Factors related to weight loss behavior in a multiracial/ethnic workforce.

Jane Zapka, Stephenie C Lemon, Barbara Estabrook, Milagros C Rosal
Author Information
  1. Jane Zapka: Department of Biostatistics, Bioinformatics, and Epidemiology, Medical University of South Carolina, Charleston, South Carolina 29425, USA. zapka@musc.edu

Abstract

OBJECTIVES: We examined whether factors associated with attempting to lose weight in a hospital-based employee workforce varied by race/ethnicity.
METHODS: We conducted a cross-sectional survey in 6 hospitals in a health system in central Massachusetts. The stratified random sample included 813 employees; men and and non-White employees were oversampled. The primary outcome measure was current evidence-based weight loss attempts.
RESULTS: Factors positively associated with attempting to lose weight among non-Hispanic Blacks included self-perceived overweight, female sex, higher education, physician recommendation to lose weight, and having a chronic medical condition. Among Hispanics, body mass index and self-perceived overweight were associated with attempts to lose weight, while working full time and second or third shift were associated with lower likelihood of weight loss attempts. Among non-Hispanic Whites, self-perceived overweight, female sex, higher education, and physician recommendation to lose weight were positively associated with attempting to lose weight, while working full time and working third shift were negatively associated.
CONCLUSIONS: Rates of overweight and obesity were high among hospital employees. Findings suggest that factors associated with attempting to lose weight vary across racial and ethnic groups. Workplace-based interventions for weight control should include strategies tailored to these differences.

References

  1. Am J Prev Med. 2004 Jun;26(5):402-6 [PMID: 15165656]
  2. Am J Clin Nutr. 2008 Jul;88(1):64-9 [PMID: 18614725]
  3. Am J Public Health. 1995 May;85(5):722-6 [PMID: 7733438]
  4. MedGenMed. 2007 May 14;9(2):35 [PMID: 17955090]
  5. JAMA. 2006 Apr 5;295(13):1549-55 [PMID: 16595758]
  6. Am J Public Health. 2008 Aug;98(8):1457-9 [PMID: 18556597]
  7. Am J Public Health. 2008 Aug;98(8):1460-4 [PMID: 18048795]
  8. Prev Med. 2002 Oct;35(4):390-6 [PMID: 12453717]
  9. Obesity (Silver Spring). 2006 Jun;14(6):980-8 [PMID: 16861602]
  10. Int J Obes Relat Metab Disord. 2003 Jul;27(7):856-61 [PMID: 12821973]
  11. Obesity (Silver Spring). 2008 Jun;16(6):1400-6 [PMID: 18369344]
  12. Ethn Dis. 2008 Summer;18(3):278-82 [PMID: 18785439]
  13. Obesity (Silver Spring). 2006 Nov;14(11):2042-53 [PMID: 17135622]
  14. Obes Res. 2004 Dec;12(12):2005-12 [PMID: 15687402]
  15. Am J Health Promot. 2001 Jan-Feb;15(3):167-91 [PMID: 11265580]
  16. Am J Med Sci. 2006 Apr;331(4):166-74 [PMID: 16617231]
  17. NCHS Data Brief. 2007 Nov;(1):1-8 [PMID: 19389313]
  18. J Gerontol B Psychol Sci Soc Sci. 2007 Nov;62(6):S415-23 [PMID: 18079430]
  19. Am J Public Health. 2008 Aug;98(8):1503-9 [PMID: 18048790]
  20. Prev Med. 2008 Jul;47(1):46-52 [PMID: 18289656]
  21. Am J Health Promot. 2001 May-Jun;15(5):296-320 [PMID: 11502012]
  22. Circulation. 2008 Jul 22;118(4):428-64 [PMID: 18591433]
  23. J Womens Health (Larchmt). 2004 Nov;13(9):1019-32 [PMID: 15665659]
  24. Am J Health Promot. 2005 Sep-Oct;20(1):45-51 [PMID: 16171161]
  25. Int J Behav Nutr Phys Act. 2008 Feb 12;5:9 [PMID: 18269748]
  26. J Am Geriatr Soc. 2005 Feb;53(2):283-9 [PMID: 15673353]
  27. JAMA. 2005 Apr 20;293(15):1868-74 [PMID: 15840861]
  28. Obesity (Silver Spring). 2007 Sep;15(9):2171-80 [PMID: 17890484]
  29. N Engl J Med. 2003 Apr 24;348(17):1625-38 [PMID: 12711737]

Grants

  1. R01 HL079483/NHLBI NIH HHS
  2. R01 HL079483-04/NHLBI NIH HHS
  3. 1 R01 HL079483-01/NHLBI NIH HHS

MeSH Term

Adolescent
Adult
Black or African American
Cross-Sectional Studies
Female
Health Behavior
Health Surveys
Hispanic or Latino
Humans
Male
Middle Aged
Obesity
Personnel, Hospital
Self Concept
Socioeconomic Factors
Weight Loss
White People
Young Adult

Word Cloud

Created with Highcharts 10.0.0weightassociatedloseattemptingoverweightemployeeslossattemptsself-perceivedworkingfactorsworkforceincludedFactorspositivelyamongnon-HispanicfemalesexhighereducationphysicianrecommendationAmongfulltimethirdshiftOBJECTIVES:examinedwhetherhospital-basedemployeevariedrace/ethnicityMETHODS:conductedcross-sectionalsurvey6hospitalshealthsystemcentralMassachusettsstratifiedrandomsample813mennon-Whiteoversampledprimaryoutcomemeasurecurrentevidence-basedRESULTS:BlackschronicmedicalconditionHispanicsbodymassindexsecondlowerlikelihoodWhitesnegativelyCONCLUSIONS:RatesobesityhighhospitalFindingssuggestvaryacrossracialethnicgroupsWorkplace-basedinterventionscontrolincludestrategiestailoreddifferencesrelatedbehaviormultiracial/ethnic

Similar Articles

Cited By