Gender-specific disparities in obesity

Gender-specific disparities in obesity
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DOI:
10.1007/s10900-005-8189-8
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发表时间:
2006-02-01
影响因子:
5.9
通讯作者:
Cardarelli, KM
Cardarelli, KM
中科院分区:
医学4区
文献类型:
--
作者:
Borders, TF;Rohrer, JE;Cardarelli, KM

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此前很少有研究调查男性和女性肥胖的相关性是否存在差异。本研究的目的是通过居住的农村地区、种族/民族和社会经济地位来考察肥胖的性别差异。特别强调检查城市、郊区和农村地区居民之间的潜在差异。德克萨斯州 2003 年行为风险因素监测系统 (BRFSS) 成人版的数据被用来模拟与正常体重相比的粗略和调整后的肥胖几率。研究结果表明,其他种族/民族的男性调整后的肥胖几率低于非西班牙裔白人,但其他种族/民族对女性的影响并不显着。西班牙裔或黑人/非裔美国人的女性调整后肥胖的几率高于非西班牙裔白人,但西班牙裔和黑人/非裔美国人的种族对男性来说并不重要。居住在非大都市地区的男性和女性调整后肥胖的几率高于大都市地区的男性和女性。男性之间没有经济差异,但家庭收入高的女性肥胖几率低于低收入女性。教育状况对于男性和女性来说微不足道。研究结果表明,旨在遏制肥胖的计划和政策应针对居住在非大都市地区的男性和女性。其他举措应侧重于特定的妇女群体,包括西班牙裔或黑人/非裔美国人以及家庭收入较低的妇女。
Little prior research has investigated whether the correlates of obesity differ between men and women. The objective of this study was to examine gender-specific disparities in obesity by rurality of residence, race/ethnicity, and socioeconomic status. Particular emphasis was devoted to examining potential differences between residents of urban, suburban, and rural areas. Data from the adult version of the 2003 Behavioral Risk Factor Surveillance System (BRFSS) for the state of Texas were used to model the crude and adjusted odds of being obese as compared to normal weight. The findings showed that males of other race/ethnicity had lower adjusted odds of obesity than non-Hispanic whites, but other race/ethnicity was insignificant for females. Females who were Hispanic or black/African American had higher adjusted odds of obesity than non-Hispanic whites, but Hispanic ethnicity and black/African American race were insignificant for males. Men and women residing in non-metropolitan areas had higher adjusted odds of obesity than their counterparts in metropolitan areas. No economic disparities were revealed among men, but females with high household income had lower odds of obesity than those with low income. Educational status was insignificant for men and women. The findings suggest that programs and policies aimed at curbing obesity should target males and females residing in non-metropolitan localities. Other initiatives should focus on particular groups of women, including those who are Hispanic or black/African American and have low household income.