Social context explains race disparities in obesity among women.
BACKGROUND
National data do not account for race differences in health risks resulting from racial segregation or the correlation between race and socioeconomic status. Therefore, these data may inaccurately attribute differences in obesity to race rather than differing social context. The goal of this study was to investigate whether race disparities in obesity among women persist in a community of black people and white people living in the same social context with similar income.


METHODS
Race disparities in obesity were examined among black women and white women living in the same social context with similar income, using the data from the Exploring Health Disparities in Integrated Communities-SWB (EHDIC-SWB) study, and these estimates were compared to national data (National Health Interview Survey) to determine if race disparities in obesity were attenuated among women in EHDIC-SWB. Obesity was based on participants' self-reported height and weight. Logistic regression was used to examine the association between race and obesity.


RESULTS
In the national sample, black women exhibited greater odds of being obese (OR 1.99, 95% CI 1.71 to 2.32) than white women after controlling for covariates. In the EHDIC-SWB sample, black women had similar odds of being obese (OR 1.25, 95% CI 0.90 to 1.75) as compared to white women, after adjusting for covariates.


CONCLUSIONS
There are no race disparities in obesity among poor, urban women sharing the same social context. Developing policies that focus on modifying social aspects of the environment may reduce disparities in obesity among low-income women living in urban communities.
Bleich
Sara N
SN
Department of Health Policy and Management, Bloomberg School of Public Health, Johns Hopkins University, 624 N Broadway, Room 451, Baltimore, MD 21205, USA. sbleich@jhsph.edu
Thorpe
Roland J
RJ
Sharif-Harris
Hamidah
H
Fesahazion
Ruth
R
Laveist
Thomas A
TA
D000328:Adult; D044383:Black People / Q000523:psychology* / Q000706:statistics & numerical data; D005260:Female; D054624:Health Status Disparities; D006801:Humans; D007407:Interviews as Topic; D016015:Logistic Models; D009765:Obesity / Q000453:epidemiology / Q000208:ethnology*; D016017:Odds Ratio; D011203:Poverty / Q000523:psychology / Q000706:statistics & numerical data; D012923:Social Class; D012931:Social Environment; D013315:Stress, Psychological; D014481:United States / Q000453:epidemiology; D044465:White People / Q000523:psychology / Q000706:statistics & numerical data*; D001741:Black or African American
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