Wang Liang, Southerland Jodi, Wang Kesheng, Bailey Beth A, Alamian Arsham, Stevens Marc A, Wang Youfa
Department of Biostatistics and Epidemiology, College of Public Health, East Tennessee State University, Johnson City, TN, USA.
Department of Community and Behavioral Health, College of Public Health, East Tennessee State University, Johnson City, TN, USA.
J Obes. 2017;2017:2427483. doi: 10.1155/2017/2427483. Epub 2017 Mar 2.
Little attention has been given to differences in obesity risk factors by racial/ethnic groups. Using data from the 2011-2012 California Health Interview Survey, we examined differences in risk factors for obesity among Whites, Latinos, Asians, and African Americans among 42,935 adults (24.8% obese). Estimates were weighted to ensure an unbiased representation of the Californian population. Multiple logistic and linear regression analyses were used to examine the differences in risk factors for obesity. Large ethnic disparities were found in obesity prevalence: Whites (22.0%), Latinos (33.6%), African Americans (36.1%), and Asians (9.8%). Differences in risk factors for obesity were also observed: Whites (gender, age, physical activity, smoking, arthritis, and diabetes medicine intake), Latinos (age, arthritis, and diabetes medicine intake), Asians (age, binge drinking, arthritis, and diabetes medicine intake), and African Americans (gender, physical activity, smoking, binge drinking, and diabetes medicine intake). Females were more likely to be obese among African Americans (odds ratio (OR) = 1.43, 95% confidence interval (CI) = 1.05-1.94), but less likely among Whites (OR = 0.80, 95% CI = 0.74-0.87). Race/ethnicity should be considered in developing obesity prevention strategies.
种族/族裔群体在肥胖风险因素方面的差异很少受到关注。利用2011 - 2012年加利福尼亚健康访谈调查的数据，我们在42935名成年人（24.8%肥胖）中研究了白人、拉丁裔、亚裔和非裔美国人在肥胖风险因素上的差异。估计值经过加权以确保能无偏差地代表加利福尼亚人口。采用多元逻辑回归和线性回归分析来研究肥胖风险因素的差异。在肥胖患病率方面发现了较大的种族差异：白人（22.0%）、拉丁裔（33.6%）、非裔美国人（36.1%）和亚裔（9.8%）。在肥胖风险因素方面也观察到了差异：白人（性别、年龄、身体活动、吸烟、关节炎和糖尿病药物摄入）、拉丁裔（年龄、关节炎和糖尿病药物摄入）、亚裔（年龄、暴饮、关节炎和糖尿病药物摄入）和非裔美国人（性别、身体活动、吸烟、暴饮和糖尿病药物摄入）。在非裔美国人中女性更易肥胖（优势比（OR） = 1.43，95%置信区间（CI） = 1.05 - 1.94），但在白人中则不太可能（OR = 0.80，95% CI = 0.74 - 0.87）。在制定肥胖预防策略时应考虑种族/族裔因素。
