Reesor Layton, Canales Steven, Alonso Yanely, Kamdar Nipa P, Hernandez Daphne C
Am J Health Behav. 2018 Jul 1;42(4):61-69. doi: 10.5993/AJHB.42.4.6.
Objectives In this study, we examined how self-reported health is related to low-income, Hispanic women's underestimation and concerns of weight status. Methods Seventy Hispanic women from Houston-area community centers reported their perceptions and concerns about their weight and health. Height and weight were measured to calculate body mass index. Cross-tabulations and Cohen's kappa determined agreement between women's perception of their weight status and measured weight status. Covariate-adjusted OLS regression models analyzed the association between women's self-reported health as a predictor of weight underestimation and concerns about becoming overweight. Results Forty-three percent of women misperceived their weight status [37% (N = 26) underestimated; 6% (N = 4) overestimated]. Overweight and obese women who reported their health as poor had 84% lower odds of underestimating their weight. Women who reported their health as poor health had 52% lower odds of being concerned about becoming overweight. Conclusions Self-reported poor health predicts perceptions of weight and concerns about future weight gain among low-income Hispanic women. Assessing patients' self-reported health status will allow practitioners to identify who may be at risk for underestimating their weight and being unconcerned about becoming overweight. This knowledge may help practitioners identify patients who would benefit from health education.
目的 在本研究中，我们探讨了自我报告的健康状况与低收入西班牙裔女性对体重状况的低估及担忧之间的关系。方法 来自休斯顿地区社区中心的70名西班牙裔女性报告了她们对自己体重和健康的看法及担忧。测量身高和体重以计算体重指数。交叉表和科恩kappa系数确定了女性对自己体重状况的认知与测量的体重状况之间的一致性。协变量调整后的OLS回归模型分析了女性自我报告的健康状况作为体重低估预测因素与对超重担忧之间的关联。结果 43%的女性错误认知了自己的体重状况[37%（N = 26）低估；6%（N = 4）高估]。报告健康状况较差的超重和肥胖女性低估自己体重的几率低84%。报告健康状况较差的女性担心超重的几率低52%。结论 自我报告的健康状况较差可预测低收入西班牙裔女性对体重的认知以及对未来体重增加的担忧。评估患者自我报告的健康状况将使从业者能够识别出可能低估自己体重且不担心超重的风险人群。这些知识可能有助于从业者识别出能从健康教育中受益的患者。
