J Health Care Poor Underserved. 2020;31(1):153-170. doi: 10.1353/hpu.2020.0015.
In the U.S., 54.8% of non-Hispanic Black women are obese, a rate that is 1.4 times greater than in White women. The drivers of this racial disparity are not yet clearly understood. We sought to disentangle race, household poverty, neighborhood racial composition, and neighborhood poverty to better understand the racial disparity in obesity among women. We used data from the 1999-2004 National Health and Nutrition Examination Survey and the 2000 U.S. Census to examine the role of individual race, individual poverty, neighborhood racial composition, and neighborhood poverty on women's risk of obesity. We found that individual race was the primary risk factor for obesity among women. Neighborhood effects did not account for the racial disparity. Understanding that race is a social, not a biologic construct, more work is needed to uncover what it is about race that produces racial disparities in obesity among women.
在美国，54.8%的非西班牙裔黑人女性肥胖，这一比例是西班牙裔白人女性的 1.4 倍。造成这种种族差异的原因尚不清楚。我们试图厘清种族、家庭贫困、社区种族构成和社区贫困，以更好地理解女性肥胖的种族差异。我们使用了 1999-2004 年全国健康和营养调查以及 2000 年美国人口普查的数据，研究了个人种族、个人贫困、社区种族构成和社区贫困对女性肥胖风险的作用。我们发现，个人种族是女性肥胖的主要风险因素。社区效应并不能解释这种种族差异。鉴于种族是一种社会而非生物学的建构，我们需要做更多的工作来揭示种族是如何导致女性肥胖的种族差异。
