95% CI 4.2%-5.3%) and 5.5% (95% CI 5.1%-5.9%), respectively, since 1994-1996. The highest obesity prevalence occurred in rural counties in Louisiana, Mississippi, and Texas; obesity prevalence increased for rural residents in all states but Florida over the study period. African Americans had the highest obesity prevalence of any group, up to 31.4% (95% CI 29.1%-33.6) in rural counties adjacent to urban counties. The largest difference in obesity prevalence between those with a college education compared with those without a high school diploma occurred in urban areas (18.4% [95% CI 17.9%-18.9%] vs 23.5% [95% CI 22.5%-24.5%], respectively); the smallest difference occurred in small, remote rural counties (20.3% [95% CI 18.7%-21.9%] versus 22.3% [95% CI 20.7%-24.0%], respectively). Conclusions: The prevalence of obesity is higher in rural counties than in urban counties; obesity affects some residents of rural counties. disproportionately.