The objective of this study was to examine the association between discrimination and obesity among a U.S. nationally representative sample of African-American men. Data from the 2001–2003 National Survey of American Life (NSAL) were used to collect measures of everyday and major discrimination, and body mass index (BMI) taken from self-reports. Poisson regression with robust standard errors was applied to estimate the prevalence ratios of everyday and major discrimination as it relates to obesity (BMI ≥ 30 kg/m2), controlling for potential confounders. In the model that included both everyday and major discrimination, men who experienced any major discrimination had a higher likelihood of obesity (prevalence ratio [PR] = 1.33, 95% confidence interval [CI], 1.06, 1.66) than those who did not experience any major discrimination, controlling for age, marital status, income, education, major stressors, two or more chronic conditions, and physical activity. Exposure to any major discrimination was found to be associated with obesity in African-American men. Future studies among this population are needed to examine whether the observed changes in self-reports of major discrimination are associated with obesity, measured by BMI, over time. The health of African-American men must be a priority in reducing excess disparities in disease, disability, and death.
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机译:这项研究的目的是研究美国全国代表性的非裔美国人样本中歧视与肥胖之间的联系。使用2001年至2003年美国全国生命调查(NSAL)的数据收集日常和主要歧视的指标,以及从自我报告中获取的体重指数(BMI)。应用具有严格标准误差的Poisson回归来估计与肥胖(BMI≥30 kg / m 2 sup>)相关的日常和主要歧视的患病率,以控制潜在的混杂因素。在既包含日常歧视又包含主要歧视的模型中,经历过任何重大歧视的男人比未经历肥胖的男人发生肥胖的可能性更高(患病率[PR] = 1.33,95%置信区间[CI],1.06,1.66)控制年龄,婚姻状况,收入,教育,主要压力源,两个或多个慢性病和体育锻炼的任何重大歧视。发现任何严重歧视都与非洲裔美国人的肥胖有关。需要对该人群进行进一步的研究,以检查随着时间的推移,观察到的主要歧视自我报告的变化是否与肥胖相关(通过BMI衡量)。非裔美国人的健康必须成为减少疾病,残疾和死亡方面过多差距的优先事项。
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