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Correlates of weight loss behaviors among low-income African-American, Caucasian, and Latina women.
Obstet Gynecol 2004; 103(2):231-9OG

Abstract

OBJECTIVE

To examine the prevalence and correlates of weight reduction behaviors among low-income women.

METHODS

A total of 1,709 Caucasian, African-American, and Latina women aged 12-58 years attending a federally funded family planning clinic reported their weight loss behaviors during the past 30 days, including using diet pills, exercising, purging (vomiting, laxatives, diuretics), and dieting. Approximately 60% (n = 999) had a body mass index of 25 or greater.

RESULTS

Overall, 35.3% (n = 603) of women dieted, 43.7% (n = 746) exercised, 15.1% (n = 258) used diet pills, and 4.3% (n = 69) purged. Only 14.8% (n = 253) of the sample reported both dieting and exercising. The odds of exercising for weight loss decreased as parity increased. Those who smoked currently or in the past were more likely than nonsmokers to report purging (odds ratio [OR] 2.5; 95% confidence interval [CI] 1.2, 5.4). African Americans were least likely to diet or exercise compared with Caucasians and Latinas. Exposure to family members using diet pills (OR 4.6; 95% CI 3.2, 6.5), dieting (OR 2.1; 95% CI 1.6, 2.8), or purging (OR 5.6; 95% CI 2.7, 11.9) was associated with increased odds of performing these behaviors oneself.

CONCLUSION

This research demonstrates that low-income women frequently use maladaptive strategies, such as diet pills and purging, to lose weight. Obesity and family exposure to these behaviors places women at increased risk of unhealthy behaviors. Interventions designed to reduce obesity must include precautions regarding the dangers of these practices.

LEVEL OF EVIDENCE

III

Authors+Show Affiliations

Department of Obstetrics and Gynecology, University of Texas Medical Branch, 301 University Boulevard, Galveston, TX 77555-0587, USA. cmradeck@utmb.eduNo affiliation info available

Pub Type(s)

Comparative Study
Journal Article

Language

eng

PubMed ID

14754689

Citation

Breitkopf, Carmen Radecki, and Abbey B. Berenson. "Correlates of Weight Loss Behaviors Among Low-income African-American, Caucasian, and Latina Women." Obstetrics and Gynecology, vol. 103, no. 2, 2004, pp. 231-9.
Breitkopf CR, Berenson AB. Correlates of weight loss behaviors among low-income African-American, Caucasian, and Latina women. Obstet Gynecol. 2004;103(2):231-9.
Breitkopf, C. R., & Berenson, A. B. (2004). Correlates of weight loss behaviors among low-income African-American, Caucasian, and Latina women. Obstetrics and Gynecology, 103(2), pp. 231-9.
Breitkopf CR, Berenson AB. Correlates of Weight Loss Behaviors Among Low-income African-American, Caucasian, and Latina Women. Obstet Gynecol. 2004;103(2):231-9. PubMed PMID: 14754689.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Correlates of weight loss behaviors among low-income African-American, Caucasian, and Latina women. AU - Breitkopf,Carmen Radecki, AU - Berenson,Abbey B, PY - 2004/2/3/pubmed PY - 2004/3/9/medline PY - 2004/2/3/entrez SP - 231 EP - 9 JF - Obstetrics and gynecology JO - Obstet Gynecol VL - 103 IS - 2 N2 - OBJECTIVE: To examine the prevalence and correlates of weight reduction behaviors among low-income women. METHODS: A total of 1,709 Caucasian, African-American, and Latina women aged 12-58 years attending a federally funded family planning clinic reported their weight loss behaviors during the past 30 days, including using diet pills, exercising, purging (vomiting, laxatives, diuretics), and dieting. Approximately 60% (n = 999) had a body mass index of 25 or greater. RESULTS: Overall, 35.3% (n = 603) of women dieted, 43.7% (n = 746) exercised, 15.1% (n = 258) used diet pills, and 4.3% (n = 69) purged. Only 14.8% (n = 253) of the sample reported both dieting and exercising. The odds of exercising for weight loss decreased as parity increased. Those who smoked currently or in the past were more likely than nonsmokers to report purging (odds ratio [OR] 2.5; 95% confidence interval [CI] 1.2, 5.4). African Americans were least likely to diet or exercise compared with Caucasians and Latinas. Exposure to family members using diet pills (OR 4.6; 95% CI 3.2, 6.5), dieting (OR 2.1; 95% CI 1.6, 2.8), or purging (OR 5.6; 95% CI 2.7, 11.9) was associated with increased odds of performing these behaviors oneself. CONCLUSION: This research demonstrates that low-income women frequently use maladaptive strategies, such as diet pills and purging, to lose weight. Obesity and family exposure to these behaviors places women at increased risk of unhealthy behaviors. Interventions designed to reduce obesity must include precautions regarding the dangers of these practices. LEVEL OF EVIDENCE: III SN - 0029-7844 UR - https://www.unboundmedicine.com/medline/citation/14754689/Correlates_of_weight_loss_behaviors_among_low_income_African_American_Caucasian_and_Latina_women_ L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=linkout&SEARCH=14754689.ui DB - PRIME DP - Unbound Medicine ER -