Perceived weight discrimination in the CARDIA study: differences by race, sex, and weight status
Authors
Dutton, Gareth R.Lewis, Tene T.
Durant, Nefertiti
Halanych, Jewell
Kiefe, Catarina I.
Sidney, Stephen
Kim, Yongin
Lewis, Cora E.
UMass Chan Affiliations
Department of Quantitative Health SciencesDocument Type
Journal ArticlePublication Date
2014-02-01Keywords
African AmericansBody Mass Index
Cohort Studies
Coronary Artery Disease
European Continental Ancestry Group
Female
Humans
Longitudinal Studies
Male
Middle Aged
Obesity
Overweight
Prevalence
Risk Factors
Severity of Illness Index
Sex Factors
*Social Discrimination
*Social Perception
United States
Community Health and Preventive Medicine
Epidemiology
Health Services Research
Public Health
Metadata
Show full item recordAbstract
OBJECTIVE: To examine self-reported weight discrimination and differences based on race, sex, and BMI in a biracial cohort of community-based middle-aged adults. DESIGN AND METHODS: Participants (3,466, mean age = 50 years, mean BMI = 30 kg/m(2)) of the Coronary Artery Risk Development in Young Adults (CARDIA) Study who completed the 25-year examination of this epidemiological investigation in 2010-2011 were reported. The sample included normal weight, overweight, and obese participants. CARDIA participants are distributed into four race-sex groups, with about half being African-American and half White. Participants completed a self-reported measure of weight discrimination. RESULTS: Among overweight/obese participants, weight discrimination was lowest for White men (12.0%) and highest for White women (30.2%). The adjusted odds ratio (95% CI) for weight discrimination in those with class 2/3 obesity (BMI > /= 35 kg/m(2)) versus the normal-weight was most pronounced: African American men, 4.59 (1.71-12.34); African American women, 7.82 (3.57-17.13); White men, 6.99 (2.27-21.49); and White women, 18.60 (8.97-38.54). Being overweight (BMI = 25-29.9 kg/m(2)) vs. normal weight was associated with increased discrimination in White women only: 2.10 (1.11-3.96). CONCLUSIONS: Novel evidence for a race-sex interaction on perceived weight discrimination, with White women more likely to report discrimination at all levels of overweight and obesity was provided. Pychosocial mechanisms responsible for these differences deserve exploration.Source
Obesity (Silver Spring). 2014 Feb;22(2):530-6. doi: 10.1002/oby.20438. Epub 2013 Jun 13. Link to article on publisher's siteDOI
10.1002/oby.20438Permanent Link to this Item
http://hdl.handle.net/20.500.14038/30455PubMed ID
23512948Related Resources
Link to Article in PubMedae974a485f413a2113503eed53cd6c53
10.1002/oby.20438