Division of Occupational and Environmental Health, Department of Family Medicine and Public Health Sciences, Wayne State University School of Medicine, Detroit, MI, USA,
J Community Health. 2014 Apr;39(2):301-9. doi: 10.1007/s10900-013-9760-3.
Race, ethnicity and socioeconomic factors influence the prevalence of obesity and overweight, which are major public health problems. Our objectives were (1) to calculate the prevalence of self-reported obesity and overweight in whites, blacks, Chaldeans, and Arabs in the Detroit metropolitan area; and (2) to examine the odds for self-reported overweight and obesity in the racial and ethnic minorities when compared to whites. The responses to a self-administered survey conducted among the adult residents (n = 2,883) of the Detroit metropolitan area of Michigan were analyzed. Prevalence of overweight and obesity were 47.4 and 34.6 % respectively for the whole sample, while it was 39.9 and 43.6 % for whites, 42.3 and 47.8 % for blacks, 46.2 and 30.3 % for Chaldeans, and 52.2 and 28.5 % for Arabs. The odds for obesity was significantly lower in Arabs [odds ratio (OR) 0.31; 95 % confidence interval (CI) 0.13-0.72] and Chaldeans (OR 0.14; 95 % CI 0.06-0.33) when compared to whites. Chaldeans (OR 0.36; 95 % CI 0.15-0.86) had significantly decreased likelihood for being overweight compared to whites. Odds for obesity and overweight can vary in the different ethnic minorities within whites. Sharing similar living conditions decreases the differences in the odds for overweight and obesity between whites and blacks. Taking into consideration the racial and ethnic differences of the target population may help in developing better programs for fighting overweight and obesity.
种族、民族和社会经济因素影响肥胖和超重的流行率，这是主要的公共卫生问题。我们的目标是：(1)计算底特律大都市区白人、黑人、迦勒底人和阿拉伯人中自我报告的肥胖和超重的流行率；(2)当与白人相比时，检查少数民族中自我报告的超重和肥胖的几率。对密歇根州底特律大都市区成年居民(n=2883)进行的自我管理调查的回答进行了分析。超重和肥胖的总样本患病率分别为 47.4%和 34.6%，而白人的患病率分别为 39.9%和 43.6%，黑人的患病率分别为 42.3%和 47.8%，迦勒底人的患病率分别为 46.2%和 30.3%，阿拉伯人的患病率分别为 52.2%和 28.5%。与白人相比，阿拉伯人肥胖的几率显著降低[比值比(OR)0.31；95%置信区间(CI)0.13-0.72]和迦勒底人(OR 0.14；95%CI 0.06-0.33)。与白人相比，迦勒底人超重的可能性显著降低(OR 0.36；95%CI 0.15-0.86)。在白人中的不同少数民族中，肥胖和超重的几率可能有所不同。相似的生活条件减少了白人和黑人之间超重和肥胖几率的差异。考虑到目标人群的种族和民族差异，可能有助于制定更好的防治超重和肥胖的计划。
