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Trends in racial/ethnic disparities in overweight self-perception among US adults, 1988-1994 and 1999-2008
Journal article   Open access   Peer reviewed

Trends in racial/ethnic disparities in overweight self-perception among US adults, 1988-1994 and 1999-2008

Brent A Langellier, Deborah Glik, Alexander N Ortega and Michael L Prelip
Public health nutrition, v 18(12), pp 2115-2125
Aug 2015
PMID: 25409833
Featured in Collection :   UN Sustainable Development Goals @ Drexel
url
https://www.cambridge.org/core/services/aop-cambridge-core/content/view/A9E6B94E608DEE220876671C4D0E9352/S1368980014002560a.pdf/div-class-title-trends-in-racial-ethnic-disparities-in-overweight-self-perception-among-us-adults-1988-1994-and-1999-2008-div.pdfView
Published, Version of Record (VoR) Open
url
https://doi.org/10.1017/S1368980014002560View
Published, Version of Record (VoR) Open

Abstract

Adult Body Mass Index Body Weight Continental Population Groups Ethnic Groups Female Humans Logistic Models Male Middle Aged Multivariate Analysis Nutrition Surveys Overweight - psychology Prevalence Self Concept Socioeconomic Factors United States
Weight self-perceptions, or how a person perceives his/her weight status, may affect weight outcomes. We use nationally representative data from 1988-1994 and 1999-2008 to examine racial/ethnic disparities in weight self-perceptions and understand how disparities have changed over time. Using data from two time periods, 1988-1994 and 1999-2008, we calculated descriptive statistics, multivariate logistic regression models and predicted probabilities to examine trends in weight self-perceptions among Whites, Blacks, US-born Mexican Americans and Mexican immigrants to the USA. Setting National Health and Nutrition Examination Survey (NHANES) III (1988-1994) and continuous NHANES (1999-2008). Adult NHANES participants aged 18 years and older (n 37 050). The likelihood of self-classifying as overweight declined between 1988-1994 and 1999-2008 among all US adults, despite significant increases in mean BMI and overweight prevalence. Trends in weight self-perceptions varied by gender and between racial/ethnic groups. Whites in both time periods were more likely than racial/ethnic minorities to perceive themselves as overweight. After adjustment for other factors, disparities in weight self-perceptions between Whites and Blacks of both genders grew between survey periods (P<0·05), but differences between overweight White women and Mexican immigrants decreased (P<0·05). Weight self-perceptions have changed during the obesity epidemic in the USA, but changes have not been consistent across racial/ethnic groups. Secular declines in the likelihood of self-classifying as overweight, particularly among Blacks, are troubling because weight self-perceptions may affect weight-loss efforts and obesity outcomes.

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31 citations in Scopus

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UN Sustainable Development Goals (SDGs)

This publication has contributed to the advancement of the following goals:

#5 Gender Equality
#3 Good Health and Well-Being

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Collaboration types
Domestic collaboration
Web of Science research areas
Nutrition & Dietetics
Public, Environmental & Occupational Health
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