Kelley Elizabeth A, Bowie Janice V, Griffith Derek M, Bruce Marino, Hill Sarah, Thorpe Roland J
Program for Research on Men's Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA
Program for Research on Men's Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
Am J Mens Health. 2016 May;10(3):228-36. doi: 10.1177/1557988314565811. Epub 2015 Jan 7.
The prevalence of obesity in the United States has increased significantly and is a particular concern for minority men. Studies focused at the community and national levels have reported that geography can play a substantial role in contributing to obesity, but little is known about how regional influences contribute to obesity among men. The objective of this study is to examine the association between geographic region and obesity among men in the United States and to determine if there are racial/ethnic differences in obesity within these geographic regions. Data from men, aged 18 years and older, from the National Health Interview Survey were combined for the years 2000 to 2010. Obesity was defined as body mass index (BMI) ≥30 kg/m(2) Logistic regression models were specified to calculate the odds ratio (OR) and 95% confidence interval (CI) for the association between geographic region and obesity and for race and obesity within geographic regions. Compared to men living in the Northeast, men living in the Midwest had significantly greater odds of being obese (OR = 1.09, 95% CI [1.02, 1.17]), and men living in the West had lower odds of being obese (OR = 0.82, 95% CI [0.76, 0.89]). Racial/ethnic differences were also observed within geographic region. Black men have greater odds of obesity than White men in the South, West, and Midwest. In the South and West, Hispanic men also have greater odds of obesity than White men. In all regions, Asian men have lower odds of obesity than White men.
美国肥胖症的患病率显著上升，这对少数族裔男性来说尤其令人担忧。聚焦于社区和国家层面的研究报告称，地理位置在导致肥胖方面可能发挥重要作用，但对于区域影响如何导致男性肥胖，人们知之甚少。本研究的目的是检验美国男性地理区域与肥胖症之间的关联，并确定这些地理区域内肥胖症是否存在种族/族裔差异。将2000年至2010年美国国家健康访谈调查中18岁及以上男性的数据进行合并。肥胖定义为体重指数（BMI）≥30 kg/m²。使用逻辑回归模型计算地理区域与肥胖症之间以及地理区域内种族与肥胖症之间关联的比值比（OR）和95%置信区间（CI）。与居住在东北部的男性相比，居住在中西部的男性肥胖几率显著更高（OR = 1.09，95% CI [1.02, 1.17]），而居住在西部的男性肥胖几率较低（OR = 0.82，95% CI [0.76, 0.89]）。在地理区域内也观察到了种族/族裔差异。在南部、西部和中西部，黑人男性比白人男性肥胖几率更高。在南部和西部，西班牙裔男性比白人男性肥胖几率也更高。在所有地区，亚洲男性比白人男性肥胖几率更低。
