-
Je něco špatně v tomto záznamu ?
The Role of Perceived Discrimination in Obesity Among African Americans
I. Stepanikova, EH. Baker, ZR. Simoni, A. Zhu, SB. Rutland, M. Sims, LL. Wilkinson,
Jazyk angličtina Země Nizozemsko
Typ dokumentu časopisecké články
- MeSH
- černoši nebo Afroameričané psychologie MeSH
- diskriminace (psychologie) * MeSH
- dospělí MeSH
- index tělesné hmotnosti MeSH
- kohortové studie MeSH
- lidé středního věku MeSH
- lidé MeSH
- mladý dospělý MeSH
- obezita epidemiologie psychologie MeSH
- obvod pasu MeSH
- osobní újma zaviněná nemocí MeSH
- percepce * MeSH
- průzkumy a dotazníky MeSH
- psychický stres psychologie MeSH
- rizikové faktory MeSH
- senioři nad 80 let MeSH
- senioři MeSH
- zdravé chování * MeSH
- zdravotní stav MeSH
- životní styl MeSH
- Check Tag
- dospělí MeSH
- lidé středního věku MeSH
- lidé MeSH
- mladý dospělý MeSH
- mužské pohlaví MeSH
- senioři nad 80 let MeSH
- senioři MeSH
- ženské pohlaví MeSH
- Publikační typ
- časopisecké články MeSH
- Geografické názvy
- Mississippi epidemiologie MeSH
INTRODUCTION: African Americans, especially those in the South, suffer a disproportionate burden of obesity and are at high risk for perceived discrimination (PD). This study investigates the association between PD and weight status among African Americans and clarifies the role of perceived stress and health behaviors in this relationship. METHODS: Data came from the Jackson Heart Study, Examination 1 (2000-2004; analyses conducted in 2016 using Stata, version 14). African Americans from Jackson, Mississippi, aged 21-95 years were recruited (N=5,301). Weight status was measured using anthropometric data with BMI; waist circumference (in centimeters); and obesity class (I, II, III). Survey instruments were used to measure PD, perceived global stress, and health behaviors. Multivariate regression was used to model weight status outcomes as a function of PD, perceived stress, and health behaviors. RESULTS: After controlling for sociodemographic factors and health status, perceived everyday discrimination was associated with higher BMI (b=0.33, p<0.01); higher waist circumference (b=0.70, p<0.01); and higher relative risk of Class III obesity versus non-obesity (relative risk ratio, 1.18; p<0.001). Global perceived stress was linked to higher BMI (b=0.42, p<0.05) and higher waist circumference (b=1.18; p<0.01) and partially mediated the relationships between PD and these weight status outcomes. Health behaviors led to suppression rather than mediation between PD and weight status and between stress and weight status. CONCLUSIONS: PD and perceived stress are potential risk factors for higher weight status. They should be considered as a part of a comprehensive approach to reduce obesity among African Americans.
Department of Medicine the University of Mississippi Medical Center Jackson Mississippi
Department of Sociology the University of Texas at Dallas Dallas Texas
Department of Sociology University of Alabama at Birmingham Birmingham Alabama
Research Centre for Toxic Compounds in the Environment Masaryk University Brno Czech Republic
Citace poskytuje Crossref.org
- 000
- 00000naa a2200000 a 4500
- 001
- bmc18016855
- 003
- CZ-PrNML
- 005
- 20180521115337.0
- 007
- ta
- 008
- 180515s2017 ne f 000 0|eng||
- 009
- AR
- 024 7_
- $a 10.1016/j.amepre.2016.07.034 $2 doi
- 035 __
- $a (PubMed)27989296
- 040 __
- $a ABA008 $b cze $d ABA008 $e AACR2
- 041 0_
- $a eng
- 044 __
- $a ne
- 100 1_
- $a Stepanikova, Irena $u Department of Sociology, University of Alabama at Birmingham, Birmingham, Alabama; Research Centre for Toxic Compounds in the Environment, Masaryk University, Brno, Czech Republic.
- 245 14
- $a The Role of Perceived Discrimination in Obesity Among African Americans / $c I. Stepanikova, EH. Baker, ZR. Simoni, A. Zhu, SB. Rutland, M. Sims, LL. Wilkinson,
- 520 9_
- $a INTRODUCTION: African Americans, especially those in the South, suffer a disproportionate burden of obesity and are at high risk for perceived discrimination (PD). This study investigates the association between PD and weight status among African Americans and clarifies the role of perceived stress and health behaviors in this relationship. METHODS: Data came from the Jackson Heart Study, Examination 1 (2000-2004; analyses conducted in 2016 using Stata, version 14). African Americans from Jackson, Mississippi, aged 21-95 years were recruited (N=5,301). Weight status was measured using anthropometric data with BMI; waist circumference (in centimeters); and obesity class (I, II, III). Survey instruments were used to measure PD, perceived global stress, and health behaviors. Multivariate regression was used to model weight status outcomes as a function of PD, perceived stress, and health behaviors. RESULTS: After controlling for sociodemographic factors and health status, perceived everyday discrimination was associated with higher BMI (b=0.33, p<0.01); higher waist circumference (b=0.70, p<0.01); and higher relative risk of Class III obesity versus non-obesity (relative risk ratio, 1.18; p<0.001). Global perceived stress was linked to higher BMI (b=0.42, p<0.05) and higher waist circumference (b=1.18; p<0.01) and partially mediated the relationships between PD and these weight status outcomes. Health behaviors led to suppression rather than mediation between PD and weight status and between stress and weight status. CONCLUSIONS: PD and perceived stress are potential risk factors for higher weight status. They should be considered as a part of a comprehensive approach to reduce obesity among African Americans.
- 650 _2
- $a dospělí $7 D000328
- 650 _2
- $a černoši nebo Afroameričané $x psychologie $7 D001741
- 650 _2
- $a senioři $7 D000368
- 650 _2
- $a senioři nad 80 let $7 D000369
- 650 _2
- $a index tělesné hmotnosti $7 D015992
- 650 _2
- $a kohortové studie $7 D015331
- 650 _2
- $a osobní újma zaviněná nemocí $7 D017281
- 650 12
- $a diskriminace (psychologie) $7 D004192
- 650 _2
- $a ženské pohlaví $7 D005260
- 650 12
- $a zdravé chování $7 D015438
- 650 _2
- $a zdravotní stav $7 D006304
- 650 _2
- $a lidé $7 D006801
- 650 _2
- $a životní styl $7 D008019
- 650 _2
- $a mužské pohlaví $7 D008297
- 650 _2
- $a lidé středního věku $7 D008875
- 650 _2
- $a Mississippi $x epidemiologie $7 D008922
- 650 _2
- $a obezita $x epidemiologie $x psychologie $7 D009765
- 650 12
- $a percepce $7 D010465
- 650 _2
- $a rizikové faktory $7 D012307
- 650 _2
- $a psychický stres $x psychologie $7 D013315
- 650 _2
- $a průzkumy a dotazníky $7 D011795
- 650 _2
- $a obvod pasu $7 D055105
- 650 _2
- $a mladý dospělý $7 D055815
- 655 _2
- $a časopisecké články $7 D016428
- 700 1_
- $a Baker, Elizabeth H $u Department of Sociology, University of Alabama at Birmingham, Birmingham, Alabama. Electronic address: ebaker@uab.edu.
- 700 1_
- $a Simoni, Zachary R $u Department of Sociology, the University of Texas at Dallas, Dallas, Texas.
- 700 1_
- $a Zhu, Aowen $u Department of Sociology, University of Alabama at Birmingham, Birmingham, Alabama.
- 700 1_
- $a Rutland, Sarah B $u Department of Sociology, University of Alabama at Birmingham, Birmingham, Alabama.
- 700 1_
- $a Sims, Mario $u Department of Medicine, the University of Mississippi Medical Center, Jackson, Mississippi.
- 700 1_
- $a Wilkinson, Larrell L $u Department of Human Studies, College of Education, University of Alabama at Birmingham, Birmingham, Alabama.
- 773 0_
- $w MED00000290 $t American journal of preventive medicine $x 1873-2607 $g Roč. 52, č. 1S1 (2017), s. S77-S85
- 856 41
- $u https://pubmed.ncbi.nlm.nih.gov/27989296 $y Pubmed
- 910 __
- $a ABA008 $b sig $c sign $y a $z 0
- 990 __
- $a 20180515 $b ABA008
- 991 __
- $a 20180521115519 $b ABA008
- 999 __
- $a ok $b bmc $g 1300479 $s 1013695
- BAS __
- $a 3
- BAS __
- $a PreBMC
- BMC __
- $a 2017 $b 52 $c 1S1 $d S77-S85 $i 1873-2607 $m American journal of preventive medicine $n Am J Prev Med $x MED00000290
- LZP __
- $a Pubmed-20180515
