Criminal Justice Contact, Stressors, and Obesity-Related Health Problems Among Black Adults in the USA.

Autor: Archibald PC; School of Social Work, Morgan State University, 1700 E. Coldspring Lane, Jenkins Building-Room 426, Baltimore, MD, 21251, USA. paul.archibald@morgan.edu., Parker L; Bloomberg School of Public Health, Program for Research on Men's Health Hopkins Center for Health Disparities Solutions, Johns Hopkins University, 624 N. Broadway, Hampton House, Suite 904, Baltimore, MD, 21205, USA., Thorpe R Jr; Bloomberg School of Public Health, Program for Research on Men's Health Hopkins Center for Health Disparities Solutions, Johns Hopkins University, 624 N. Broadway, Hampton House, Suite 904, Baltimore, MD, 21205, USA.
Jazyk: angličtina
Zdroj: Journal of racial and ethnic health disparities [J Racial Ethn Health Disparities] 2018 Apr; Vol. 5 (2), pp. 387-397. Date of Electronic Publication: 2017 Jun 08.
DOI: 10.1007/s40615-017-0382-9
Abstrakt: Criminal justice contact-defined as lifetime arrest, parole, or incarceration, seems to exacerbate chronic conditions, and those who are most likely to have had contact with the criminal justice system, such as Black adults, often already have pre-existing disproportionately high rates of stress and chronic conditions due to the social determinants of health that affect underrepresented minorities. Findings from this study suggest that there is a mechanism that links the stressors among Black adults manifested by such factors as family, financial, neighborhood, and personal problems with criminal justice contact to obesity-related health status. Using the National Survey of American Life (NSAL), modified Poisson regression analyses were used to determine the association between criminal justice contact, stressors, and obesity-related health problems among a national sample of Black adults (n = 5008). In the full model, the odds of experiencing obesity-related health problems for Black adults who had criminal justice contact was reduced (PR, 1.23 to 1.14) and not statistically significant. Black adults who reported experiencing family stressors (PR, 1.21; 95% CI, 1.08, 1.36), financial stressors (PR, 1.30; 95% CI, 1.16, 1.47), and personal stressors (PR, 1.16; 95% CI, 1.02, 1.31) were statistically significant and higher than those who reported not experiencing any of these stressors; neighborhood stressors was not statistically significant. The evidence suggests a relationship between the stressors associated with criminal justice contact and obesity-related health status. These findings emphasize the need to further explore the family, financial, and personal stressors for Black adults with criminal justice contact in order to further our understanding of their obesity-related health problems.ᅟ.
Databáze: MEDLINE
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