The Hispanic paradox in the prevalence of obesity at the county-level.

Hispanic paradox health disparities obesity

Journal

Obesity science & practice
ISSN: 2055-2238
Titre abrégé: Obes Sci Pract
Pays: United States
ID NLM: 101675151

Informations de publication

Date de publication:
Feb 2021
Historique:
received: 27 02 2020
revised: 17 07 2020
accepted: 20 09 2020
entrez: 8 3 2021
pubmed: 9 3 2021
medline: 9 3 2021
Statut: epublish

Résumé

The percentage of Hispanics in a county has a negative association with prevalence of obesity. Because Hispanic individuals are unevenly distributed in the United States, this study examined whether this protective association persists when stratifying counties into quartiles based on the size of the Hispanic population and after adjusting for county-level demographic, socioeconomic, healthcare, and environmental factors. Data were extracted from the 2018 Robert Wood Johnson Foundation County Health Rankings. Counties were categorized into quartiles based on their percentage of Hispanics, 0%-5% ( Counties with the top quartile of Hispanic individuals had the lowest prevalence of obesity compared to counties at the bottom quartile (28.4 ± 3.6% vs. 32.7 ± 4.0%). There was a negative association between county-level percentage of Hispanics and prevalence of obesity in unadjusted analyses that persisted after adjusting for all county-level factors. Counties with a higher percentage of Hispanics have lower levels of obesity, even after controlling for demographic, socioeconomic, healthcare, and environmental factors. More research is needed to elucidate why having more Hispanics in a county may be protective against county-level obesity.

Identifiants

pubmed: 33680488
doi: 10.1002/osp4.461
pii: OSP4461
pmc: PMC7909595
doi:

Types de publication

Journal Article

Langues

eng

Pagination

14-24

Subventions

Organisme : NHLBI NIH HHS
ID : K01 HL144607
Pays : United States
Organisme : NIA NIH HHS
ID : P30 AG059307
Pays : United States

Informations de copyright

© 2020 The Authors. Obesity Science & Practice published by World Obesity and The Obesity Society and John Wiley & Sons Ltd.

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Auteurs

Areli Valencia (A)

Stanford University School of Medicine Stanford California USA.

Bongeka Z Zuma (BZ)

Stanford University School of Medicine Stanford California USA.

Gabriela Spencer-Bonilla (G)

Division of Cardiovascular Medicine and Cardiovascular Institute Stanford University School of Medicine Stanford California USA.

Lenny López (L)

School of Medicine University of California San Francisco San Francisco California USA.
The San Francisco VA Medical Center University of California San Francisco San Francisco California USA.

David Scheinker (D)

Department of Management Science and Engineering Stanford University School of Engineering Stanford California USA.
Clinical Excellence Research Center Stanford University School of Medicine Stanford California USA.

Fatima Rodriguez (F)

Division of Cardiovascular Medicine and Cardiovascular Institute Stanford University School of Medicine Stanford California USA.

Classifications MeSH