Yale School of Medicine, New Haven, CT 06516, USA.
Public Health Rep. 2013 Jan-Feb;128(1):29-36. doi: 10.1177/003335491312800105.
We examined rates of obesity and associated characteristics in the chronically homeless population to explore how a range of factors, including sociodemographics, housing, food source, physical and mental health, and health service use, were related to being overweight or obese.
We conducted multivariate regression analyses on a community sample of 436 chronically homeless adults across 11 U.S. cities to examine the prevalence of obesity.
The majority (57%) of chronically homeless adults were overweight or obese. Chronically homeless adults who were female or Hispanic appeared to be at particular risk for obesity. There were few differences on physical and mental health by weight group. Although overweight and obese chronically homeless adults were more likely to discuss exercise with a health-care provider, they reported engaging in less exercise than those who were underweight or normal weight.
These findings underscore the need for greater attention to obesity in chronically homeless adults and demonstrate a food insecurity-obesity paradox or poverty-obesity link.
本研究旨在调查慢性 homeless 人群中的肥胖率及相关特征，以探讨一系列因素（包括社会人口学、住房、食物来源、身心健康状况以及卫生服务利用情况）与超重或肥胖之间的关系。
我们对来自美国 11 个城市的 436 名慢性 homeless 成年人进行了社区样本的多变量回归分析，以调查肥胖的流行率。
大多数（57%）慢性 homeless 成年人超重或肥胖。女性或西班牙裔的慢性 homeless 成年人似乎特别容易肥胖。体重组之间的身心健康差异较小。尽管超重和肥胖的慢性 homeless 成年人更有可能与医疗保健提供者讨论运动问题，但他们报告的运动量却少于体重不足或正常体重的人。
这些发现强调了需要更加关注慢性 homeless 成年人的肥胖问题，并表明了食物不安全与肥胖之间的悖论或贫困与肥胖之间的联系。
