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Differences in obesity-related health behaviors and health outcomes by rural and Appalachian residency

PURPOSE: Obesity and health behaviors are the major modifiable contributors to cancer and health disparities. We examined the differences in obesity-related health behaviors, and health outcomes by rural and Appalachian residency in Ohio. METHODS: Cross-sectional survey data from the 2011–2019 Behav...

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Autores principales: Zhang, Xiaochen, Shoben, Abigail B., Felix, Ashley S., Focht, Brian C., Paskett, Electra D.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer International Publishing 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10547622/
https://www.ncbi.nlm.nih.gov/pubmed/37498505
http://dx.doi.org/10.1007/s10552-023-01741-8
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author Zhang, Xiaochen
Shoben, Abigail B.
Felix, Ashley S.
Focht, Brian C.
Paskett, Electra D.
author_facet Zhang, Xiaochen
Shoben, Abigail B.
Felix, Ashley S.
Focht, Brian C.
Paskett, Electra D.
author_sort Zhang, Xiaochen
collection PubMed
description PURPOSE: Obesity and health behaviors are the major modifiable contributors to cancer and health disparities. We examined the differences in obesity-related health behaviors, and health outcomes by rural and Appalachian residency in Ohio. METHODS: Cross-sectional survey data from the 2011–2019 Behavioral Risk Factor Surveillance System were obtained from the Ohio Department of Health. County-level identifiers were used to classify urban non-Appalachian, urban Appalachian, rural non-Appalachian, and rural Appalachian residency. Self-reported weight, height, health behaviors, and health conditions were used. Logistic regression was used to assess the difference in health behaviors and health outcomes by rural and Appalachian residency. All analyses incorporated with sample weights. RESULTS: Among Ohio residents, compared to urban non-Appalachian residents, urban Appalachian and rural Appalachian residents had a higher prevalence of obesity, hypertension, high cholesterol, and cardiovascular diseases, as well as lower rates of healthy diet and physical activity. No difference was found in trends of obesity and obesity-related health outcomes in 2011–2019 by rural and Appalachian residency. However, rural Appalachian residents had a greater increase in obesity, hypertension, and diabetes, whereas rural non-Appalachian had favorable changes in obesity-related health behaviors. Additionally, associations between health behaviors and obesity-related health outcomes differed by rural and Appalachian residency. CONCLUSIONS: Findings underscore the importance of distinguishing between urban non-Appalachian, urban Appalachian, rural non-Appalachian, and rural Appalachian populations when assessing health disparities. While the trends of obesity and obesity-related health outcomes did not differ, the association between health behaviors and obesity-related outcomes differed by rural and Appalachian residency. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1007/s10552-023-01741-8.
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spelling pubmed-105476222023-10-05 Differences in obesity-related health behaviors and health outcomes by rural and Appalachian residency Zhang, Xiaochen Shoben, Abigail B. Felix, Ashley S. Focht, Brian C. Paskett, Electra D. Cancer Causes Control Original Paper PURPOSE: Obesity and health behaviors are the major modifiable contributors to cancer and health disparities. We examined the differences in obesity-related health behaviors, and health outcomes by rural and Appalachian residency in Ohio. METHODS: Cross-sectional survey data from the 2011–2019 Behavioral Risk Factor Surveillance System were obtained from the Ohio Department of Health. County-level identifiers were used to classify urban non-Appalachian, urban Appalachian, rural non-Appalachian, and rural Appalachian residency. Self-reported weight, height, health behaviors, and health conditions were used. Logistic regression was used to assess the difference in health behaviors and health outcomes by rural and Appalachian residency. All analyses incorporated with sample weights. RESULTS: Among Ohio residents, compared to urban non-Appalachian residents, urban Appalachian and rural Appalachian residents had a higher prevalence of obesity, hypertension, high cholesterol, and cardiovascular diseases, as well as lower rates of healthy diet and physical activity. No difference was found in trends of obesity and obesity-related health outcomes in 2011–2019 by rural and Appalachian residency. However, rural Appalachian residents had a greater increase in obesity, hypertension, and diabetes, whereas rural non-Appalachian had favorable changes in obesity-related health behaviors. Additionally, associations between health behaviors and obesity-related health outcomes differed by rural and Appalachian residency. CONCLUSIONS: Findings underscore the importance of distinguishing between urban non-Appalachian, urban Appalachian, rural non-Appalachian, and rural Appalachian populations when assessing health disparities. While the trends of obesity and obesity-related health outcomes did not differ, the association between health behaviors and obesity-related outcomes differed by rural and Appalachian residency. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1007/s10552-023-01741-8. Springer International Publishing 2023-07-27 2023 /pmc/articles/PMC10547622/ /pubmed/37498505 http://dx.doi.org/10.1007/s10552-023-01741-8 Text en © The Author(s) 2023 https://creativecommons.org/licenses/by/4.0/Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) .
spellingShingle Original Paper
Zhang, Xiaochen
Shoben, Abigail B.
Felix, Ashley S.
Focht, Brian C.
Paskett, Electra D.
Differences in obesity-related health behaviors and health outcomes by rural and Appalachian residency
title Differences in obesity-related health behaviors and health outcomes by rural and Appalachian residency
title_full Differences in obesity-related health behaviors and health outcomes by rural and Appalachian residency
title_fullStr Differences in obesity-related health behaviors and health outcomes by rural and Appalachian residency
title_full_unstemmed Differences in obesity-related health behaviors and health outcomes by rural and Appalachian residency
title_short Differences in obesity-related health behaviors and health outcomes by rural and Appalachian residency
title_sort differences in obesity-related health behaviors and health outcomes by rural and appalachian residency
topic Original Paper
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10547622/
https://www.ncbi.nlm.nih.gov/pubmed/37498505
http://dx.doi.org/10.1007/s10552-023-01741-8
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