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The relationship between obesity and psychiatric disorders across ethnic and racial minority groups in the United States

Authors :
Rosen-Reynoso, Myra
Alegría, Margarita
Chen, Chih-nan
Laderman, Mara
Roberts, Robert
Source :
Eating Behaviors. Jan2011, Vol. 12 Issue 1, p1-8. 8p.
Publication Year :
2011

Abstract

Abstract: Context: Epidemiologic studies of obesity have not examined the prevalence and relationship of mental health conditions with obesity for diverse ethnic and racial populations in the United States. Objective: (1) To assess whether obesity was associated with diverse psychiatric diagnoses across a representative sample of non-Latino whites, Latinos, Asians, African-Americans, and Afro-Caribbeans; and (2) to test whether physical health status, smoking, sociodemographic characteristics, and psychiatric comorbidities mediate any of the observed associations. Design: Our analyses used pooled data from the NIMH Collaborative Psychiatric Epidemiology Surveys (CPES). Analyses tested the association between obesity and psychiatric disorders in a diverse sample of Americans (N=13,837), while adjusting for factors such as other disorders, age, gender, socioeconomic status, smoking and physical health status (as measured by chronic conditions and WHO-DAS scores) in different models. Results: The relationship between obesity and last-year psychiatric disorders varied by ethnicity/race. The likelihood of having mood or anxiety disorder was positively associated with obesity for certain racial/ethnic groups, but was moderated by differences in physical health status. Substance-use disorders were associated with decreased odds for obesity in African-Americans. Conclusions: The role of physical health status (as measured by chronic conditions and WHO-DAS scores) dramatically changes the pattern of associations between obesity and psychiatric disorders, suggesting the important role it plays in explaining differential patterns of association across racial and ethnic groups. [Copyright &y& Elsevier]

Details

Language :
English
ISSN :
14710153
Volume :
12
Issue :
1
Database :
Academic Search Index
Journal :
Eating Behaviors
Publication Type :
Academic Journal
Accession number :
57078156
Full Text :
https://doi.org/10.1016/j.eatbeh.2010.08.008