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网络的力量:社会关系和族裔媒体在减轻拉丁裔肥胖和高血压中的作用。

The weight of networks: the role of social ties and ethnic media in mitigating obesity and hypertension among Latinas.

机构信息

a Annenberg School for Communication and Journalism, University of Southern California , Los Angeles , CA , USA.

出版信息

Ethn Health. 2019 Oct;24(7):790-803. doi: 10.1080/13557858.2017.1373071. Epub 2017 Sep 1.

Abstract

Latinos have a disproportionately high risk for obesity and hypertension. The current study analyzes survey data from Latin American women to detect differences in rates of obesity and hypertension based on their number of health-related social ties. Additionally, it proposes individuals' health-related media preference (ethnic/ mainstream) as a potential moderator. The dataset includes 364 Latinas (21-50 years old) from the greater Los Angeles metropolitan area, who responded to a series of sociodemographic, physiological, health-related, and media-related questions. Controlling for various sociodemographic and health variables, each additional health-related tie in a Latina's social network significantly decreased her likelihood of being obese OR = .79,  = .041, 95% CI [.66, .95], but did not affect hypertension. Further, the analysis revealed a significant interaction between media preference and health-related social ties, such that exposure to ethnic media tended to compensate for the absence of social ties for the likelihood of obesity OR = .75,  = .041, 95% CI [.52, .97], as well as hypertension OR = .79,  = .045, 95% CI [.55, .98]. In concurrence with the literature, increases in health-related ties reduced the likelihood of obesity in this population. Moreover, ethnic media preference may play an important role in mitigating the likelihood of obesity and hypertension among Latinas.

摘要

拉丁裔人群肥胖和高血压的风险极高。本研究分析了来自拉丁裔美国女性的调查数据,根据她们与健康相关的社会关系数量,检测肥胖和高血压的发生率差异。此外,还提出了个体的健康相关媒体偏好(民族/主流)作为潜在的调节因素。该数据集包括来自大洛杉矶大都市区的 364 名拉丁裔女性(21-50 岁),她们回答了一系列社会人口统计学、生理学、与健康相关的问题以及媒体相关问题。在控制了各种社会人口统计学和健康变量后,拉丁裔女性社交网络中每增加一个与健康相关的关系,她肥胖的可能性就会显著降低(OR=0.79,=0.041,95%CI [0.66, 0.95]),但不会影响高血压。此外,分析还揭示了媒体偏好和与健康相关的社会关系之间存在显著的相互作用,即接触民族媒体倾向于弥补缺乏社会关系对肥胖的可能性(OR=0.75,=0.041,95%CI [0.52, 0.97])以及高血压的可能性(OR=0.79,=0.045,95%CI [0.55, 0.98])。与文献一致,与健康相关的关系增加降低了该人群肥胖的可能性。此外,民族媒体偏好可能在减轻拉丁裔女性肥胖和高血压的可能性方面发挥重要作用。

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