Salsberry Pamela J, Reagan Patricia B
College of Nursing, The Ohio State University, Columbus, OH 43210, USA.
Public Health Nurs. 2009 Jan-Feb;26(1):14-22. doi: 10.1111/j.1525-1446.2008.00751.x.
This research addresses the following 2 questions. What is the effect of childhood and adult economic status on midlife obesity in Mexican American women? How do these economic patterns in Mexican American women compare with patterns seen in White women and in African American women?
Data were drawn from the U.S. National Longitudinal Survey of Youths 1979-2002 waves. The sample consisted of 422 Mexican Americans, 2,090 Whites, and 1,195 African Americans. The economic indicator used for childhood economic status was parent education; for adult economic status, the participant's own education and adult per capita income were used. Unadjusted and adjusted odds ratios were estimated for the relationship between midlife obesity and economic indicator, stratified by race/ethnic group.
There was an increased risk for midlife obesity with disadvantaged economic status measured during childhood and at midlife in Mexican American women. The economic effects on midlife obesity in Mexican American women were similar to those found for White, but not African American women. Few economic influences on obesity at midlife were found for African American women.
Strategies that broadly improve the economic conditions of Mexican American women may be one important way to address the obesity epidemic in this population.
本研究探讨以下两个问题。童年及成年期经济状况对墨西哥裔美国女性中年肥胖有何影响？墨西哥裔美国女性的这些经济模式与白人女性和非裔美国女性的模式相比如何？
数据取自1979 - 2002年美国全国青年纵向调查各波次。样本包括422名墨西哥裔美国人、2090名白人以及1195名非裔美国人。用于衡量童年经济状况的经济指标是父母的教育程度；对于成年经济状况，则使用参与者自身的教育程度和成年人均收入。按种族/族裔群体分层，估计中年肥胖与经济指标之间关系的未调整和调整后的比值比。
在墨西哥裔美国女性中，童年及中年时经济状况不利会增加中年肥胖的风险。墨西哥裔美国女性中年肥胖的经济影响与白人女性相似，但与非裔美国女性不同。未发现经济状况对非裔美国女性中年肥胖有显著影响。
广泛改善墨西哥裔美国女性经济状况的策略可能是解决该人群肥胖流行问题的一个重要途径。
