ABSTRACT

The objective of this study was to examine the association between discrimination and obesity among a U.S. nationally representative sample of African-American men. Data from the 2001–2003 National Survey of American Life (NSAL) were used to collect measures of everyday and major discrimination, and body mass index (BMI) taken from self-reports. Poisson regression with robust standard errors was applied to estimate the prevalence ratios of everyday and major discrimination as it relates to obesity (BMI ≥ 30 kg/m²), controlling for potential confounders. In the model that included both everyday and major discrimination, men who experienced any major discrimination had a higher likelihood of obesity (prevalence ratio [PR] = 1.33, 95% confidence interval [CI], 1.06, 1.66) than those who did not experience any major discrimination, controlling for age, marital status, income, education, major stressors, two or more chronic conditions, and physical activity. Exposure to any major discrimination was found to be associated with obesity in African-American men. Future studies among this population are needed to examine whether the observed changes in self-reports of major discrimination are associated with obesity, measured by BMI, over time. The health of African-American men must be a priority in reducing excess disparities in disease, disability, and death.

 抽象的

本研究的目的是调查美国具有全国代表性的非裔美国男性样本中的歧视与肥胖之间的关联。 2001-2003 年美国生活全国调查 (NSAL) 的数据用于收集日常歧视和重大歧视的衡量标准，以及来自自我报告的体重指数 (BMI)。应用具有稳健标准误的泊松回归来估计与肥胖（BMI ≥ 30 kg/m ² ）相关的日常歧视和主要歧视的患病率，并控制潜在的混杂因素。在包含日常歧视和重大歧视的模型中，经历过任何重大歧视的男性比没有经历过的男性肥胖的可能性更高（患病率 [PR] = 1.33，95% 置信区间 [CI]，1.06，1.66）任何重大歧视，控制年龄、婚姻状况、收入、教育、主要压力源、两种或多种慢性病和体力活动。研究发现，遭受任何重大歧视都与非裔美国男性的肥胖有关。未来需要对该人群进行研究，以检验随着时间的推移，观察到的主要歧视自我报告的变化是否与肥胖（通过体重指数衡量）相关。非洲裔美国男性的健康必须成为减少疾病、残疾和死亡方面过度差异的首要任务。