Department of Community Health Sciences, Boston University School of Public Health, Boston, MA, USA.
College of Medicine, University of Arkansas for Medical Sciences Northwest, Fayetteville, AR, USA.
Ethn Health. 2021 Nov;26(8):1196-1208. doi: 10.1080/13557858.2019.1640351. Epub 2019 Jul 10.
Examine cross-sectional associations between body mass index (BMI) and related health behaviors, barriers and facilitators to health care, and perceived health status among a sample of U.S. Marshallese adults with Type 2 diabetes and evaluate associations of interest between participants and their family members. Cross-sectional baseline data were analyzed from participants in a diabetes self-management education intervention trial. Data collection took place in home or community settings through a community-academic partnership in Arkansas. Study participants consisted of U.S. Marshallese adults with Type 2 diabetes ( = 221) and their family members ( = 211) recruited through community settings. N/A. Participants' height and weight were measured using standard protocols to calculate BMI (kg/m). Diet, physical activity, health care access, financial strain related to health care, perceived health status, and health care satisfaction were measured using self-report surveys. Participants' mean BMI was 31.0 (95% CI: 30.2-31.7), with over half of study participants and their family members' BMI falling in the obese category. Participants' BMI was positively associated with spreading health care bill payments over time ( = 1.75 (SE = 0.87); = 0.045). Positive associations between participants and their family members were observed for self-reported health status conditions, health care coverage, health care utilization, and health care satisfaction. Study findings highlight the high prevalence of obesity and related risk factors among U.S. Marshallese adults with Type 2 diabetes and emphasize the need for intervention strategies that build upon cultural strengths and target community, policy, systems, and environmental changes to address obesity and chronic disease in this marginalized community.
检查体重指数（BMI）与相关健康行为、医疗保健障碍和促进因素以及美国马绍尔群岛 2 型糖尿病患者样本中感知健康状况之间的横断面关联，并评估参与者及其家庭成员之间的相关关联。横断面基线数据来自糖尿病自我管理教育干预试验的参与者。数据收集在阿肯色州的社区学术合作中通过家庭或社区环境进行。研究参与者由美国马绍尔群岛 2 型糖尿病患者（n=221）及其家庭成员（n=211）组成，通过社区环境招募。无。参与者的身高和体重使用标准协议进行测量，以计算 BMI（kg/m）。饮食、身体活动、医疗保健获取、与医疗保健相关的经济压力、感知健康状况和医疗保健满意度使用自我报告调查进行测量。参与者的平均 BMI 为 31.0（95%CI：30.2-31.7），超过一半的研究参与者及其家庭成员的 BMI 属于肥胖类别。参与者的 BMI 与医疗保健费用的分期支付呈正相关（β=1.75（SE=0.87）；p=0.045）。参与者及其家庭成员的自我报告健康状况、医疗保健覆盖范围、医疗保健利用率和医疗保健满意度之间存在正相关关系。研究结果强调了 2 型糖尿病美国马绍尔群岛成年人肥胖和相关风险因素的高患病率，并强调需要采取干预策略，利用文化优势，并针对社区、政策、系统和环境变化，以解决这个边缘化社区的肥胖和慢性病问题。
