Department of Social and Behavioral Sciences, Boston University School of Public Health, 715 Albany Street, Crosstown Center-4th Floor Boston, MA 02118, USA.
Prev Med. 2009 Apr;48(4):357-61. doi: 10.1016/j.ypmed.2009.02.003. Epub 2009 Feb 12.
Our goal was to examine possible mechanisms for the relationship of sexual minority status and obesity. The mechanisms we considered were energy intake, measured as consumption of fruits and vegetable, past diet attempts and energy expenditure measured as physical activity and number of days when poor physical or mental health interfered with usual activities. We hypothesized that women with a female partner have greater energy imbalance by expending less energy and have higher energy intake than women with a male partner thereby causing overweight and obesity.
The study was a secondary data analysis of the California Women's Health Survey (CWHS), an annual probability survey that produces a representative sample of the female California population. After pooling data from the years 2001-2005, we obtained a representative sample of 14,197 Californian women. Multiple regression analyses were used to test for mediation.
We found higher prevalence of overweight and obesity in sexual minority women. There was no support for mediation in that gender of sexual partner was not significantly related to measures of energy intake and expenditure.
The findings from the present study further implicate sexual minority status in the risk for overweight and obesity, yet do not identify the chosen measures of energy intake and expenditure as mediators for this relationship.
本研究旨在探讨性少数群体状态与肥胖之间关系的可能机制。我们考虑的机制包括能量摄入(以水果和蔬菜的消耗量来衡量)、既往饮食尝试、能量消耗(以体力活动和因身体或精神健康不佳而妨碍日常活动的天数来衡量)。我们假设,与有男性伴侣的女性相比,有女性伴侣的女性通过较少的能量消耗和更高的能量摄入导致能量失衡,从而导致超重和肥胖。
本研究是对加利福尼亚妇女健康调查(CWHS)的二次数据分析,该调查是一项年度概率调查,为加利福尼亚州的女性人口提供了代表性样本。在合并 2001-2005 年的数据后,我们获得了 14197 名加利福尼亚女性的代表性样本。采用多元回归分析来检验中介作用。
我们发现性少数群体女性超重和肥胖的患病率较高。性伴侣的性别与能量摄入和消耗的测量值之间没有显著关系,因此没有证据支持中介作用。
本研究的结果进一步表明性少数群体状态与超重和肥胖的风险有关,但没有确定所选择的能量摄入和消耗测量值作为这种关系的中介。