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>Racial/ethnic differences in the association between obesity and major depressive disorder: findings from the Comprehensive Psychiatric Epidemiology Surveys.
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Racial/ethnic differences in the association between obesity and major depressive disorder: findings from the Comprehensive Psychiatric Epidemiology Surveys.
OBJECTIVES: This study examined whether the association between obesity and 12-month prevalence of major depressive disorder (MDD) varied according to racial/ethnic status and nativity in representative national samples of black, Latino, Asian, and non-Hispanic white people. METHODS: We used data from the Comprehensive Psychiatric Epidemiology Surveys. RESULTS: In analyses by gender, obesity was associated with an elevated risk of MDD among non-Hispanic white women (adjusted odds ratio [AOR] = 1.73; 95% confidence interval [CI] 1.27, 2.35; p = 0.001). Formal test for interaction revealed significant variation by race present between non-Hispanic white women and black, Latin, and Asian women. No significant differences were evident among men. In analyses by nativity, the association between obesity and MDD was significant among U.S.-born non-Hispanic white women (AOR=1.62; 95% CI 1.16, 2.27; p = 0.001) and U.S.-born black women (AOR = 1.29; 95% CI 1.01, 1.66; p = 0.041). Significant interactions were present among U.S.-born white and black women, Latin women, and Asian women. No significant interactions were evident among foreign-born women. Similarly, no significant differences were present among native-born or foreign-born men. CONCLUSIONS: The findings suggest that the association between obesity and MDD varies according to racial/ethnic status and nativity. Understanding the link between obesity and depression may be imperative to designing interventions to address body weight maintenance and reduction strategies among women.
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机译：目的：本研究调查了黑人，拉丁裔，亚洲裔和非西班牙裔白人的代表性国家样本中，肥胖与主要抑郁症（MDD）的12个月患病率之间的关系是否因种族/族裔状态和出生率而异。方法：我们使用了《综合精神病流行病学调查》中的数据。结果：在按性别进行的分析中，肥胖与非西班牙裔白人女性的MDD风险升高相关（校正比值比[AOR] = 1.73; 95％置信区间[CI] 1.27、2.35; p = 0.001）。正式的互动测试显示，非西班牙裔白人女性与黑人，拉丁裔和亚洲女性之间存在种族差异。男性之间无明显差异。在出生率分析中，肥胖与MDD之间的关系在美国出生的非西班牙裔白人女性（AOR = 1.62; 95％CI 1.16，2.27; p = 0.001）和美国出生的黑人女性（AOR = 1.29; 95）中很显着％CI 1.01，1.66; p ＝ 0.041）。在美国出生的白人和黑人妇女，拉丁妇女和亚洲妇女之间存在重要的互动。外国出生的妇女之间没有明显的相互作用。同样，在本地出生或外国出生的男性之间也没有显着差异。结论：研究结果表明，肥胖与MDD之间的关联因种族/族裔状态和生日而异。了解肥胖与抑郁之间的联系对于设计干预措施以解决妇女的体重维持和减少策略可能是必不可少的。
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