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Titre : | Racial and Ethnic Differences in Obesity in People With Spinal Cord Injury: The Effects of Disadvantaged Neighborhood (2019) |
Auteurs : | Huacong Wen ; Amanda L. Botticello ; Sejong Bae |
Type de document : | Article |
Dans : | Archives of Physical Medicine and Rehabilitation (Vol. 100, n° 9, 2019) |
Article en page(s) : | p. 1599-1606 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Caractéristiques de l'habitat ; Disparités de l'état de santé ; Obésité ; Rééducation et réadaptation ; Santé des minorités ; Traumatismes de la moelle épinière |
Résumé : |
Objective
To examine the role of neighborhood in the relation between race and obesity in people with spinal cord injury (SCI). Design A cross-sectional analysis of survey data from National SCI Database linked with neighborhood data from American Community Survey by census tract. Setting A total of 17 SCI Model Systems centers. Participants Individuals (N=3385; 2251 non-Hispanic whites, 760 non-Hispanic blacks, 374 Hispanics) who completed a follow-up assessment during 2006-2017 (mean duration of injury, 8.3±9.9y) and resided in 2934 census tracts. Intervention Not applicable. Main Outcome Measures Body mass index (BMI) (kg/m2). Results The overall prevalence of obesity was 52.9% (BMI≥25.0) and 23.3% (BMI≥30.0). Hispanics were 67.0% more likely to be obese (BMI≥30.0 kg/m2) relative to non-Hispanic whites (odds ratio, 1.67; 95% confidence interval, 1.27-2.18), after controlling for demographic and injury-related characteristics. Most of the non-Hispanic blacks (66.8%) were living in neighborhoods with high concentrated disadvantaged index (CDI), compared to 35.0% of Hispanics and 9.2% of non-Hispanic whites living in this similar neighborhood status (P<.0001 after accounting for cdi the odds of being obese in hispanics decreased ratio confidence interval regardless race and ethnicity people with sci from disadvantaged neighborhoods were more likely to be than those minimal neighborhoods.> Conclusions Neighborhood characteristics partially diminish racial differences in obesity. Weight management for the SCI population should target those who are Hispanic and living in the disadvantaged neighborhoods. |
Disponible en ligne : | Oui |
En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S0003999319301686 |