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识别黑人、西班牙裔和亚裔男性中抑郁症与超重或肥胖合并症风险增加的亚组。

Identifying subgroups of Black, Hispanic and Asian men at increased risk for comorbid depression and overweight or obesity.

作者信息

Hawkins Jaclynn, Watkins Daphne, Allen Julie Ober, Mitchell Jamie

机构信息

University of Michigan, School of Social Work, United States.

University of Michigan, Population Studies Center, United States.

出版信息

Prev Med Rep. 2018 Oct 27;12:268-270. doi: 10.1016/j.pmedr.2018.10.022. eCollection 2018 Dec.

Abstract

Comorbid depression and overweight or obesity increase risk for developing many chronic diseases. Investigating men of color without using a non-Hispanic White male reference group will capture a more nuanced picture of how socio-demographic factors contribute to increased risk for comorbid depression and overweight or obesity among and between men of color. This study used the U.S.-based 2014 National Health Interview Survey (n = 1363) in May 2018 to examine associations between race/ethnicity and comorbid overweight or obesity and depression in men. Men were more likely to be obese or overweight and depressed if they were older (31-54 years old and 55+) [OR = 2.387, 95% CI: 1.526, 3.873, p = 0.000; OR = 2.220, 95% CI: 1.355, 3.635, p = 0.002], Black [OR = 2.745, 95% CI: 1.622, 4.646, p < 0.001], Hispanic [OR = 2.967, 95% CI: 1.762, 4.995, p < 0.001], or earned $35,000-$74,999 [OR = 1.987, 95% CI: 1.255-3.152, p = 0.004]. We identified socio-demographic sub-groups of men at increased risk for comorbid depression and overweight or obesity. Examining intra-group differences among men of color will help clinicians and researchers to address more nuanced socio-demographic characteristics of groups of men who are more at risk for developing a chronic disease.

摘要

共病性抑郁症与超重或肥胖会增加患多种慢性病的风险。在不使用非西班牙裔白人男性参照组的情况下对有色人种男性进行调查,将更细致入微地呈现社会人口学因素如何导致有色人种男性之间以及不同种族的有色人种男性患共病性抑郁症与超重或肥胖的风险增加。本研究于2018年5月使用了美国2014年国民健康访谈调查(n = 1363),以检验种族/族裔与男性共病性超重或肥胖及抑郁症之间的关联。如果男性年龄较大(31 - 54岁及55岁以上)[比值比(OR)= 2.387,95%置信区间(CI):1.526,3.873,p = 0.000;OR = 2.220,95% CI:1.355,3.635,p = 0.002]、为黑人[OR = 2.745,95% CI:1.622,4.646,p < 0.001]、为西班牙裔[OR = 2.967,95% CI:1.762,4.995,p < 0.001]或收入为35,000 - 74,999美元[OR = 1.987,95% CI:1.255 - 3.152,p = 0.004],则他们更有可能肥胖或超重且患有抑郁症。我们确定了患共病性抑郁症与超重或肥胖风险增加的男性社会人口学子群体。研究有色人种男性群体内部的差异将有助于临床医生和研究人员应对患慢性病风险更高的男性群体更细微的社会人口学特征。

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