Self-reported comorbidities among self-described overweight African-American and Hispanic adults in the United States: Results of a national survey
Self-reported comorbidities among self-described overweight African-American and Hispanic adults in the United States: Results of a national survey
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DOI：
10.1038/oby.2008.61
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发表时间：
2008-06-01
期刊：
影响因子：
6.9
通讯作者：
Burton, Steven L.
中科院分区：
文献类型：
--
作者：
Burroughs, Valentine J.;Nonas, Cathy;Burton, Steven L.
目的：检查超重的非裔美国人和西班牙裔美国成年人中自我描述的体重状况和 BMI 之间的一致性、自我报告的合并症的患病率以及合并症与自评健康之间的关联。方法和程序：使用随机数字拨号和列出的家庭抽样相结合的方法，对 537 名非裔美国人和 526 名西班牙裔成年人进行了全国代表性样本的鉴定，他们自我描述为轻度或严重超重，参与了一项研究。电话采访。使用自我报告的身高和体重来计算 BMI。结果：超过一半的非裔美国人 (56%) 和三分之一的西班牙裔 (34%) 自称“轻微”超重，根据 BMI 会被归类为肥胖。三分之一 (33%) 的非裔美国人患有高血压，其次是关节炎 (20%)、高胆固醇 (18%) 和糖尿病 (15%)。在西班牙裔中，高胆固醇是最常报告的合并症（17%），其次是高血压（15%）和睡眠困难（12%）。接受调查的近四分之三的非裔美国人 (72%) 表示，他们的整体健康状况为良好至优秀，而西班牙裔的这一比例为 62%。 讨论：自我报告的肥胖相关合并症发生率低于根据生理测量得出的患病率数据所预期的水平，表明缺乏对实际风险的认识。尽管自我报告的某些健康不良风险因素的患病率更高，但与西班牙裔美国人相比，非裔美国人对其整体健康和体重状况持更乐观的看法。医生有一个重要的机会向少数族裔患者传达与体重过重相关的严重健康后果。
Objective: To examine the concordance between self-described weight status and BMI, the prevalence of self-reported comorbidities, and the association between comorbidities and self-rated health among overweight African-American and Hispanic US adults.Methods and Procedures: A nationally representative sample of 537 African- American and 526 Hispanic adults who were identified using a combination of random digit dialing and listed household sampling and self-described as being slightly or very overweight participated in a telephone interview. Self-reported height and weight were used to calculate BMI.Results: More than half of African Americans ( 56%) and one-third of Hispanics ( 34%) who self-described as "slightly" overweight would be classified as obese based on BMI. One-third ( 33%) of African Americans reported high blood pressure, followed by arthritis ( 20%), high cholesterol ( 18%), and diabetes ( 15%). Among Hispanics, high cholesterol was the most frequently reported comorbidity ( 17%), followed by high blood pressure ( 15%), and difficulty sleeping ( 12%). Almost three-quarters of African Americans surveyed ( 72%) reported that their overall health was good to excellent compared to 62% for Hispanics.Discussion: Self-reported rates of obesity-related comorbidities fall below what would be expected based on prevalence data derived from physiologic measures, suggesting a lack of awareness of actual risk. Despite the greater self-reported prevalence of certain risk factors for poor health, African Americans have a more optimistic view of their overall health and weight status compared to Hispanics. Physicians have an important opportunity to communicate to their minority patients the serious health consequences associated with excess weight.