Thorpe Roland J, Parker Lauren J, Cobb Ryon J, Dillard Felicia, Bowie Janice
a Program for Research on Men's Health , Hopkins Center for Health Disparities Solutions, Johns Hopkins Bloomberg School of Public Health , Baltimore , Maryland , USA.
b Department of Health Behavior and Society , Johns Hopkins Bloomberg School of Public Health , Baltimore , Maryland , USA.
Biodemography Soc Biol. 2017;63(3):253-261. doi: 10.1080/19485565.2017.1353406.
The objective of this study was to examine the association between discrimination and obesity among a U.S. nationally representative sample of African-American men. Data from the 2001-2003 National Survey of American Life (NSAL) were used to collect measures of everyday and major discrimination, and body mass index (BMI) taken from self-reports. Poisson regression with robust standard errors was applied to estimate the prevalence ratios of everyday and major discrimination as it relates to obesity (BMI ≥ 30 kg/m), controlling for potential confounders. In the model that included both everyday and major discrimination, men who experienced any major discrimination had a higher likelihood of obesity (prevalence ratio [PR] = 1.33, 95% confidence interval [CI], 1.06, 1.66) than those who did not experience any major discrimination, controlling for age, marital status, income, education, major stressors, two or more chronic conditions, and physical activity. Exposure to any major discrimination was found to be associated with obesity in African-American men. Future studies among this population are needed to examine whether the observed changes in self-reports of major discrimination are associated with obesity, measured by BMI, over time. The health of African-American men must be a priority in reducing excess disparities in disease, disability, and death.
本研究的目的是在美国具有全国代表性的非裔美国男性样本中，检验歧视与肥胖之间的关联。利用2001 - 2003年美国生活全国调查（NSAL）的数据，收集日常和重大歧视的测量指标，以及自我报告的体重指数（BMI）。应用具有稳健标准误的泊松回归来估计日常和重大歧视与肥胖（BMI≥30kg/m²）相关的患病率比，并控制潜在的混杂因素。在同时纳入日常和重大歧视的模型中，经历过任何重大歧视的男性比未经历过任何重大歧视的男性肥胖的可能性更高（患病率比[PR]=1.33，95%置信区间[CI]，1.06，1.66），该模型控制了年龄、婚姻状况、收入、教育程度、主要压力源、两种或更多慢性疾病以及身体活动等因素。研究发现，遭受任何重大歧视与非裔美国男性的肥胖有关。未来需要针对这一人群开展研究，以检验随着时间推移，观察到的重大歧视自我报告变化是否与通过BMI衡量的肥胖有关。非裔美国男性的健康必须成为减少疾病、残疾和死亡方面过度差距的优先事项。
