Sociodemographic and Mental Health Factors Associated with Obesity in Resettled Refugees in Syracuse, New York.

IF 3.4 3区医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Ethnicity & Disease Pub Date : 2024-10-22 eCollection Date: 2024-10-01 DOI:10.18865/EthnDis-2023-59

Miriam Mutambudzi, Akritee Sharma, Waseem Sous, Andrea V Shaw, Kevin S Heffernan

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引用次数: 0

Abstract

Introduction: Resettled refugees have been exposed to stressful and life-threatening events preresettlement and are among the most marginalized and vulnerable groups in society. Postresettlement, they face challenges when assimilating to an unfamiliar host country, which renders them vulnerable to adverse health outcomes including obesity, a major public health burden. This study was conducted to examine the association of mental health and sociodemographic factors, including language proficiency and educational attainment, with obesity in first-generation resettled refugees.

Methods: We used data from electronic health records from the Adult Ambulatory Medicine Clinic of the State University of New York Upstate, Syracuse, NY. The probability of being overweight and obese (class I and class II) relative to normal weight was estimated using fully adjusted multinomial logistic regression models with relative risk ratios (RRRs).

Findings: Relative to male refugees, female refugees were more likely to have class I obesity (RRR=1.83; 95% confidence interval [CI]=1.19, 2.80) and class II obesity (RRR=4.07; 95% CI=2.41, 6.87). Limited English proficiency increased the risk of being overweight (RRR=2.02; 95% CI=1.29, 3.17) and having class II obesity (RRR=2.14, 95% CI=1.20, 3.81). A clinical mental health diagnosis increased the risk of class I (RRR=2.00; 95% CI=1.35, 2.96) and class II (RRR=1.76; 95% CI=1.15, 2.71) obesity. Having no formal education was associated with decreased risk of class II obesity (RRR=0.42; 95% CI=0.19, 0.90).

Discussion: Obesity prevalence and subsequent related morbidity continue to be major public health burdens in vulnerable, often underserved populations in the United States. Further investigation into social determinants of obesity in refugees in a community setting that captures the unique experiences of heterogenous refugee groups outside the clinical setting is warranted.

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与纽约州锡拉丘兹重新安置的难民肥胖有关的社会人口和心理健康因素。

导言：重新安置的难民在安置前曾经历过压力和危及生命的事件，是社会中最边缘化和最脆弱的群体之一。重新安置后，他们在融入陌生的东道国时面临挑战，这使他们很容易出现不良健康后果，包括肥胖，这是一个主要的公共卫生负担。本研究旨在探讨第一代定居难民的心理健康和社会人口因素（包括语言能力和教育程度）与肥胖的关系：我们使用了纽约州雪城纽约州立大学上州分校成人非住院医疗诊所的电子健康记录数据。我们使用完全调整的多项式逻辑回归模型和相对风险比（RRRs）估算了相对于正常体重的超重和肥胖（I级和II级）的概率：与男性难民相比，女性难民更容易出现 I 级肥胖（RRR=1.83；95% 置信区间[CI]=1.19, 2.80）和 II 级肥胖（RRR=4.07；95% 置信区间=2.41, 6.87）。英语水平有限会增加超重（RRR=2.02；95% CI=1.29，3.17）和二级肥胖（RRR=2.14，95% CI=1.20，3.81）的风险。临床精神健康诊断增加了一级肥胖（RRR=2.00；95% CI=1.35，2.96）和二级肥胖（RRR=1.76；95% CI=1.15，2.71）的风险。未受过正规教育与 II 级肥胖风险降低有关（RRR=0.42；95% CI=0.19，0.90）：在美国，肥胖症的患病率及其相关的发病率仍然是公共卫生的主要负担，而这些人群往往得不到充分的服务。有必要在社区环境中进一步调查难民肥胖症的社会决定因素，以了解异质难民群体在临床环境之外的独特经历。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Ethnicity & Disease 医学-公共卫生、环境卫生与职业卫生

CiteScore

6.30

自引率

0.00%

发文量

审稿时长

6-12 weeks

期刊介绍： Ethnicity & Disease is an international journal that exclusively publishes information on the causal and associative relationships in the etiology of common illnesses through the study of ethnic patterns of disease. Topics focus on: ethnic differentials in disease rates;impact of migration on health status; social and ethnic factors related to health care access and health; and metabolic epidemiology. A major priority of the journal is to provide a forum for exchange between the United States and the developing countries of Europe, Africa, Asia, and Latin America.