加利福尼亚州农村地区美国印第安人中肥胖与虐待史之间的关联。
Association between Obesity and History of Abuse among American Indians in Rural California.
作者信息
Hodge Felicia, Stemmler M Susan, Nandy Karabi
机构信息
Department of Health Policy and Management, University of California, USA.
出版信息
J Obes Weight Loss Ther. 2014;4. doi: 10.4172/2165-7904.1000208.
OBJECTIVES
To explore factors associated with obesity among American Indians.
METHODS
A cross-sectional survey of American Indian adults (N=459) was conducted at 13 rural reservation sites in California. Participants responded to a survey about their health and wellness perceptions. The Body Mass Index (BMI) was used to assess obesity. A predictive model for BMI was built using a generalized regression model.
RESULTS
Having high blood pressure and having a history of verbal abuse in childhood were significant predictors of higher BMI. Participants with high blood pressure were likely to have 3.2 units of BMI higher on average than those who do not have high blood pressure (p-value <0.0001). Similarly, those with a history of childhood verbal abuse were likely to have 1.9 units higher BMI on average compared to those with no such history. Having a history of diabetes or sexual abuse in childhood trend towards increased BMI, although not statistically significant.
CONCLUSION
Identifying childhood trauma and its impact on adult obesity rates among American Indians provides new avenues for intervention. Efforts to reduce over weight and obesity should include culturally sensitive interventions to ameliorate and repair what is lost through personal violations of stigma, abuse or neglect.
目的
探讨美国印第安人中与肥胖相关的因素。
方法
在加利福尼亚州的13个农村保留地对美国印第安成年人（N = 459）进行了横断面调查。参与者回答了一份关于他们对健康和幸福认知的调查问卷。体重指数（BMI）用于评估肥胖情况。使用广义回归模型建立了BMI的预测模型。
结果
患有高血压和有童年期言语虐待史是BMI较高的显著预测因素。患有高血压的参与者平均BMI可能比没有高血压的参与者高3.2个单位（p值<0.0001）。同样，有童年期言语虐待史的参与者平均BMI可能比没有此类病史的参与者高1.9个单位。有童年期糖尿病或性虐待史有使BMI升高的趋势，尽管无统计学意义。
结论
识别童年创伤及其对美国印第安成年人肥胖率的影响为干预提供了新途径。减轻超重和肥胖的努力应包括具有文化敏感性的干预措施，以改善和修复因个人遭受耻辱、虐待或忽视而失去的东西。
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