Department of Public Health, Amsterdam Academic Medical Center, University of Amsterdam, Amsterdam Public Health Research Institute, Meibergdreef 9, 1105 AZ, Amsterdam, The Netherlands.
Amsterdam University College, Amsterdam, The Netherlands.
Soc Psychiatry Psychiatr Epidemiol. 2020 Jan;55(1):45-56. doi: 10.1007/s00127-019-01682-1. Epub 2019 Mar 11.
Psychosocial stress is associated with obesity in some populations, but it is unclear whether the association is related to migration. This study explored associations between psychosocial stress and obesity among Ghanaian migrants in Europe and non-migrant Ghanaians in Ghana.
Cross-sectional data from the RODAM study were used, including 5898 Ghanaians residing in Germany, the UK, the Netherlands, rural Ghana, and urban Ghana. Perceived discrimination, negative life events and stress at work or at home were examined in relation to body mass index (BMI) and waist circumference (WC). Linear regression analyses were performed separately for migrants and non-migrants stratified by sex.
Perceived discrimination was not associated with BMI and WC in both migrants and non-migrants. However, negative life events were positively associated with BMI (β = 0.78, 95% CI 0.34-1.22) and WC (β = 1.96, 95% CI 0.79-3.12) among male Ghanaian migrants. Similarly, stress at work or at home was positively associated with BMI (β = 0.28, 95% CI 0.00-0.56) and WC (β = 0.84, 95% CI 0.05-1.63) among male Ghanaian migrants. Among non-migrant Ghanaians, in contrast, stress at work or at home was inversely associated with BMI and WC in both males (β = - 0.66, 95% CI - 1.03 to - 0.28; β = - 1.71 95% CI - 2.69 to - 0.73, respectively) and females (β = - 0.81, 95% CI - 1.20 to - 0.42; β = - 1.46, 95% CI - 2.30 to - 0.61, respectively).
Negative life events and stress at work or at home are associated with increased body weight among male Ghanaians in European settings, whereas stress at work or at home is associated with reduced body weight among Ghanaians in Ghana. More work is needed to understand the underlying factors driving these differential associations to assist prevention efforts.
在一些人群中，心理社会压力与肥胖有关，但尚不清楚这种关联是否与移民有关。本研究探讨了欧洲加纳移民和加纳国内非移民加纳人之间心理社会压力与肥胖之间的关系。
使用 RODAM 研究的横断面数据，包括居住在德国、英国、荷兰、加纳农村和加纳城市的 5898 名加纳人。研究了在男性和女性中，感知歧视、生活负面事件和工作或家庭压力与体重指数（BMI）和腰围（WC）的关系。分别对移民和非移民进行了按性别分层的线性回归分析。
在移民和非移民中，感知歧视与 BMI 和 WC 均无关。然而，生活负面事件与加纳男性移民的 BMI（β=0.78，95%CI 0.34-1.22）和 WC（β=1.96，95%CI 0.79-3.12）呈正相关。同样，工作或家庭压力与加纳男性移民的 BMI（β=0.28，95%CI 0.00-0.56）和 WC（β=0.84，95%CI 0.05-1.63）呈正相关。相比之下，在非移民加纳人中，工作或家庭压力与男性（β=-0.66，95%CI-1.03 至-0.28；β=-1.71，95%CI-2.69 至-0.73）和女性（β=-0.81，95%CI-1.20 至-0.42；β=-1.46，95%CI-2.30 至-0.61）的 BMI 和 WC 呈负相关。
在欧洲环境中，生活负面事件和工作或家庭压力与加纳男性体重增加有关，而加纳国内的工作或家庭压力与体重减轻有关。需要进一步研究来了解驱动这些差异关联的潜在因素，以协助预防工作。
