Journal article
Contribution of social, behavioral, and contextual exposures to Black-White disparities in incident obesity: The CARDIA study
Obesity (Silver Spring, Md.), Vol.31(5), pp.1402-1414
05/2023
DOI: 10.1002/oby.23698
PMCID: PMC10191978
PMID: 37041722
Abstract
The aim of this study was to quantify the contributions of socioeconomic, psychosocial, behavioral, reproductive, and neighborhood exposures in young adulthood to Black-White differences in incident obesity.
In the Coronary Artery Risk Development in Young Adults (CARDIA) study, 4488 Black or White adults aged 18 to 30 years without obesity at baseline (1985-1986) were followed over 30 years. Sex-specific Cox proportional hazard models were used to estimate Black-White differences in incident obesity. Models were adjusted for baseline and time-updated indicators.
During follow-up, 1777 participants developed obesity. Black women were 1.87 (95% CI: 1.63-2.13) times more likely and Black men were 1.53 (95% CI: 1.32-1.77) times more likely to develop obesity than their White counterparts after adjusting for age, field center, and baseline BMI. Baseline exposures explained 43% of this difference in women and 52% in men. Time-updated exposures explained more of the racial difference in women but less for men, compared with baseline exposures.
Adjusting for these exposures accounted for a substantial but incomplete proportion of racial disparities in incident obesity. Remaining differences may be explained by incomplete capture of the most salient aspects of these exposures or potential variation in the impact of these exposures on obesity by race.
Details
- Title: Subtitle
- Contribution of social, behavioral, and contextual exposures to Black-White disparities in incident obesity: The CARDIA study
- Creators
- Christopher Song - Keck Medicine Family Residency Program, Los Angeles, California, USAMichael P Bancks - Department of Epidemiology and Prevention, Wake Forest School of Medicine, Winston-Salem, North Carolina, USAKara M Whitaker - University of IowaMandy Wong - Northwestern UniversityApril P Carson - University of Mississippi Medical CenterGareth R Dutton - University of Alabama at BirminghamDavid C Goff Jr - National Heart Lung and Blood InstitutePenny Gordon-Larsen - Depatrment of Nutrition, Gillings School of Global Public Health, University of North Carolina, Chapel Hill, USAErica P Gunderson - Kaiser PermanenteDavid R Jacobs Jr - University of MinnesotaCatarina I Kiefe - University of Massachusetts Chan Medical SchoolCora E Lewis - University of Alabama at BirminghamDonald M Lloyd-Jones - Northwestern UniversityJames M Shikany - University of Alabama at BirminghamKiarri N Kershaw - Northwestern University
- Resource Type
- Journal article
- Publication Details
- Obesity (Silver Spring, Md.), Vol.31(5), pp.1402-1414
- DOI
- 10.1002/oby.23698
- PMID
- 37041722
- PMCID
- PMC10191978
- NLM abbreviation
- Obesity (Silver Spring)
- ISSN
- 1930-7381
- eISSN
- 1930-739X
- Grant note
- HHSN268201800003I / NHLBI NIH HHS HHSN268201800004I / NHLBI NIH HHS HHSN268201800005I / NHLBI NIH HHS HHSN268201800006I / NHLBI NIH HHS HHSN268201800007I / NHLBI NIH HHS
- Language
- English
- Electronic publication date
- 04/11/2023
- Date published
- 05/2023
- Academic Unit
- Epidemiology; Health, Sport, and Human Physiology
- Record Identifier
- 9984388651402771
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