Rohrer James E, Rohland Barbara M
Department of Family and Community Medicine Texas Tech University Health Sciences Center, USA.
BMC Fam Pract. 2004 Sep 20;5:20. doi: 10.1186/1471-2296-5-20.
The epidemiology of obesity in primary care populations has not been thoroughly explored. This study contributes to filling this gap by investigating the relationship between obesity and different sources of personal stress, mental health, exercise, and demographic characteristics.
A cross-sectional survey using a convenience sample. Five hundred women who attended family planning clinics were surveyed and 274 provided completed answers to all of the questions analyzed in this study. Exercise, self-rated mental health, stress, social support, and demographic variables were included in the survey. Multiple logistic regression analysis was performed.
After adjusting for mental health, exercise, and demographic characteristics of subjects, analysis of the data indicated that that being having a large family and receiving no support from parents were related to obesity in this relatively young low-income primary care sample, but self-reported stress and most types of social support were not significant.
Obesity control programs in primary care centers directed at low-income women should target women who have large families and who are not receiving support from their parents.
初级保健人群中肥胖症的流行病学尚未得到充分研究。本研究通过调查肥胖与不同个人压力源、心理健康、运动及人口统计学特征之间的关系,有助于填补这一空白。
采用便利抽样进行横断面调查。对500名前往计划生育诊所的女性进行了调查,其中274名对本研究分析的所有问题都提供了完整答案。调查内容包括运动、自评心理健康、压力、社会支持和人口统计学变量。进行了多元逻辑回归分析。
在对受试者的心理健康、运动和人口统计学特征进行调整后,数据分析表明,在这个相对年轻的低收入初级保健样本中,家庭规模大且未得到父母支持与肥胖有关,但自我报告的压力和大多数类型的社会支持并不显著。
针对低收入女性的初级保健中心肥胖控制项目应针对家庭规模大且未得到父母支持的女性。