Horlyck-Romanovsky Margrethe F, Wyka Katarzyna, Echeverria Sandra E, Leung May May, Fuster Melissa, Huang Terry T-K
CUNY Graduate School of Public Health and Health Policy, New York, NY, USA.
Department of Health and Nutrition Sciences, Brooklyn College, Brooklyn, NY, USA.
J Immigr Minor Health. 2019 Feb;21(1):47-55. doi: 10.1007/s10903-018-0708-7.
Research is limited on the health of foreign-born Blacks (FBBs), who are often grouped with African Americans. This study compared obesity and diabetes odds in FBBs and US-born Blacks (USBBs) in NYC. Analyzing the 2009-2013 NYC Community Health Survey (3701 FBBs and 6297 USBBs), weighted multivariate logistic regression examined odds of obesity and diabetes, adjusting for age, gender, education, income, marital status, children < 18, BMI (for diabetes only) and duration of residence. FBBs had lower odds of obesity [OR 0.62 (95% CI 0.54, 0.72)] and greater odds of diabetes [OR 1.24 (95% CI 1.01, 1.52)] compared to USBBs. FBBs had 1.4 times the odds of diabetes at overweight status, compared to USBBs [OR 1.40 (95% CI 1.01, 1.95)]. Living in the US ≥ 10 years was not associated with odds of obesity and diabetes. Future research should seek to uncover unique risk profiles of sub-ethnic groups in the African diaspora.
关于外国出生的黑人(FBBs)健康状况的研究有限,他们通常与非裔美国人归为一类。本研究比较了纽约市FBBs和美国出生的黑人(USBBs)的肥胖和糖尿病患病几率。分析2009 - 2013年纽约市社区健康调查(3701名FBBs和6297名USBBs),采用加权多变量逻辑回归分析肥胖和糖尿病的患病几率,并对年龄、性别、教育程度、收入、婚姻状况、18岁以下子女数量、BMI(仅针对糖尿病)和居住时间进行了调整。与USBBs相比,FBBs肥胖的几率较低[比值比(OR)为0.62(95%置信区间为0.54, 0.72)],患糖尿病的几率较高[OR为1.24(95%置信区间为1.01, 1.52)]。与USBBs相比,FBBs超重时患糖尿病的几率是其1.4倍[OR为1.40(95%置信区间为1.01, 1.95)]。在美国居住≥10年与肥胖和糖尿病的患病几率无关。未来的研究应致力于揭示非洲侨民中亚种族群体独特的风险特征。