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The Association Between Veteran Status and Obesity Differs Across Race/Ethnicity
Adolfo G Cuevas1, Leslie E Cofie2, Sarah Nolte2
1Department of Community Health, 1810Tufts University, Medford, MA, USA.
Purpose:
This study aims to evaluate the interaction between veteran status and race/ethnicity on obesity status.
Design:
Cross-sectional survey.
Setting:
The 2013-2017 National Health Interview Survey.
Sample:
A total of 151,765 adults (8.62% veterans and 91.38 nonveterans) with 69.30% identifying as White, 13.05% identifying as Hispanic, 12.57% identifying as Black, and 5.08% identifying as Asian.
Measures:
Obesity status (measured using self-reported body mass index), race/ethnicity, survey year, age, marital status, educational attainment, federal poverty level, health insurance, type of insurance, self-reported health status, and whether participant had a usual care source.
Analysis:
Weighted logistic regression analysis.
Results:
In a fully adjusted model, there was no evidence that veterans overall had higher odds of obesity compared to nonveterans (adjusted odd ratio (aOR): 1.05, 95% CI: .99, 1.11). White veterans had lower odds of obesity compared to White nonveterans (OR: .93, 95% CI: .87, .98). Hispanic veterans had higher odds of obesity compared to Hispanic nonveterans (aOR: 1.53, 95% CI: 1.23, 1.90). There was no evidence of an association between veteran status and obesity status for Black and Asian adults.
Conclusions:
Effectual prevention strategies are needed to decrease obesity risks among active and retired Hispanic veterans.
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