Changes in Obesity Prevalence Among U.S. Adults After the COVID-19 Pandemic by State and Territorial Stay-at-Home Order Level and Sociodemographic Characteristics.

IF 2.5 4区医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

American Journal of Health Promotion Pub Date : 2024-07-01 Epub Date: 2024-02-12 DOI:10.1177/08901171241233399

Beomyoung Cho, Yining Pan, McKinley Chapman, Aaron Spaulding, Sericea Stallings-Smith

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引用次数: 0

Abstract

Purpose: To examine changes in obesity prevalence among US adults after the COVID-19 pandemic by level of stay-at-home order and sociodemographic characteristics.

Design: Quasi-experimental study using repeated cross-sectional data.

Setting: Behavioral Risk Factor Surveillance System (BRFSS).

Sample: Pooled data for US adults ages ≥26 years (n = 1,107,673) from BRFSS (2018-2021).

Measures: States/territories were classified into three levels of stay-at-home order: none, advisory/only for persons at risk, or mandatory for all. Individual-level sociodemographic characteristics were self-reported.

Analysis: The difference-in-differences method was conducted with weighted multiple logistic regression analysis to examine obesity (body mass index ≥30 kg/m²) prevalence by stay-at-home order level and sociodemographic characteristics before/after the COVID-19 pandemic (January 2018-February 2020 vs March 2020-February 2022).

Results: After adjusting for a secular trend and multiple covariates, adults in states/territories with mandatory stay-at-home orders experienced a larger increase in obesity prevalence (adjusted odds ratio: 1.05; 95% confidence interval: 1.01, 1.11) than adults in states/territories with no stay-at-home order. Younger adults (vs ≥65 years) and individuals with

Conclusion: Increases in obesity prevalence were perpetuated 2 years after implementation of stay-at-home orders, indicating that longer-term health implications are co-occurring during the pandemic recovery period. Future research should focus on successful methods for staying active and healthy during social distancing and beyond.

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COVID-19 大流行后美国成年人肥胖症患病率的变化（按州和地区留守儿童订单水平和社会人口特征分列）。

目的：研究 COVID-19 大流行后美国成年人肥胖率的变化，并根据家庭订单水平和社会人口特征进行分类：设计：使用重复横截面数据进行准实验研究：行为风险因素监测系统（BRFSS）：来自BRFSS（2018-2021年）的≥26岁美国成年人的汇总数据（n=1,107,673）.措施：各州/地区的居家养老令分为三个级别：无、建议/仅针对高危人群，或对所有人强制执行。个人层面的社会人口特征为自我报告：分析：采用加权多元逻辑回归分析的差分法来研究 COVID-19 大流行之前/之后（2018 年 1 月至 2020 年 2 月 vs 2020 年 3 月至 2022 年 2 月），按居家护理顺序级别和社会人口特征分列的肥胖（体重指数≥30 kg/m2）患病率：结果：在对世俗趋势和多个协变量进行调整后，有强制居家养老令的州/地区的成年人比没有强制居家养老令的州/地区的成年人肥胖患病率增加得更多（调整后的几率比：1.05；95%置信区间：1.01，1.11）。较年轻的成年人（vs ≥65岁）和有结论的个人：肥胖症发病率的增加在留守令实施 2 年后仍在持续，这表明在大流行病恢复期间会同时出现对健康的长期影响。未来的研究应重点关注在社会疏离期及以后保持活跃和健康的成功方法。

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来源期刊

American Journal of Health Promotion PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-

CiteScore

4.40

自引率

3.70%

发文量

184

期刊介绍： The editorial goal of the American Journal of Health Promotion is to provide a forum for exchange among the many disciplines involved in health promotion and an interface between researchers and practitioners.