Epidemiology Branch, National Institute of Environmental Health Sciences, National Institutes of Health, Department of Health and Human Services, Research Triangle Park, NC 27709, USA.
Department of Environmental Health, Harvard School of Public Health, Boston, MA 02115, USA.
Int J Environ Res Public Health. 2020 Dec 10;17(24):9254. doi: 10.3390/ijerph17249254.
Qualitative studies have identified haircare practices as important culturally specific barriers to physical activity (PA) among Black/African American (AA) women, but quantitative investigations are lacking. Using the Study of Environment, Lifestyle and Fibroids data among 1558 Black/AA women, we investigated associations between hair product usage/hair maintenance behaviors and PA during childhood and adulthood. Participants reported childhood and current chemical relaxer and leave-in conditioner use. Self-reported PA included childhood recreational sports participation, leisure-time PA engagement during adulthood, and, at each life stage, minutes of and intensity of PA. Adjusting for socioeconomic and health characteristics, we used Poisson regression with robust variance to estimate prevalence ratios (PRs) and 95% confidence intervals (CIs) for each PA measure for more vs. less frequent hair product use/hair maintenance. Thirty-four percent reported ≥twice/year chemical relaxer use and 22% reported ≥once/week leave-in conditioner use at age 10 years, and neither were associated with PA at age 10 years. In adulthood, ≥twice/year chemical relaxer users (30%) were less likely (PR = 0.90 [95% CI: 0.79-1.02]) and ≥once/week leave-in conditioner users (24%) were more likely (PR = 1.09 [95% CI: 0.99-1.20]) to report intense PA compared to counterparts reporting rarely/never use. Hair product use/maintenance may influence PA among Black/AA women and impact cardiometabolic health disparities.
定性研究已经确定,头发护理行为是影响黑人和非裔美国女性(AA)进行身体活动(PA)的重要文化特异性障碍,但缺乏定量研究。利用“环境、生活方式和纤维瘤研究”中的数据,对 1558 名黑人和 AA 女性进行研究,我们调查了头发产品使用/头发维护行为与童年和成年期 PA 之间的关联。参与者报告了童年和当前使用化学直发器和免洗护发素的情况。自我报告的 PA 包括童年时期的娱乐性运动参与、成年期的休闲时间 PA 参与,以及在每个生命阶段的 PA 分钟数和强度。调整社会经济和健康特征后,我们使用具有稳健方差的泊松回归来估计每个 PA 指标的患病率比(PR)和 95%置信区间(CI),用于比较更频繁和较不频繁使用头发产品/头发维护的情况。34%的人报告在 10 岁时每年使用化学直发器≥两次,22%的人报告每周使用免洗护发素≥一次,这两种情况都与 10 岁时的 PA 无关。在成年期,每年使用化学直发器≥两次的人(PR = 0.90 [95%CI:0.79-1.02])不太可能,每周使用免洗护发素≥一次的人(PR = 1.09 [95%CI:0.99-1.20])更有可能报告高强度 PA,与很少/从不使用的人相比。头发产品的使用/维护可能会影响黑人和 AA 女性的 PA,从而影响心血管代谢健康的差异。