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在患有肥胖症的黑白差异的大小上的地理差异
Steven A Cohen1, Monique J Brown2, Furong Xu3
1Department of Health Studies University of Rhode Island Kingston Rhode Island USA.
Obesity science & practice
|October 9, 2023
概括
肥胖的种族差异在农村地区更大,特别是在美国某些地区. 了解这些地理因素对于制定有效的公共卫生干预措施来减少健康不平等至关重要.
科学领域:
- 公共卫生 公共卫生
- 健康差距 研究 研究 研究 研究
- 农村卫生 农村卫生
背景情况:
- 美国的肥胖差异已经得到了充分的证据.
- 地理因素可能会影响这些差异的程度.
- "农村死亡惩罚"表明农村地区的发病率和死亡率较高,种族差异更明显.
研究的目的:
- 调查农村-城市地位和地理区域如何缓和肥胖的黑人-白人健康差异.
主要方法:
- 利用了2012年行为风险因素监测系统 (n=403,231) 的数据,重点关注黑人和白人受访者.
- 将受访者县数据与美国人口普查信息联系起来,以获得相对农村指数 (IRR) 和人口普查部门的信息.
- 采用后勤回归模型来评估按IRR四分位数和人口普查划分的黑人-白人肥胖差异.
主要成果:
- 与城市县相比,农村地区的黑人和白人肥胖差异明显更大 (p < 0.001).
- 在中大西洋和南大西洋地区的农村地区,差异更大.
- 相反,在新英格兰,东北中部,西北中部,山区和太平洋地区的城市地区,差距更大.
结论:
- 基于地点的因素显著加剧了种族肥胖差异.
- 了解这些地理调节者对于有效的政策和方案制定至关重要.
- 解决这些差异对于改善人口健康和减少种族不平等至关重要.
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