Department of Internal Medicine, Mercy Catholic Medical Center, 1500 Lansdowne Avenue, Darby, PA, 19023, USA.
Department of Biostatistics and Epidemiology, School of Public Health, University of North Texas Health Science Center, 3500 Camp Bowie Blvd, Fort Worth, TX, 76107, USA.
J Racial Ethn Health Disparities. 2018 Jun;5(3):514-521. doi: 10.1007/s40615-017-0393-6. Epub 2017 Jun 23.
Race/ethnic disparities in obesity are widely reported and are often attributed to diet-related factors, such as menu-labeling usage. We aimed to determine whether racial difference exists in menu-labeling usage.
Data from the 2012 Behavioral Risk Factor Surveillance System were used. Menu labeling was measured from the Sugar-Sweetened Beverages and Menu Labeling module administered in 18 states. We stratified the population into four race/ethnic categories: non-Hispanic whites (reference, n = 66,019, 63%), non-Hispanic blacks (n = 13,623, 13%), Hispanics (n = 14,671, 14%), and others (n = 7336, 7%). Logistic regression was used to examine the racial/ethnic differences in menu-labeling usage. Analyses were conducted adjusting for sociodemographic characteristics, sugar-sweetened beverage intake, and exercise.
The prevalence of menu-labeling usage was approximately 55% overall. Hispanics (adjusted odds ratio [AOR], 1.35; 95% confidence interval [CI], 1.14-1.60) and other race/ethnic groups (AOR, 1.39; 95% CI, 1.18-1.64) used menu labeling more compared to non-Hispanic whites. After stratification by race/ethnicity, menu-labeling usage was not associated with exercise or soda consumption among Hispanics, but significant associations were observed among the other three race/ethnic groups.
The findings suggest that participation in healthy behaviors was associated with the higher usage of menu labeling across all racial/ethnic groups except Hispanics. Future studies are needed to explore this mechanism among individuals engaging in unhealthier behavior as well as how it affects Hispanics.
肥胖的种族/民族差异广泛报道，通常归因于与饮食相关的因素，如菜单标签的使用。我们旨在确定菜单标签的使用是否存在种族差异。
使用 2012 年行为风险因素监测系统的数据。菜单标签通过在 18 个州实施的含糖饮料和菜单标签模块进行测量。我们将人群分为四个种族/民族类别：非西班牙裔白人（参照，n=66019，63%）、非西班牙裔黑人（n=13623，13%）、西班牙裔（n=14671，14%）和其他（n=7336，7%）。使用逻辑回归检验菜单标签使用中的种族/民族差异。分析调整了社会人口统计学特征、含糖饮料摄入和运动。
总体而言，菜单标签使用的流行率约为 55%。与非西班牙裔白人相比，西班牙裔（调整后的优势比 [AOR]，1.35；95%置信区间 [CI]，1.14-1.60）和其他种族/民族群体（AOR，1.39；95% CI，1.18-1.64）更常使用菜单标签。按种族/民族分层后，在西班牙裔人群中，菜单标签的使用与运动或苏打水消费无关，但在其他三个种族/民族群体中观察到显著关联。
研究结果表明，除了西班牙裔人群外，所有种族/民族群体的健康行为参与与菜单标签的更高使用相关。需要进一步研究探索这种机制在行为不健康的个体中的作用以及它如何影响西班牙裔人群。
