Crane Melissa M, Walton Surrey M, Suzuki Sumihiro, Appelhans Bradley M
Department of Family and Preventive Medicine Rush University Medical Center Chicago Illinois USA.
Department of Pharmacy Systems Outcomes and Policy University of Illinois Chicago Chicago Illinois USA.
Obes Sci Pract. 2022 Oct 27;9(3):243-252. doi: 10.1002/osp4.642. eCollection 2023 Jun.
Men who work in skilled and unskilled trades and labor occupations (i.e., blue-collar occupations), have high rates of obesity and associated comorbidities but are underrepresented in weight loss programs. A first step in engaging this group is to better understand their preferences for weight loss programs.
Respondents were men working in trade and labor occupations, with overweight/obesity, and an interest in losing weight. A discrete choice experiment was developed, and the data were analyzed using mixed logit model. Respondent characteristics were tested as effect modifiers.
Respondents ( = 221, age ( ± SD) 45.0 ± 12.6, BMI 33.3 ± 6.3, 77% non-Hispanic white) working in a variety of occupations (construction 31%, manufacturing 30%, transportation 25%, maintenance/repair 14%) participated in this study. Results indicate preferences for programs that encourage making smaller dietary changes, are delivered online, and do not incorporate competition. Results were consistent across sensitivity analyses and most respondent groups.
The results suggest specific ways to make weight loss programs more appealing to men in trade and labor occupations. Using experimental methods to quantify preferences using larger, more representative samples would further assist in tailoring behavioral weight loss programs for under-reached populations.
从事熟练和非熟练贸易及体力劳动职业(即蓝领职业)的男性肥胖率及相关合并症发生率较高,但在减肥项目中的参与率较低。吸引这一群体的第一步是更好地了解他们对减肥项目的偏好。
受访者为从事贸易及体力劳动职业、超重/肥胖且有减肥意愿的男性。开展了一项离散选择实验,并使用混合logit模型对数据进行分析。对受访者特征作为效应修饰因素进行了检验。
受访者(n = 221,年龄(均值±标准差)45.0 ± 12.6,体重指数33.3 ± 6.3,77%为非西班牙裔白人)从事各种职业(建筑行业31%,制造业30%,运输业25%,维护/修理业14%)参与了本研究。结果表明,受访者偏好鼓励进行较小饮食改变、在线提供且不包含竞争的项目。敏感性分析和大多数受访者群体的结果一致。
研究结果提出了使减肥项目对从事贸易及体力劳动职业的男性更具吸引力的确切方法。使用实验方法,以更大、更具代表性的样本量化偏好,将进一步有助于为未充分覆盖的人群量身定制行为减肥项目。