The Hispanic paradox in the prevalence of obesity at the county‐level
Objective The percentage of Hispanics in a county has a negative association with prevalence of obesity. Because Hispanic individuals are unevenly distributed in the United States, this study examined whether this protective association persists when stratifying counties into quartiles based on the...
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Published in | Obesity science & practice Vol. 7; no. 1; pp. 14 - 24 |
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Main Authors | , , , , , |
Format | Journal Article |
Language | English |
Published |
United States
John Wiley & Sons, Inc
01.02.2021
John Wiley and Sons Inc Wiley |
Subjects | |
Online Access | Get full text |
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Abstract | Objective
The percentage of Hispanics in a county has a negative association with prevalence of obesity. Because Hispanic individuals are unevenly distributed in the United States, this study examined whether this protective association persists when stratifying counties into quartiles based on the size of the Hispanic population and after adjusting for county‐level demographic, socioeconomic, healthcare, and environmental factors.
Methods
Data were extracted from the 2018 Robert Wood Johnson Foundation County Health Rankings. Counties were categorized into quartiles based on their percentage of Hispanics, 0%–5% (n = 1794), 5%–20% (n = 962), 20%–50% (n = 283), and >50% (n = 99). For each quartile, univariate and multivariate regression models were used to evaluate the association between prevalence of obesity and demographic, socioeconomic, healthcare, and environmental factors.
Results
Counties with the top quartile of Hispanic individuals had the lowest prevalence of obesity compared to counties at the bottom quartile (28.4 ± 3.6% vs. 32.7 ± 4.0%). There was a negative association between county‐level percentage of Hispanics and prevalence of obesity in unadjusted analyses that persisted after adjusting for all county‐level factors.
Conclusions
Counties with a higher percentage of Hispanics have lower levels of obesity, even after controlling for demographic, socioeconomic, healthcare, and environmental factors. More research is needed to elucidate why having more Hispanics in a county may be protective against county‐level obesity. |
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AbstractList | Objective
The percentage of Hispanics in a county has a negative association with prevalence of obesity. Because Hispanic individuals are unevenly distributed in the United States, this study examined whether this protective association persists when stratifying counties into quartiles based on the size of the Hispanic population and after adjusting for county‐level demographic, socioeconomic, healthcare, and environmental factors.
Methods
Data were extracted from the 2018 Robert Wood Johnson Foundation County Health Rankings. Counties were categorized into quartiles based on their percentage of Hispanics, 0%–5% (n = 1794), 5%–20% (n = 962), 20%–50% (n = 283), and >50% (n = 99). For each quartile, univariate and multivariate regression models were used to evaluate the association between prevalence of obesity and demographic, socioeconomic, healthcare, and environmental factors.
Results
Counties with the top quartile of Hispanic individuals had the lowest prevalence of obesity compared to counties at the bottom quartile (28.4 ± 3.6% vs. 32.7 ± 4.0%). There was a negative association between county‐level percentage of Hispanics and prevalence of obesity in unadjusted analyses that persisted after adjusting for all county‐level factors.
Conclusions
Counties with a higher percentage of Hispanics have lower levels of obesity, even after controlling for demographic, socioeconomic, healthcare, and environmental factors. More research is needed to elucidate why having more Hispanics in a county may be protective against county‐level obesity. The percentage of Hispanics in a county has a negative association with prevalence of obesity. Because Hispanic individuals are unevenly distributed in the United States, this study examined whether this protective association persists when stratifying counties into quartiles based on the size of the Hispanic population and after adjusting for county-level demographic, socioeconomic, healthcare, and environmental factors. Data were extracted from the 2018 Robert Wood Johnson Foundation County Health Rankings. Counties were categorized into quartiles based on their percentage of Hispanics, 0%-5% ( = 1794), 5%-20% ( = 962), 20%-50% ( = 283), and >50% ( = 99). For each quartile, univariate and multivariate regression models were used to evaluate the association between prevalence of obesity and demographic, socioeconomic, healthcare, and environmental factors. Counties with the top quartile of Hispanic individuals had the lowest prevalence of obesity compared to counties at the bottom quartile (28.4 ± 3.6% vs. 32.7 ± 4.0%). There was a negative association between county-level percentage of Hispanics and prevalence of obesity in unadjusted analyses that persisted after adjusting for all county-level factors. Counties with a higher percentage of Hispanics have lower levels of obesity, even after controlling for demographic, socioeconomic, healthcare, and environmental factors. More research is needed to elucidate why having more Hispanics in a county may be protective against county-level obesity. ObjectiveThe percentage of Hispanics in a county has a negative association with prevalence of obesity. Because Hispanic individuals are unevenly distributed in the United States, this study examined whether this protective association persists when stratifying counties into quartiles based on the size of the Hispanic population and after adjusting for county‐level demographic, socioeconomic, healthcare, and environmental factors.MethodsData were extracted from the 2018 Robert Wood Johnson Foundation County Health Rankings. Counties were categorized into quartiles based on their percentage of Hispanics, 0%–5% (n = 1794), 5%–20% (n = 962), 20%–50% (n = 283), and >50% (n = 99). For each quartile, univariate and multivariate regression models were used to evaluate the association between prevalence of obesity and demographic, socioeconomic, healthcare, and environmental factors.ResultsCounties with the top quartile of Hispanic individuals had the lowest prevalence of obesity compared to counties at the bottom quartile (28.4 ± 3.6% vs. 32.7 ± 4.0%). There was a negative association between county‐level percentage of Hispanics and prevalence of obesity in unadjusted analyses that persisted after adjusting for all county‐level factors.ConclusionsCounties with a higher percentage of Hispanics have lower levels of obesity, even after controlling for demographic, socioeconomic, healthcare, and environmental factors. More research is needed to elucidate why having more Hispanics in a county may be protective against county‐level obesity. Abstract Objective The percentage of Hispanics in a county has a negative association with prevalence of obesity. Because Hispanic individuals are unevenly distributed in the United States, this study examined whether this protective association persists when stratifying counties into quartiles based on the size of the Hispanic population and after adjusting for county‐level demographic, socioeconomic, healthcare, and environmental factors. Methods Data were extracted from the 2018 Robert Wood Johnson Foundation County Health Rankings. Counties were categorized into quartiles based on their percentage of Hispanics, 0%–5% (n = 1794), 5%–20% (n = 962), 20%–50% (n = 283), and >50% (n = 99). For each quartile, univariate and multivariate regression models were used to evaluate the association between prevalence of obesity and demographic, socioeconomic, healthcare, and environmental factors. Results Counties with the top quartile of Hispanic individuals had the lowest prevalence of obesity compared to counties at the bottom quartile (28.4 ± 3.6% vs. 32.7 ± 4.0%). There was a negative association between county‐level percentage of Hispanics and prevalence of obesity in unadjusted analyses that persisted after adjusting for all county‐level factors. Conclusions Counties with a higher percentage of Hispanics have lower levels of obesity, even after controlling for demographic, socioeconomic, healthcare, and environmental factors. More research is needed to elucidate why having more Hispanics in a county may be protective against county‐level obesity. |
Author | Zuma, Bongeka Z. López, Lenny Spencer‐Bonilla, Gabriela Scheinker, David Rodriguez, Fatima Valencia, Areli |
AuthorAffiliation | 2 Division of Cardiovascular Medicine and Cardiovascular Institute Stanford University School of Medicine Stanford California USA 1 Stanford University School of Medicine Stanford California USA 4 The San Francisco VA Medical Center University of California San Francisco San Francisco California USA 3 School of Medicine University of California San Francisco San Francisco California USA 5 Department of Management Science and Engineering Stanford University School of Engineering Stanford California USA 6 Clinical Excellence Research Center Stanford University School of Medicine Stanford California USA |
AuthorAffiliation_xml | – name: 5 Department of Management Science and Engineering Stanford University School of Engineering Stanford California USA – name: 1 Stanford University School of Medicine Stanford California USA – name: 4 The San Francisco VA Medical Center University of California San Francisco San Francisco California USA – name: 6 Clinical Excellence Research Center Stanford University School of Medicine Stanford California USA – name: 2 Division of Cardiovascular Medicine and Cardiovascular Institute Stanford University School of Medicine Stanford California USA – name: 3 School of Medicine University of California San Francisco San Francisco California USA |
Author_xml | – sequence: 1 givenname: Areli orcidid: 0000-0001-8217-4175 surname: Valencia fullname: Valencia, Areli organization: Stanford University School of Medicine – sequence: 2 givenname: Bongeka Z. surname: Zuma fullname: Zuma, Bongeka Z. organization: Stanford University School of Medicine – sequence: 3 givenname: Gabriela surname: Spencer‐Bonilla fullname: Spencer‐Bonilla, Gabriela organization: Stanford University School of Medicine – sequence: 4 givenname: Lenny orcidid: 0000-0001-9361-0550 surname: López fullname: López, Lenny organization: University of California San Francisco – sequence: 5 givenname: David surname: Scheinker fullname: Scheinker, David organization: Stanford University School of Medicine – sequence: 6 givenname: Fatima surname: Rodriguez fullname: Rodriguez, Fatima email: frodrigu@stanford.edu organization: Stanford University School of Medicine |
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Copyright | 2020 The Authors. Obesity Science & Practice published by World Obesity and The Obesity Society and John Wiley & Sons Ltd. 2021. This work is published under http://creativecommons.org/licenses/by-nc-nd/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License. |
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References | 2015; 13 2019; 7 2009; 69 2016; 19 2020; 141 2011 2019; 2 2013; 103 2005; 60 2005; 61 2014; 130 2019; 381 2014; 22 2016; 11 2018; 46 2018; 7 2018; 6 2015; 23 2013; 11 2020 2008; 27 2015; 2015 2016; 87 1993; 270 2019; 27 2009; 9 2014; 57 2017 2016; 315 2018; 319 2014; 104 2014; 145 e_1_2_7_6_1 e_1_2_7_5_1 e_1_2_7_4_1 e_1_2_7_3_1 e_1_2_7_9_1 e_1_2_7_8_1 e_1_2_7_7_1 e_1_2_7_19_1 e_1_2_7_18_1 e_1_2_7_17_1 e_1_2_7_16_1 e_1_2_7_2_1 e_1_2_7_15_1 e_1_2_7_14_1 e_1_2_7_13_1 e_1_2_7_12_1 e_1_2_7_11_1 e_1_2_7_10_1 e_1_2_7_26_1 e_1_2_7_27_1 e_1_2_7_28_1 e_1_2_7_29_1 Bureau USC (e_1_2_7_20_1) 2011 e_1_2_7_30_1 e_1_2_7_25_1 e_1_2_7_31_1 e_1_2_7_24_1 e_1_2_7_32_1 e_1_2_7_33_1 e_1_2_7_22_1 e_1_2_7_34_1 e_1_2_7_21_1 e_1_2_7_35_1 Schabenberger O (e_1_2_7_23_1) 2017 |
References_xml | – year: 2011 – volume: 13 start-page: 11 year: 2015 article-title: The county health Rankings: rationale and methods publication-title: Popul Health Metrics – volume: 69 start-page: 110 year: 2009 end-page: 120 article-title: Are immigrant enclaves healthy places to live? The Multi‐ethnic Study of Atherosclerosis publication-title: Soc Sci Med – volume: 9 start-page: 421 year: 2009 article-title: Accuracy and usefulness of BMI measures based on self‐reported weight and height: findings from the NHANES & NHIS 2001‐2006 publication-title: BMC Publ Health – volume: 46 start-page: 565 year: 2018 end-page: 579 article-title: A comparison of measured versus self‐reported anthropometrics for assessing obesity in adults: a literature review publication-title: Scand J Publ Health – volume: 27 start-page: 1711 year: 2019 end-page: 1719 article-title: Comparisons of self‐reported and measured height and weight, BMI, and obesity prevalence from national surveys: 1999‐2016 publication-title: Obesity – start-page: 299 year: 2017 end-page: 404 article-title: Spatial regression models – volume: 104 start-page: 1287 year: 2014 end-page: 1293 article-title: Obesity and the natural environment across US counties publication-title: Am J Publ Health – volume: 103 start-page: e52 year: 2013 end-page: e60 article-title: Hispanic mortality paradox: a systematic review and meta‐analysis of the longitudinal literature publication-title: Am J Publ Health – volume: 7 start-page: 100374 year: 2019 article-title: Would the elimination of obesity and smoking reduce U.S. racial/ethnic/nativity disparities intotal and healthy life expectancy? publication-title: SSM Popul Health – volume: 87 start-page: 47 year: 2016 end-page: 58 article-title: Corrective equations to self‐reported height and weight for obesity estimates among U.S. Adults: NHANES 1999‐2008 publication-title: Res Q Exerc Sport – volume: 381 start-page: 2440 year: 2019 end-page: 2450 article-title: Projected U.S. State‐level prevalence of adult obesity and severe obesity publication-title: N Engl J Med – volume: 27 start-page: 17 year: 2008 end-page: 42 article-title: Spatial regression models for demographic analysis publication-title: Popul Res Policy Rev – volume: 2 start-page: e192884 year: 2019 article-title: Identification of factors associated with variation in US county‐level obesity prevalence rates using epidemiologic vs machine learning models publication-title: JAMA Netw Open – volume: 7 start-page: 100405 year: 2019 article-title: Biases in self‐reported height and weight measurements and their effects on modeling health outcomes publication-title: SSM Popul Health – volume: 130 start-page: 593 year: 2014 end-page: 625 article-title: Status of cardiovascular disease and stroke in Hispanics/Latinos in the United States: a science advisory from the American Heart Association publication-title: Circulation – volume: 141 start-page: e139 year: 2020 end-page: e596 article-title: Heart disease and stroke statistics‐2020 update: a report from the American Heart Association publication-title: Circulation – volume: 19 start-page: 462 year: 2016 end-page: 476 article-title: The Hispanic health paradox: from epidemiological phenomenon to contribution opportunities for psychological science publication-title: Group Process Intergr Relat – volume: 22 start-page: 868 year: 2014 end-page: 874 article-title: The geographic concentration of US adult obesity prevalence and associated social, economic, and environmental factors publication-title: Obesity – volume: 23 start-page: 481 year: 2015 end-page: 487 article-title: Regional disparities in obesity prevalence in the United States: a spatial regime analysis publication-title: Obesity – volume: 319 start-page: 2419 year: 2018 end-page: 2429 article-title: Differences in obesity prevalence by demographic characteristics and urbanization level among adults in the United States, 2013‐2016 publication-title: J Am Med Assoc – volume: 57 start-page: 286 year: 2014 end-page: 292 article-title: The Hispanic paradox in cardiovascular disease and total mortality publication-title: Prog Cardiovasc Dis – year: 2020 article-title: The diverging impacts of segregation on obesity risk by nativity and neighborhood poverty among Hispanic Americans publication-title: J Racial Ethn Health Disparities – volume: 315 start-page: 2284 year: 2016 end-page: 2291 article-title: Trends in obesity among adults in the United States, 2005 to 2014 publication-title: J Am Med Assoc – volume: 60 start-page: 68 year: 2005 end-page: 75 article-title: Aging, migration, and mortality: current status of research on the Hispanic paradox publication-title: J Gerontol B Psychol Sci Soc Sci – volume: 2015 start-page: 186276 year: 2015 article-title: Is acculturation related to obesity in Hispanic/Latino adults? Results from the Hispanic community health study/study of Latinos publication-title: J Obes – volume: 270 start-page: 2464 year: 1993 article-title: Mortality by Hispanic status in the United States publication-title: J Am Med Assoc – volume: 61 start-page: 1243 year: 2005 end-page: 1255 article-title: Do healthy behaviors decline with greater acculturation? Implications for the Latino mortality paradox publication-title: Soc Sci Med – volume: 145 start-page: 932 year: 2014 end-page: 939 article-title: County‐level correlation between adult obesity rates and prevalence of dentists publication-title: J Am Dent Assoc – volume: 7 start-page: e009107 year: 2018 article-title: County‐level Hispanic ethnic density and cardiovascular disease mortality publication-title: J Am Heart Assoc – volume: 6 start-page: 233 year: 2018 end-page: 242 article-title: Impact of Body Mass Index on heart failure by race/ethnicity from the get with the guidelines‐heart failure (GWTG‐HF) registry publication-title: JACC Heart Fail – volume: 11 start-page: 1 year: 2013 end-page: 11 article-title: Prevalence of physical activity and obesity in US counties, 2001–2011: a road map for action publication-title: Popul Health Metrics – volume: 57 start-page: 230 year: 2014 end-page: 236 article-title: Cardiovascular disease risk factors in the Hispanic/Latino population: lessons from the Hispanic community health study/study of Latinos (HCHS/SOL) publication-title: Prog Cardiovasc Dis – volume: 11 start-page: e0148394 year: 2016 article-title: Change in obesity prevalence across the United States is influenced by recreational and healthcare contexts, food environments, and Hispanic populations publication-title: PLoS One – ident: e_1_2_7_32_1 doi: 10.1177/1403494818761971 – ident: e_1_2_7_21_1 doi: 10.1186/s12963-015-0044-2 – ident: e_1_2_7_2_1 doi: 10.1161/JAHA.118.009107 – ident: e_1_2_7_8_1 doi: 10.1161/CIR.0000000000000757 – ident: e_1_2_7_15_1 doi: 10.14219/jada.2014.48 – ident: e_1_2_7_16_1 doi: 10.1056/NEJMsa1909301 – ident: e_1_2_7_19_1 doi: 10.1002/oby.20963 – volume-title: The Hispanic Population: 2010 year: 2011 ident: e_1_2_7_20_1 contributor: fullname: Bureau USC – ident: e_1_2_7_7_1 doi: 10.1177/1368430216638540 – ident: e_1_2_7_11_1 doi: 10.1155/2015/186276 – ident: e_1_2_7_22_1 doi: 10.1007/s11113-007-9051-8 – ident: e_1_2_7_31_1 doi: 10.1002/oby.22591 – ident: e_1_2_7_14_1 doi: 10.1016/j.jchf.2017.11.011 – start-page: 299 volume-title: Statistical Methods for Spatial Data Analysis year: 2017 ident: e_1_2_7_23_1 doi: 10.1201/9781315275086-6 contributor: fullname: Schabenberger O – ident: e_1_2_7_29_1 doi: 10.1016/j.socscimed.2005.01.016 – ident: e_1_2_7_17_1 doi: 10.1371/journal.pone.0148394 – ident: e_1_2_7_27_1 doi: 10.1001/jama.2018.7270 – ident: e_1_2_7_5_1 doi: 10.1016/j.pcad.2014.09.001 – ident: e_1_2_7_3_1 doi: 10.1161/CIR.0000000000000071 – ident: e_1_2_7_10_1 doi: 10.1016/j.pcad.2014.07.006 – ident: e_1_2_7_6_1 doi: 10.2105/AJPH.2012.301103 – ident: e_1_2_7_4_1 doi: 10.1001/jama.1993.03510200070034 – ident: e_1_2_7_35_1 doi: 10.1080/02701367.2015.1124971 – ident: e_1_2_7_12_1 doi: 10.1001/jama.2016.6458 – ident: e_1_2_7_24_1 doi: 10.1002/oby.20502 – ident: e_1_2_7_28_1 doi: 10.1016/j.socscimed.2009.04.010 – ident: e_1_2_7_33_1 doi: 10.1186/1471-2458-9-421 – ident: e_1_2_7_13_1 doi: 10.1016/j.ssmph.2019.100374 – ident: e_1_2_7_18_1 doi: 10.1001/jamanetworkopen.2019.2884 – ident: e_1_2_7_9_1 doi: 10.1093/geronb/60.Special_Issue_2.S68 – ident: e_1_2_7_26_1 doi: 10.2105/AJPH.2013.301838 – ident: e_1_2_7_25_1 doi: 10.1186/1478-7954-11-7 – ident: e_1_2_7_30_1 doi: 10.1007/s40615-020-00746-2 – ident: e_1_2_7_34_1 doi: 10.1016/j.ssmph.2019.100405 |
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The percentage of Hispanics in a county has a negative association with prevalence of obesity. Because Hispanic individuals are unevenly distributed... The percentage of Hispanics in a county has a negative association with prevalence of obesity. Because Hispanic individuals are unevenly distributed in the... ObjectiveThe percentage of Hispanics in a county has a negative association with prevalence of obesity. Because Hispanic individuals are unevenly distributed... Abstract Objective The percentage of Hispanics in a county has a negative association with prevalence of obesity. Because Hispanic individuals are unevenly... |
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StartPage | 14 |
SubjectTerms | African Americans Disease control Environmental factors health disparities Hispanic paradox Households Obesity Original Regression analysis |
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Title | The Hispanic paradox in the prevalence of obesity at the county‐level |
URI | https://onlinelibrary.wiley.com/doi/abs/10.1002%2Fosp4.461 https://www.ncbi.nlm.nih.gov/pubmed/33680488 https://www.proquest.com/docview/2493478185 https://pubmed.ncbi.nlm.nih.gov/PMC7909595 https://doaj.org/article/473deafb4d5d45e1b8dbcee189c42301 |
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