title: Factors associated with BMI, weight perceptions and trying to lose weight in African-American smokers.
abstract: This study examined sociodemographic, behavioral and psychosocial factors associated with BMI, weight perceptions and trying to lose weight among African-American smokers (N=600, M=44.2 years, 70% female). Sixty-eight percent of the sample were overweight or obese (sample BMI M=28.0, SD=6.7). Three separate, simultaneous multivariable regression models were used to determine which factors were associated with BMI, weight perceptions and trying to lose weight. Poorer health, female gender and high-school education or higher were significantly associated with higher BMIs (p<0.05). Being female (OR=5.8, 95% CI=3.6-9.3) and having a higher BMI (OR=0.6, 95% CI=0.5-0.6) was associated with perception of overweight and smoking more cigarettes per day (OR=1.0, 95% CI=1.0-1.1), and perceiving oneself as overweight (OR=14.1, 95% CI=8.2-24.2) was associated with trying to lose weight. Participants somewhat underestimated their BMI in their weight perceptions. Those who perceived themselves as overweight were more likely to be trying to lose weight; therefore, increasing participant awareness of actual BMI status may lead to improved weight-control efforts in African-American smokers. Several expected associations with outcomes were not found, suggesting that BMI and weight constructs are not well-understood in this population.
authors.affiliation: Department of Preventive Medicine and Public Health, University of Kansas School of Medicine, Kansas City, KS, USA. releephd@yahoo.com
authors.forename: Rebecca E
authors.initials: RE
authors.lastname: Lee
authors.forename: Kari Jo
authors.initials: KJ
authors.lastname: Harris
authors.forename: Delwyn
authors.initials: D
authors.lastname: Catley
authors.forename: Valerie
authors.initials: V
authors.lastname: Shostrom
authors.forename: Simon
authors.initials: S
authors.lastname: Choi
authors.forename: Matthew S
authors.initials: MS
authors.lastname: Mayo
authors.forename: Kola
authors.initials: K
authors.lastname: Okuyemi
authors.forename: Harsohena
authors.initials: H
authors.lastname: Kaur
authors.forename: Jasjit S
authors.initials: JS
authors.lastname: Ahluwalia
mesh_terms: D000328:Adult; D001741:Black or African American / Q000523:psychology*; D001290:Attitude; D015992:Body Mass Index; D001835:Body Weight; D003863:Depression / Q000208:ethnology; D004032:Diet; D004038:Diet, Reducing; D004311:Double-Blind Method; D015444:Exercise; D005260:Female; D006304:Health Status; D006801:Humans; D008019:Life Style; D008297:Male; D009765:Obesity / Q000208:ethnology*; D016032:Randomized Controlled Trials as Topic; D012907:Smoking / Q000208:ethnology*; D012959:Socioeconomic Factors; D013315:Stress, Psychological
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