Morehouse School of Medicine, 720 Westview Dr, Atlanta, GA 30310, USA.
J Natl Med Assoc. 2010 Feb;102(2):119-24. doi: 10.1016/s0027-9684(15)30499-5.
To examine African American women's perception of their risk for obesity-related comorbid illnesses compared to their weight category.
Participants were recruited from urban health centers in Atlanta, Georgia. Anthropometric measurements and self-reported demographics, medical conditions, and health beliefs about obesity and its related comorbid diseases were recorded.
More than 80% of the women (N=323) were either overweight or obese. Among overweight women, 44% reported being a normal weight. Seventy-two percent of the obese women reported being overweight, and 13.6% reported that they were obese. All women reported that each disease was "very serious;" however, overweight women reported having the same risk for each disease as normal weight women. Obese women reported having a higher risk of each disease (p < .05 for all diseases).
Overweight and obese women underestimate their weight categories. Overweight, but not obese, women reported the same perceived susceptibility for obesity-related comorbid diseases as normal-weight women. An increase in the perceived threat to health may motivate women to increase prevention efforts in the early stage of overweight to prevent or delay morbidity or mortality.
与体重类别相比,调查非裔美国女性对肥胖相关合并症风险的认知。
参与者是从佐治亚州亚特兰大市的城市健康中心招募的。记录了人体测量数据以及自我报告的人口统计学数据、医疗状况、对肥胖及其相关合并症的健康信念。
超过 80%的女性(N=323)超重或肥胖。在超重女性中,44%的人报告自己体重正常。72%的肥胖女性报告自己超重,13.6%的女性报告自己肥胖。所有女性都报告说每种疾病都“非常严重”;然而,超重女性报告称自己患每种疾病的风险与体重正常的女性相同。肥胖女性报告称自己患每种疾病的风险更高(所有疾病的 p<.05)。
超重和肥胖女性低估了自己的体重类别。超重但非肥胖的女性报告称,与体重正常的女性相比,她们对肥胖相关合并症的感知易感性相同。对健康威胁的认识增加可能会促使女性在超重的早期阶段增加预防措施,以预防或延迟发病率或死亡率。