Contribution of social, behavioral, and contextual exposures to Black-White disparities in incident obesity: The CARDIA study.
Journal
Obesity (Silver Spring, Md.)
ISSN: 1930-739X
Titre abrégé: Obesity (Silver Spring)
Pays: United States
ID NLM: 101264860
Informations de publication
Date de publication:
05 2023
05 2023
Historique:
revised:
29
11
2022
received:
09
06
2022
accepted:
13
12
2022
pmc-release:
01
05
2024
medline:
17
5
2023
pubmed:
13
4
2023
entrez:
12
4
2023
Statut:
ppublish
Résumé
The aim of this study was to quantify the contributions of socioeconomic, psychosocial, behavioral, reproductive, and neighborhood exposures in young adulthood to Black-White differences in incident obesity. In the Coronary Artery Risk Development in Young Adults (CARDIA) study, 4488 Black or White adults aged 18 to 30 years without obesity at baseline (1985-1986) were followed over 30 years. Sex-specific Cox proportional hazard models were used to estimate Black-White differences in incident obesity. Models were adjusted for baseline and time-updated indicators. During follow-up, 1777 participants developed obesity. Black women were 1.87 (95% CI: 1.63-2.13) times more likely and Black men were 1.53 (95% CI: 1.32-1.77) times more likely to develop obesity than their White counterparts after adjusting for age, field center, and baseline BMI. Baseline exposures explained 43% of this difference in women and 52% in men. Time-updated exposures explained more of the racial difference in women but less for men, compared with baseline exposures. Adjusting for these exposures accounted for a substantial but incomplete proportion of racial disparities in incident obesity. Remaining differences may be explained by incomplete capture of the most salient aspects of these exposures or potential variation in the impact of these exposures on obesity by race.
Identifiants
pubmed: 37041722
doi: 10.1002/oby.23698
pmc: PMC10191978
mid: NIHMS1860620
doi:
Types de publication
Journal Article
Research Support, N.I.H., Extramural
Langues
eng
Sous-ensembles de citation
IM
Pagination
1402-1414Subventions
Organisme : NHLBI NIH HHS
ID : HHSN268201800003I
Pays : United States
Organisme : NHLBI NIH HHS
ID : HHSN268201800005I
Pays : United States
Organisme : NHLBI NIH HHS
ID : N01HC48049
Pays : United States
Organisme : NHLBI NIH HHS
ID : HHSN268201800007I
Pays : United States
Organisme : NHLBI NIH HHS
ID : N01HC95095
Pays : United States
Organisme : NICHD NIH HHS
ID : P2C HD050924
Pays : United States
Organisme : NHLBI NIH HHS
ID : HHSN268201800004I
Pays : United States
Organisme : NHLBI NIH HHS
ID : N01HC48048
Pays : United States
Organisme : NIDDK NIH HHS
ID : P30 DK056336
Pays : United States
Organisme : NHLBI NIH HHS
ID : N01HC48047
Pays : United States
Organisme : NIDDK NIH HHS
ID : P30 DK092949
Pays : United States
Organisme : NHLBI NIH HHS
ID : HHSN268201800006I
Pays : United States
Organisme : NHLBI NIH HHS
ID : HHSN268201300029C
Pays : United States
Informations de copyright
© 2023 The Obesity Society.
Références
J Biosoc Sci. 2013 Mar;45(2):267-78
pubmed: 22856616
Am J Public Health. 1996 Oct;86(10):1370-8
pubmed: 8876504
Soc Sci Med. 2005 May;60(9):1987-2010
pubmed: 15743649
Cancer Epidemiol Biomarkers Prev. 2009 Sep;18(9):2397-405
pubmed: 19723915
Ethn Dis. 1994 Winter;4(1):15-27
pubmed: 7742729
J Racial Ethn Health Disparities. 2018 Aug;5(4):774-781
pubmed: 28840545
BMJ. 2009 Jun 29;338:b2393
pubmed: 19564179
Spat Spatiotemporal Epidemiol. 2017 Jun;21:13-23
pubmed: 28552184
Obesity (Silver Spring). 2016 Sep;24(9):1962-8
pubmed: 27569121
Am J Epidemiol. 2000 Jun 15;151(12):1172-81
pubmed: 10905529
Am J Public Health. 1997 Apr;87(4):635-42
pubmed: 9146444
Soc Sci Med. 2006 Sep;63(6):1415-27
pubmed: 16750286
Am J Epidemiol. 2009 Jul 15;170(2):181-92
pubmed: 19465744
Am J Prev Med. 2008 Jan;34(1):16-22
pubmed: 18083446
Ethn Dis. 2007 Winter;17(1):143-52
pubmed: 17274224
Soc Sci Med. 2009 May;68(9):1625-32
pubmed: 19278763
Am J Epidemiol. 2013 Feb 15;177(4):299-309
pubmed: 23337312
J Acad Nutr Diet. 2012 May;112(5):624-635.e6
pubmed: 22709767
J Nutr. 2012 Jun;142(6):1009-18
pubmed: 22513989
Am J Public Health. 2010 Jun;100(6):1040-6
pubmed: 20395582
J Am Diet Assoc. 2011 Dec;111(12):1904-11
pubmed: 22117667
Epidemiology. 1997 Nov;8(6):621-8
pubmed: 9345660
J Am Diet Assoc. 1991 Sep;91(9):1104-12
pubmed: 1918764
J Health Care Poor Underserved. 2013 May;24(2):907-27
pubmed: 23728056
Int J Obes Relat Metab Disord. 2004 Apr;28(4):525-35
pubmed: 14770188
Int J Health Policy Manag. 2017 Aug 05;7(1):1-9
pubmed: 29325397
JAMA. 2017 Dec 26;318(24):2457-2465
pubmed: 29279935
J Natl Med Assoc. 2011 Jul;103(7):602-8
pubmed: 21999035
Vital Health Stat 10. 2012 Jan;(252):1-207
pubmed: 22834228
Obesity (Silver Spring). 2020 Jan;28(1):161-170
pubmed: 31858741
Am J Public Health. 2006 Nov;96(11):2032-9
pubmed: 17018818
Epidemiology. 2018 Mar;29(2):207-214
pubmed: 29280853
Obesity (Silver Spring). 2014 Jul;22(7):1750-5
pubmed: 24733610
Ann Behav Med. 2004 Aug;28(1):20-8
pubmed: 15249256
J Cardiopulm Rehabil. 1989 Nov;9(11):448-459
pubmed: 29657358
Int J Obes Relat Metab Disord. 2000 Dec;24(12):1660-8
pubmed: 11126221
Health Place. 2015 Nov;36:74-87
pubmed: 26454248
Curr Diab Rep. 2015 Nov;15(11):95
pubmed: 26377742
Health Place. 2010 Mar;16(2):191-8
pubmed: 19879795
Obesity (Silver Spring). 2019 Dec;27(12):2067-2075
pubmed: 31642209