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AJPH First Look, published online ahead of print Jan 30, 2008
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AJPH.2007.114025v1
98/3/493    most recent
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March 2008, Vol 98, No. 3 | American Journal of Public Health 493-500
© 2008 American Public Health Association
DOI: 10.2105/AJPH.2007.114025


RESEARCH AND PRACTICE

Disentangling the Effects of Racial and Weight Discrimination on Body Mass Index and Obesity Among Asian Americans

Gilbert C. Gee, PhD, Annie Ro, MPH, Amelia Gavin, PhD, MSW, MPP and David T. Takeuchi, PhD

Gilbert C. Gee is with the Department of Community Health Sciences, University of California, Los Angeles. Annie Ro is with the Department of Health Behavior and Health Education, University of Michigan, Ann Arbor. Amelia Galvin is with the Department of Social Welfare, University of Washington, Seattle. David T. Takeuchi is with the Department of Social Welfare and the Department of Sociology, University of Washington, Seattle.

Correspondence: Requests for reprints should be sent to Gilbert C. Gee, PhD, Department of Community Health Sciences, School of Public Health, University of California, Los Angeles, 650 Charles E. Young Dr S, Room 41-296A, Los Angeles, CA 90095-1772 (e-mail: gilgee{at}ucla.edu).

Objectives. We examined whether racial discrimination is associated with increased body mass index (BMI) and obesity among Asian Americans. Further, we explored whether this association strengthens with increasing time in the United States.

Methods. We analyzed data from the 2002 to 2003 National Latino and Asian American Study (n=1956). Regression models tested whether reports of racial discrimination were associated with BMI and obesity, after accounting for weight discrimination, age, gender, marital status, ethnicity, generation, employment, health status, and social desirability bias (the tendency to seek approval by providing the most socially desirable response to a question).

Results. We found that (1) racial discrimination was associated with increased BMI and obesity after we controlled for weight discrimination, social desirability bias, and other factors and (2) the association between racial discrimination and BMI strengthened with increasing time in the United States.

Conclusions. Racial discrimination may be an important factor related to weight gain among ethnic minorities.




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