Health status and sociodemographic characteristics of the morbidly obese American Indians.

Abstract:

INTRODUCTION:The obesity epidemic has become a health crisis in the United States, particularly for minorities. This article reports on the health status and sociodemographic characteristics of morbidly obese American Indians living in rural areas of California. METHODS:A cross-sectional randomized household study of 457 American Indian adults was implemented at 13 rural reservation sites throughout California. Data collected included sociodemographics, body mass index (BMI), health status, and health problems. Chi-square tests were used to assess statistical differences among categorical data and ANOVA methods were used for normally distributed continuous variables. RESULTS:Nearly a majority of females were morbidly obese (11.6%) or obese (37.3%), while males were significantly represented in the overweight (38%) group (P = .0007). The prevalence of morbid obesity was twice the general population (13% vs. 5.9% respectively); average age was 47 years; 35% spoke their tribal language; 87% were enrolled in a tribe; 46% had 50% or more Indian blood; 42% were married; 29% had less than 12th grade education; and the average monthly household income was $2,126. The average weight of participants was 266 pounds (P < .0001). Morbidly obese adults reported more health problems and physical limitations (P = .003) than adults in other BMI categories. Obesity status and health conditions were significant for those with type 2 diabetes (P = .003), arthritis (P = .04) and hypertension (P = .03). DISCUSSION:The obesity epidemic in the American Indian population is a severe and a multifactorial problem. The high rate of poor health status among this population should be addressed, possibly by programs designed to increase physical activity.

journal_name

Ethn Dis

journal_title

Ethnicity & disease

authors

Hodge FS,Cantrell BG,Kim S

subject

Has Abstract

pub_date

2011-01-01 00:00:00

pages

52-7

issue

1

eissn

1049-510X

issn

1945-0826

journal_volume

21

pub_type

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