Race/Ethnicity, Life-Course Socioeconomic Position, and Body Weight Trajectories Over 34 years: The Alameda County Study

American journal of public health - Tập 95 Số 9 - Trang 1595-1601 - 2005
Peter Baltrus1, John Lynch1, Susan A. Everson‐Rose1, Trivellore E. Raghunathan2,1, George Lewith1
1Peter T. Baltrus is with the Social Epidemiology Research Center, Morehouse School of Medicine, Atlanta, Ga. George A. Kaplan, John W. Lynch, and Trivellore E. Raghunathan are with the Center for Social Epidemiology and Population Health, School of Public Health, University of Michigan, Ann Arbor. Susan Everson-Rose is with the Department of Preventive Medicine, Rush Medical College, Rush Medical Center, Chicago, Ill.
2Institute for Healthcare Policy and Innovation

Tóm tắt

Objectives. We investigated whether race differences in weight gain over 34 years were because of socioeconomic position (SEP) and psychosocial and behavioral factors (physical activity, cigarette smoking, alcohol consumption, depression, marital status, number of children). We used a life-course approach to SEP with 4 measures of SEP (childhood SEP, education, occupation, income) and a cumulative measure of SEP. Methods. We used mixed models and data collected from the Alameda County Study to examine the association between race and weight change slopes and baseline weight in men (n=1186) and women (n=1375) aged 17 to 40 years at baseline (in 1965). Results. All subjects gained weight over time. African American women weighed 4.96 kg (P < .001) more at baseline and gained 0.10 kg/year (P = .043) more weight than White women. Black men weighed 2.41 kg (P= .006) more at baseline but did not gain more weight than White men. The association of race with weight gain in women was largely because of cumulative SEP score. Conclusions. Interventions to prevent overweight and obesity should begin early in life and target the socioeconomically disadvantaged.

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American journal of public health

Tập 95 Số 9

1595-1601

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