Thorpe Roland J, Bell Caryn N, Kennedy-Hendricks Alene, Harvey Jelani, Smolen Jenny R, Bowie Janice V, LaVeist Thomas A
Program for Research on Men's Health, Hopkins Center for Health Disparities Solutions, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA,
J Urban Health. 2015 Feb;92(1):83-92. doi: 10.1007/s11524-014-9900-9.
Disparities in men's health research may inaccurately attribute differences in chronic conditions to race rather than the different health risk exposures in which men live. This study sought to determine whether living in the same social environment attenuates race disparities in chronic conditions among men. This study compared survey data collected in 2003 from black and white men with similar incomes living in a racially integrated neighborhood of Baltimore to data from the 2003 National Health Interview Survey. Multivariable logistic regression models estimated to determine whether race disparities in chronic conditions were attenuated among men living in the same social environment. In the national sample, black men exhibited greater odds of having hypertension (odds ratio [OR] = 1.58, 95% confidence interval [CI] 1.34, 1.86) and diabetes (OR = 1.62, 95% CI 1.27-2.08) than white men. In the sample of men living in the same social context, black and white respondents had similar odds of having hypertension (OR = 1.05, 95% CI 0.70, 1.59) and diabetes (OR = 1.12, 95% CI 0.57-2.22). There are no race disparities in chronic conditions among low-income, urban men living in the same social environment. Policies and interventions aiming to reduce disparities in chronic conditions should focus on modifying social aspects of the environment.
男性健康研究中的差异可能会错误地将慢性病的差异归因于种族，而非男性所处的不同健康风险暴露情况。本研究旨在确定生活在相同社会环境中是否会减弱男性慢性病方面的种族差异。该研究将2003年从居住在巴尔的摩一个种族融合社区、收入相似的黑人和白人男性中收集的调查数据，与2003年国家健康访谈调查的数据进行了比较。使用多变量逻辑回归模型来估计生活在相同社会环境中的男性在慢性病方面的种族差异是否会减弱。在全国样本中，黑人男性患高血压（优势比[OR]=1.58，95%置信区间[CI]1.34，1.86）和糖尿病（OR=1.62，95%CI 1.27 - 2.08）的几率高于白人男性。在生活在相同社会环境中的男性样本中，黑人和白人受访者患高血压（OR=1.05，95%CI 0.70，1.59）和糖尿病（OR=1.12，95%CI 0.57 - 2.22）的几率相似。生活在相同社会环境中的低收入城市男性在慢性病方面不存在种族差异。旨在减少慢性病差异的政策和干预措施应侧重于改善环境的社会方面。
