Buchthal Vanessa
Office of Public Health Studies, University of Hawai'i at Manoa, Honolulu, HI.
Hawaii J Med Public Health. 2014 Oct;73(10):332-4.
A recent Harvard study on national dietary trends found that the gap in healthy dietary behaviors between low-income and middle/upper-income Americans widened between 2000 and 2010. Hawai'i Behavioral Risk Factor Surveillance System (BRFSS) data from 2001-2009 on differences in obesity-related behaviors between moderate-high income, low-income, and poverty-level Hawai'i residents were examined to explore whether Hawai'i data on obesity-related behaviors reflected this national trend. While most differences between groups were not statistically significant, a consistent pattern was seen across all measures that suggested a growing gap between low-income and moderate/high income Hawai'i residents. Data from community studies on pedestrian injury, park use, transportation, and healthy food access were examined. This data suggests that individuals residing in low-income neighborhoods in Hawai'i experience higher barriers to the adoption of healthier behaviors. Further data is needed to document poverty-related gaps in the adoption of health behaviors among youth and within Hawai'i's ethnic groups, communities and geographic areas.
哈佛大学最近一项关于全国饮食趋势的研究发现，2000年至2010年间，美国低收入人群与中高收入人群在健康饮食行为方面的差距有所扩大。研究人员查看了夏威夷行为风险因素监测系统（BRFSS）2001年至2009年的数据，这些数据涉及夏威夷中等高收入、低收入和贫困水平居民在肥胖相关行为上的差异，以探究夏威夷肥胖相关行为数据是否反映了这一全国趋势。虽然组间的大多数差异在统计学上并不显著，但在所有指标中都观察到了一种一致的模式，表明夏威夷低收入居民与中等/高收入居民之间的差距在不断扩大。研究人员还查看了社区研究中关于行人受伤、公园使用、交通和健康食品获取的数据。这些数据表明，居住在夏威夷低收入社区的个人在采取更健康行为方面面临更高的障碍。还需要进一步的数据来记录夏威夷青年以及不同种族、社区和地理区域在采取健康行为方面与贫困相关的差距。
