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@article{1409478,
author = {Štěpaníková, Irena and Baker, Elizabeth H. and Simoni, Zachary R. and Zhu, Aowen and Rutland, Sarah B. and Sims, Mario and Wilkinson, Larrell L.},
article_location = {NEW YORK},
article_number = {1},
doi = {http://dx.doi.org/10.1016/j.amepre.2016.07.034},
keywords = {UNITED-STATES; CARDIOVASCULAR-DISEASE; RACIAL-DISCRIMINATION; GENDER DISCRIMINATION; PHYSICAL-ACTIVITY; LIFE EXPERIENCES; HEALTH BEHAVIORS; ASIAN-AMERICANS; ABDOMINAL FAT; US ADULTS},
language = {eng},
issn = {0749-3797},
journal = {AMERICAN JOURNAL OF PREVENTIVE MEDICINE},
title = {The Role of Perceived Discrimination in Obesity Among African Americans},
url = {https://www.sciencedirect.com/science/article/pii/S0749379716303208?via%3Dihub},
volume = {52},
year = {2017}
}
TY - JOUR
ID - 1409478
AU - Štěpaníková, Irena - Baker, Elizabeth H. - Simoni, Zachary R. - Zhu, Aowen - Rutland, Sarah B. - Sims, Mario - Wilkinson, Larrell L.
PY - 2017
TI - The Role of Perceived Discrimination in Obesity Among African Americans
JF - AMERICAN JOURNAL OF PREVENTIVE MEDICINE
VL - 52
IS - 1
SP - "S77"-"S85"
EP - "S77"-"S85"
PB - ELSEVIER SCIENCE INC
SN - 07493797
KW - UNITED-STATES
KW - CARDIOVASCULAR-DISEASE
KW - RACIAL-DISCRIMINATION
KW - GENDER DISCRIMINATION
KW - PHYSICAL-ACTIVITY
KW - LIFE EXPERIENCES
KW - HEALTH BEHAVIORS
KW - ASIAN-AMERICANS
KW - ABDOMINAL FAT
KW - US ADULTS
UR - https://www.sciencedirect.com/science/article/pii/S0749379716303208?via%3Dihub
L2 - https://www.sciencedirect.com/science/article/pii/S0749379716303208?via%3Dihub
N2 - 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.
ER -
ŠTĚPANÍKOVÁ, Irena, Elizabeth H. BAKER, Zachary R. SIMONI, Aowen ZHU, Sarah B. RUTLAND, Mario SIMS and Larrell L. WILKINSON. The Role of Perceived Discrimination in Obesity Among African Americans. \textit{AMERICAN JOURNAL OF PREVENTIVE MEDICINE}. NEW YORK: ELSEVIER SCIENCE INC, 2017, vol.~52, No~1, p.~''S77''-''S85'', 9 pp. ISSN~0749-3797. Available from: https://dx.doi.org/10.1016/j.amepre.2016.07.034.
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