Contribution of social, behavioral, and contextual exposures to Black‐White disparities in incident obesity: The CARDIA study
Authors' conclusion
Adjusting for these exposures accounted for a substantial but incomplete proportion of racial disparities in incident obesity. Remaining differences may be explained by incomplete capture of the most salient aspects of these exposures or potential variation in the impact of these exposures on obesity by race.
Study context
- Population
- Black or White adults aged 18 to 30 years without obesity at baseline (1985–1986), CARDIA study, followed over 30 years
- Participants
- 4,488 participants
- Exposure
- Black vs White adults
- Outcome
- Incident obesity (Black-White differences)
- Follow-up
- 30 years
Methodological detailssex-specific Cox proportional hazard models, adjusted for baseline and time-updated indicators
- Sex-specific Cox proportional hazard models
- Adjusted for baseline and time-updated indicators
Main finding
As reported in the abstract
Incident obesity
Times more likely
1.87
95% CI 1.63–2.13
Black women vs White women
Times more likely
1.53
95% CI 1.32–1.77
Black men vs White men
- Participants who developed obesity during follow-up
- 1777
Observational data: associations, not effects.
Further findings
Proportion of racial difference explained by exposures
- Baseline exposures explained difference in women
- 43%
- Baseline exposures explained difference in men
- 52%
- Time-updated exposures explained more of the racial difference in women but less for men, vs baseline exposures
Original publication
Contribution of social, behavioral, and contextual exposures to Black‐White disparities in incident obesity: The CARDIA study. Obesity (Silver Spring). Published 11 April 2023. doi:10. 1002/ oby. 23698
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