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非裔美国人和白种人对减肥体验的看法:一项初步研究。

Perceptions of weight loss experience between African-Americans and Caucasians: a pilot study.

机构信息

Oakland University, 2200 N. Squirrel Road, Rochester, MI, 48309, USA,

出版信息

Obes Surg. 2014 May;24(5):759-64. doi: 10.1007/s11695-013-1155-0.

Abstract

BACKGROUND

Obesity is a growing epidemic in the USA, which leads to comorbidities associated with diseases such as hypertension, diabetes, sleep apnea, cardiovascular disease, osteoarthritis, cancer, gallbladder disease, and dyslipidemia. The purpose of this study is to identify perceptions of weight loss experience between African-American (AA) and Caucasian patients undergoing bariatric surgery.

METHODS

A convenience sample of 31 patients participated in this study from May to June 2013. The sample size consisted of 16 AA and 15 Caucasians from two fully accredited and licensed bariatric clinics in metropolitan Detroit.

RESULTS

The sample (N = 31) consists of eligible AA and Caucasian presurgical bariatric patients on their first preoperative appointment. Snacking and sexual satisfaction showed a significant difference (p < 0.05), lower amongst Caucasians than amongst the AA. The results revealed that salary within the AA population was significantly lower than that of the Caucasians, especially in the $26.000 to $36,000 category as well as in the over $40,000 category.

CONCLUSIONS

The discrepancy widened as the variables of snacks, sexual satisfaction, and salary revealed a significant difference for Caucasians than AA. It is prudent that health-care providers become part of the obesity management solution by examining these variables when planning weight loss interventions.

摘要

背景

肥胖在美国是一种日益严重的流行疾病,可导致与高血压、糖尿病、睡眠呼吸暂停、心血管疾病、骨关节炎、癌症、胆囊疾病和血脂异常等疾病相关的合并症。本研究的目的是确定接受减重手术的非裔美国人和白种人患者对减肥体验的看法。

方法

本研究于 2013 年 5 月至 6 月采用便利抽样法选取了 31 名患者。样本量由底特律都会区两家完全认证和许可的减重诊所的 16 名非裔美国人和 15 名白种人组成。

结果

该样本(N=31)由合格的非裔美国人和白种人前减重手术患者首次术前预约组成。零食和性满意度存在显著差异(p<0.05),白种人低于非裔美国人。结果表明,非裔美国人的薪资明显低于白种人,尤其是在 26,000 美元至 36,000 美元以及 40,000 美元以上两个类别。

结论

随着零食、性满意度和薪资等变量对白种人和非裔美国人的差异变得更加明显,差异也在扩大。医疗保健提供者在计划减肥干预措施时检查这些变量,成为肥胖管理解决方案的一部分是谨慎的。

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