Singh Gopal K, Lin Sue C
US Department of Health and Human Services Health Resources and Services Administration, Maternal and Child Health Bureau, 5600 Fishers Lane, Room 18-41, Rockville, MD 20857, USA.
US Department of Health and Human Services Health Resources and Services Administration, Bureau of Primary Health Care, 5600 Fishers Lane, Room 6A-55, Rockville, MD 20857, USA.
ISRN Prev Med. 2013 Oct 29;2013:898691. doi: 10.5402/2013/898691. eCollection 2013.
We examined trends in adult obesity and overweight prevalence among major Asian/Pacific Islander (API) subgroups and the non-Hispanic whites from 1992 to 2011. Using 1992-2011 National Health Interview Surveys, obesity, overweight, and BMI differentials were analyzed by logistic, linear, and log-linear regression. Between 1992 and 2011, obesity prevalence doubled for the Chinese, the Asian Indians, the Japanese, and the Hawaiians/Pacific Islanders; and tripled for the Filipinos. Obesity prevalence among API adults tripled from 3.7% in 1992 to 13.3% in 2010, and overweight prevalence doubled from 23.2% to 43.1%. Immigrants in each API subgroup had lower prevalence than their US-born counterparts, with immigrants' obesity and overweight risks increasing with increasing duration of residence. During 2006-2011, obesity prevalence ranged from 3.3% for Chinese immigrants to 22.3% for the US-born Filipinos and 41.1% for the Native Hawaiians/Pacific Islanders. The Asian Indians, the Filipinos, and the Hawaiians/Pacific Islanders had, respectively, 3.1, 3.8, and 10.9 times higher odds of obesity than those of the Chinese adults. Compared with Chinese immigrants, the adjusted odds of obesity were 3.5-4.6 times higher for the US-born Chinese and the foreign-born Filipinos, 9 times higher for the US-born Filipinos and whites, 3.8-5.5 times higher for the US-born and foreign-born Asian Indians, and 21.9 times higher for the Native Hawaiians. Substantial ethnic heterogeneity and rising prevalence underscore the need for increased monitoring of obesity and obesity-related risk factors among API subgroups.
我们研究了1992年至2011年间主要亚洲/太平洋岛民（API）亚组以及非西班牙裔白人中成人肥胖和超重患病率的趋势。利用1992 - 2011年国家健康访谈调查，通过逻辑回归、线性回归和对数线性回归分析了肥胖、超重和体重指数差异。1992年至2011年间，华裔、亚裔印度人、日本人以及夏威夷人/太平洋岛民的肥胖患病率翻了一番；菲律宾人的肥胖患病率增长了两倍。API成年人中的肥胖患病率从1992年的3.7%增至2010年的13.3%，增长了两倍，超重患病率从23.2%增至43.1%，增长了一倍。每个API亚组中的移民患病率均低于在美国出生的同龄人，移民的肥胖和超重风险随着居住时间的增加而上升。在2006 - 2011年期间，肥胖患病率从华裔移民的3.3%到在美国出生的菲律宾人的22.3%以及夏威夷原住民/太平洋岛民的41.1%不等。亚裔印度人、菲律宾人和夏威夷人/太平洋岛民肥胖的几率分别比华裔成年人高3.1倍、3.8倍和10.9倍。与华裔移民相比，在美国出生的华裔和外国出生的菲律宾人肥胖的校正几率高3.5 - 4.6倍，在美国出生的菲律宾人和白人高9倍，在美国出生和外国出生的亚裔印度人高3.8 - 5.5倍，夏威夷原住民高21.9倍。显著的种族异质性和患病率上升凸显了加强对API亚组中肥胖及肥胖相关风险因素监测的必要性。
