Massachussetts General Hospital, Boston, MA, USA.
Harvard Medical School, Boston, MA, USA.
J Racial Ethn Health Disparities. 2024 Oct;11(5):3076-3090. doi: 10.1007/s40615-023-01765-5. Epub 2023 Nov 3.
This study examined the association of everyday discrimination with risk of obesity and the potential modifying effect of religious service attendance. Participants included Black, South Asian, and white women in three cohort studies that belong to the Study on Stress, Spirituality and Health. Logistic regression models estimated odds of obesity classification (BMI ≥ 30) relative to experiences of everyday discrimination. In initial pooled analyses, high levels of discrimination were related to increased odds of obesity. Race-specific analyses revealed marginal associations for white and South Asian women. Among Black women, high levels of discrimination and religious service attendance were both associated with higher odds of obesity. However, among women who attended religious services frequently, higher levels of everyday discrimination were associated with slightly lower odds of obesity. These findings underline the complex association between obesity and religion/spirituality, suggesting that higher levels of discrimination may uniquely activate religious resources or coping strategies. Findings highlight the need for additional studies to examine the impact of everyday discrimination on risk of obesity across racial/ethnic communities and how religious practices or coping strategies might affect these dynamics.
这项研究考察了日常歧视与肥胖风险之间的关联,以及宗教服务参与的潜在调节作用。参与者包括属于压力、精神和健康研究的三个队列研究中的黑人、南亚裔和白人女性。逻辑回归模型估计了相对于日常歧视经历的肥胖分类(BMI≥30)的几率。在初步的综合分析中,高水平的歧视与肥胖几率增加有关。针对白人和南亚裔女性的种族特异性分析显示出边缘关联。在黑人女性中,高水平的歧视和宗教服务参与都与更高的肥胖几率有关。然而,在经常参加宗教服务的女性中,高水平的日常歧视与肥胖几率略低有关。这些发现强调了肥胖与宗教/精神之间复杂的关联,表明更高水平的歧视可能会独特地激活宗教资源或应对策略。研究结果强调了需要进一步研究,以了解日常歧视对不同种族/族裔群体肥胖风险的影响,以及宗教实践或应对策略如何影响这些动态。