2017
The Role of Perceived Discrimination in Obesity Among African Americans
ŠTĚPANÍKOVÁ, Irena, Elizabeth H. BAKER, Zachary R. SIMONI, Aowen ZHU, Sarah B. RUTLAND et. al.Základní údaje
Originální název
The Role of Perceived Discrimination in Obesity Among African Americans
Autoři
ŠTĚPANÍKOVÁ, Irena (203 Česká republika, garant, domácí), Elizabeth H. BAKER (840 Spojené státy), Zachary R. SIMONI (840 Spojené státy), Aowen ZHU (840 Spojené státy), Sarah B. RUTLAND (840 Spojené státy), Mario SIMS (840 Spojené státy) a Larrell L. WILKINSON (840 Spojené státy)
Vydání
AMERICAN JOURNAL OF PREVENTIVE MEDICINE, NEW YORK, ELSEVIER SCIENCE INC, 2017, 0749-3797
Další údaje
Jazyk
angličtina
Typ výsledku
Článek v odborném periodiku
Obor
30304 Public and environmental health
Stát vydavatele
Spojené státy
Utajení
není předmětem státního či obchodního tajemství
Odkazy
Impakt faktor
Impact factor: 4.127
Kód RIV
RIV/00216224:14310/17:00100128
Organizační jednotka
Přírodovědecká fakulta
UT WoS
000390667100010
Klíčová slova anglicky
UNITED-STATES; CARDIOVASCULAR-DISEASE; RACIAL-DISCRIMINATION; GENDER DISCRIMINATION; PHYSICAL-ACTIVITY; LIFE EXPERIENCES; HEALTH BEHAVIORS; ASIAN-AMERICANS; ABDOMINAL FAT; US ADULTS
Příznaky
Mezinárodní význam, Recenzováno
Změněno: 28. 2. 2018 21:16, Mgr. Michaela Hylsová, Ph.D.
Anotace
V originále
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.