Marissa J Seamans1, Whitney R Robinson2, Roland J Thorpe3, Stephen R Cole4, Thomas A LaVeist5. 1. Department of Epidemiology, University of North Carolina at Chapel Hill, Chapel Hill; Carolina Population Center, University of North Carolina at Chapel Hill, Chapel Hill. Electronic address: seamans@unc.edu. 2. Department of Epidemiology, University of North Carolina at Chapel Hill, Chapel Hill; Carolina Population Center, University of North Carolina at Chapel Hill, Chapel Hill. 3. Department of Health, Behavior and Society, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD; Hopkins Center for Health Disparities Solutions, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD. 4. Department of Epidemiology, University of North Carolina at Chapel Hill, Chapel Hill. 5. Hopkins Center for Health Disparities Solutions, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD; Department of Health Policy and Management, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD.
Abstract
PURPOSE: To investigate whether the gender gap in obesity prevalence is greater among U.S. blacks than whites in a study designed to account for racial differences in socioeconomic and environmental conditions. METHODS: We estimated age-adjusted, race-stratified gender gaps in obesity (% female obese - % male obese, defined as body mass index ≥30 kg/m(2)) in the National Health Interview Survey 2003 and the Exploring Health Disparities in Integrated Communities-Southwest Baltimore 2003 study (EHDIC-SWB). EHDIC-SWB is a population-based survey of 1381 adults living in two urban, low-income, racially integrated census tracts with no race difference in income. RESULTS: In the National Health Interview Survey, the obesity gender gap was larger in blacks than whites as follows: 7.7 percentage points (ppts; 95% confidence interval (CI): 3.4-11.9) in blacks versus -1.5 ppts (95% CI: -2.8 to -0.2) in whites. In EHDIC-SWB, the gender gap was similarly large for blacks and whites as follows: 15.3 ppts (95% CI: 8.6-22.0) in blacks versus 14.0 ppts (95% CI: 7.1-20.9) in whites. CONCLUSIONS: In a racially integrated, low-income urban community, gender gaps in obesity prevalence were similar for blacks and whites.
PURPOSE: To investigate whether the gender gap in obesity prevalence is greater among U.S. blacks than whites in a study designed to account for racial differences in socioeconomic and environmental conditions. METHODS: We estimated age-adjusted, race-stratified gender gaps in obesity (% female obese - % male obese, defined as body mass index ≥30 kg/m(2)) in the National Health Interview Survey 2003 and the Exploring Health Disparities in Integrated Communities-Southwest Baltimore 2003 study (EHDIC-SWB). EHDIC-SWB is a population-based survey of 1381 adults living in two urban, low-income, racially integrated census tracts with no race difference in income. RESULTS: In the National Health Interview Survey, the obesity gender gap was larger in blacks than whites as follows: 7.7 percentage points (ppts; 95% confidence interval (CI): 3.4-11.9) in blacks versus -1.5 ppts (95% CI: -2.8 to -0.2) in whites. In EHDIC-SWB, the gender gap was similarly large for blacks and whites as follows: 15.3 ppts (95% CI: 8.6-22.0) in blacks versus 14.0 ppts (95% CI: 7.1-20.9) in whites. CONCLUSIONS: In a racially integrated, low-income urban community, gender gaps in obesity prevalence were similar for blacks and whites.
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