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, Michael L. Prelip

Research output: Contribution to journalArticle

18 Citations (Scopus)

Abstract

Objective 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. Design 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). Subjects Adult NHANES participants aged 18 years and older (n 37 050). Results 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). Conclusions 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.

Original languageEnglish (US)
Pages (from-to)2115-2125
Number of pages11
JournalPublic Health Nutrition
Volume18
Issue number12
DOIs
StatePublished - Nov 20 2014

Fingerprint

Weight Perception
Self Concept
Nutrition Surveys
Ethnic Groups
Obesity
Logistic Models
Weights and Measures
Weight Loss

Keywords

  • Health disparities
  • Obesity
  • Psychosocial factors
  • Race/ethnicity

ASJC Scopus subject areas

  • Medicine (miscellaneous)
  • Nutrition and Dietetics
  • Public Health, Environmental and Occupational Health

Cite this

Trends in racial/ethnic disparities in overweight self-perception among US adults, 1988-1994 and 1999-2008. / Langellier, Brent A; Glik, Deborah; Ortega, Alexander N.; Prelip, Michael L.

In: Public Health Nutrition, Vol. 18, No. 12, 20.11.2014, p. 2115-2125.

Research output: Contribution to journalArticle

Langellier, Brent A ; Glik, Deborah ; Ortega, Alexander N. ; Prelip, Michael L. / Trends in racial/ethnic disparities in overweight self-perception among US adults, 1988-1994 and 1999-2008. In: Public Health Nutrition. 2014 ; Vol. 18, No. 12. pp. 2115-2125.
@article{f3b8eebcd88349289214114aa8ed0821,
title = "Trends in racial/ethnic disparities in overweight self-perception among US adults, 1988-1994 and 1999-2008",
abstract = "Objective 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. Design 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). Subjects Adult NHANES participants aged 18 years and older (n 37 050). Results 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). Conclusions 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.",
keywords = "Health disparities, Obesity, Psychosocial factors, Race/ethnicity",
author = "Langellier, {Brent A} and Deborah Glik and Ortega, {Alexander N.} and Prelip, {Michael L.}",
year = "2014",
month = "11",
day = "20",
doi = "10.1017/S1368980014002560",
language = "English (US)",
volume = "18",
pages = "2115--2125",
journal = "Public Health Nutrition",
issn = "1368-9800",
publisher = "Cambridge University Press",
number = "12",

}

TY - JOUR

T1 - Trends in racial/ethnic disparities in overweight self-perception among US adults, 1988-1994 and 1999-2008

AU - Langellier, Brent A

AU - Glik, Deborah

AU - Ortega, Alexander N.

AU - Prelip, Michael L.

PY - 2014/11/20

Y1 - 2014/11/20

N2 - Objective 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. Design 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). Subjects Adult NHANES participants aged 18 years and older (n 37 050). Results 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). Conclusions 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.

AB - Objective 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. Design 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). Subjects Adult NHANES participants aged 18 years and older (n 37 050). Results 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). Conclusions 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.

KW - Health disparities

KW - Obesity

KW - Psychosocial factors

KW - Race/ethnicity

UR - http://www.scopus.com/inward/record.url?scp=84937122188&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84937122188&partnerID=8YFLogxK

U2 - 10.1017/S1368980014002560

DO - 10.1017/S1368980014002560

M3 - Article

C2 - 25409833

AN - SCOPUS:84937122188

VL - 18

SP - 2115

EP - 2125

JO - Public Health Nutrition

JF - Public Health Nutrition

SN - 1368-9800

IS - 12

ER -