种族歧视的经验和偏见的饮食质量质量
Lisa M Bodnar1, Angela Odoms-Young2, Sharon I Kirkpatrick3
1Department of Epidemiology, University of Pittsburgh School of Public Health, Pittsburgh, PA; Department of Obstetrics, Gynecology, and Reproductive Sciences, School of Medicine, University of Pittsburgh, Pittsburgh, PA.
The Journal of nutrition
|June 4, 2023
概括
经历种族歧视并没有显著影响孕妇遵守健康饮食指南. 这表明系统因素,而不仅仅是人际种族主义,影响饮食和健康不平等.
科学领域:
- 围产期健康研究
- 营养流行病学 营养流行病学
- 健康的社会决定因素
背景情况:
- 种族主义是导致围产期健康差异的一个重要因素.
- 种族主义与饮食模式之间的联系需要进一步研究.
- 了解这些关联对于解决健康不平等至关重要.
研究的目的:
- 检查经历种族歧视与遵守2015-2020年美国人饮食指南之间的关系.
- 评估自我报告的种族歧视如何影响孕妇的饮食质量.
- 为旨在改善饮食和围产期健康结果的干预措施提供信息.
主要方法:
- 预期怀孕队列研究涉及10,038名在8个美国医疗中心 (2010年至2013年) 跨越nulliparous个体.
- 在怀孕期间使用Block食物频率调查问卷评估饮食摄入量.
- 使用克里格尔歧视经验量表来衡量种族歧视的经验.
- 使用健康饮食指数 (HEI) -2015评估的饮食指南的遵守.
主要成果:
- 49%的亚洲人,44%的黑人,35%的西班牙裔和17%的白人参与者报告种族歧视.
- 根据报告的歧视领域的数量,在种族/族群之间没有观察到HEI-2015得分的显著差异.
- 平均HEI-2015分数在各组范围从5769不等,这表明无论歧视经历如何,饮食遵守水平都是一致的.
结论:
- 该研究发现,人际种族歧视与遵守健康饮食指南之间没有联系.
- 调查结果强调需要检查导致饮食和围产期健康差异的制度和系统因素.
- 解决根深蒂固的不平等问题需要一个更广泛的方法,超越个人种族主义经历.
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