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SOCIODEMOGRAPHIC DISADVANTAGE, LIVING WITH A SMOKER, AND OBESITY IN MIDDLE-AGED AND OLDER WOMEN

Although sociodemographic disadvantage is a recognized risk factor for obesity, the potential role of living with a smoker in this relationship has been unexamined. This study investigated: (a) the association between sociodemographic disadvantage and living with a smoker, and (b) the role of living...

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Autores principales: Holahan, Carole K, Holahan, Charles J, Lim, Sangdon, Chen, Yen T, Powers, Daniel A
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Oxford University Press 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6840716/
http://dx.doi.org/10.1093/geroni/igz038.2553
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author Holahan, Carole K
Holahan, Charles J
Lim, Sangdon
Chen, Yen T
Powers, Daniel A
author_facet Holahan, Carole K
Holahan, Charles J
Lim, Sangdon
Chen, Yen T
Powers, Daniel A
author_sort Holahan, Carole K
collection PubMed
description Although sociodemographic disadvantage is a recognized risk factor for obesity, the potential role of living with a smoker in this relationship has been unexamined. This study investigated: (a) the association between sociodemographic disadvantage and living with a smoker, and (b) the role of living with a smoker in partially explaining the link between sociodemographic disadvantage and obesity. The study used limited access data from the Women’s Health Initiative Observational Study obtained from NHLBI. Participants were 91,888 women ranging in age from 50 to 79; 6,527 participants reported living with a smoker. Analyses were cross-sectional. Logistic regression analyses examined paths in the proposed model; bias-corrected bootstrapped confidence intervals tested indirect effects. All analyses controlled for age, marital status, and participants’ current smoking status. Results demonstrated a significant association (p < .001) between sociodemographic disadvantage and living with a smoker across three measures of disadvantage (for low education, low income, and Black ethnicity, ORs were 1.95, 2.10, and 2.63, respectively), as well as between living with and smoker and obesity (OR = 1.71). Moreover, the unstandardized indirect effect (CIs are in brackets) from sociodemographic disadvantage to obesity through living with a smoker was statistically significant for all three measures of disadvantage (for low education, low income, and Black ethnicity, indirect effects = .05 [.04, .06], .06 [.05, .06], and .07 [.06, .08], respectively). These findings underscore the need for innovative household-level interventions for disadvantaged families living with a smoker integrating smoking- and obesity-prevention efforts. This project was supported by the NIH/NCI (R03CA215947).
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spelling pubmed-68407162019-11-15 SOCIODEMOGRAPHIC DISADVANTAGE, LIVING WITH A SMOKER, AND OBESITY IN MIDDLE-AGED AND OLDER WOMEN Holahan, Carole K Holahan, Charles J Lim, Sangdon Chen, Yen T Powers, Daniel A Innov Aging Session 3335 (Poster) Although sociodemographic disadvantage is a recognized risk factor for obesity, the potential role of living with a smoker in this relationship has been unexamined. This study investigated: (a) the association between sociodemographic disadvantage and living with a smoker, and (b) the role of living with a smoker in partially explaining the link between sociodemographic disadvantage and obesity. The study used limited access data from the Women’s Health Initiative Observational Study obtained from NHLBI. Participants were 91,888 women ranging in age from 50 to 79; 6,527 participants reported living with a smoker. Analyses were cross-sectional. Logistic regression analyses examined paths in the proposed model; bias-corrected bootstrapped confidence intervals tested indirect effects. All analyses controlled for age, marital status, and participants’ current smoking status. Results demonstrated a significant association (p < .001) between sociodemographic disadvantage and living with a smoker across three measures of disadvantage (for low education, low income, and Black ethnicity, ORs were 1.95, 2.10, and 2.63, respectively), as well as between living with and smoker and obesity (OR = 1.71). Moreover, the unstandardized indirect effect (CIs are in brackets) from sociodemographic disadvantage to obesity through living with a smoker was statistically significant for all three measures of disadvantage (for low education, low income, and Black ethnicity, indirect effects = .05 [.04, .06], .06 [.05, .06], and .07 [.06, .08], respectively). These findings underscore the need for innovative household-level interventions for disadvantaged families living with a smoker integrating smoking- and obesity-prevention efforts. This project was supported by the NIH/NCI (R03CA215947). Oxford University Press 2019-11-08 /pmc/articles/PMC6840716/ http://dx.doi.org/10.1093/geroni/igz038.2553 Text en © The Author(s) 2019. Published by Oxford University Press on behalf of The Gerontological Society of America. http://creativecommons.org/licenses/by/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Session 3335 (Poster)
Holahan, Carole K
Holahan, Charles J
Lim, Sangdon
Chen, Yen T
Powers, Daniel A
SOCIODEMOGRAPHIC DISADVANTAGE, LIVING WITH A SMOKER, AND OBESITY IN MIDDLE-AGED AND OLDER WOMEN
title SOCIODEMOGRAPHIC DISADVANTAGE, LIVING WITH A SMOKER, AND OBESITY IN MIDDLE-AGED AND OLDER WOMEN
title_full SOCIODEMOGRAPHIC DISADVANTAGE, LIVING WITH A SMOKER, AND OBESITY IN MIDDLE-AGED AND OLDER WOMEN
title_fullStr SOCIODEMOGRAPHIC DISADVANTAGE, LIVING WITH A SMOKER, AND OBESITY IN MIDDLE-AGED AND OLDER WOMEN
title_full_unstemmed SOCIODEMOGRAPHIC DISADVANTAGE, LIVING WITH A SMOKER, AND OBESITY IN MIDDLE-AGED AND OLDER WOMEN
title_short SOCIODEMOGRAPHIC DISADVANTAGE, LIVING WITH A SMOKER, AND OBESITY IN MIDDLE-AGED AND OLDER WOMEN
title_sort sociodemographic disadvantage, living with a smoker, and obesity in middle-aged and older women
topic Session 3335 (Poster)
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6840716/
http://dx.doi.org/10.1093/geroni/igz038.2553
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