TY - JOUR
T1 - Associations Between Gender and Obesity Among Adults with Mental Illnesses in a Community Health Screening Study
AU - Jonikas, Jessica A.
AU - Cook, Judith A.
AU - Razzano, Lisa A.
AU - Steigman, Pamela J.
AU - Hamilton, Marie M.
AU - Swarbrick, Margaret A.
AU - Santos, Alberto
N1 - Funding Information:
The contents of this article were developed under a grant with funding from the National Institute on Disability, Independent Living, and Rehabilitation Research, and from the Center for Mental Health Services, Substance Abuse and Mental Health Services Administration, United States Department of Health and Human Services (Cooperative Agreement #H133B100028; NIDILRR Grant No. 90RT5038-01-00). NIDILRR is a Center within the Administration for Community Living (ACL), Department of Health and Human Services (HHS). The contents of this article do not necessarily represent the policy of NIDILRR, ACL, HHS, and you should not assume endorsement by the Federal Government.
Publisher Copyright:
© 2015, The Author(s).
PY - 2016/5/1
Y1 - 2016/5/1
N2 - The prevalence of obesity and its associations with gender, clinical factors, and medical co-morbidities were examined among 457 adults attending public mental health programs in 4 U.S. states. BMI was measured directly and other information was gathered by interview. Over half (59 %, n = 270) were obese including 18 % (n = 83) who were morbidly obese. In hierarchical ordinary least squares regression analysis controlling for demographic, psychiatric, medical, smoking, and health insurance statuses, women were significantly more likely to be obese than men. Obesity also was more likely among those who were younger and not high school graduates, those with diabetes or hypertension, and those who did not smoke tobacco. Interaction effects were found between gender and diabetes, hypertension, tobacco smoking, education, race, and age. The high prevalence of obesity among women, coupled with interactions between gender and other factors, suggest that targeted approaches are needed to promote optimal physical health in this population.
AB - The prevalence of obesity and its associations with gender, clinical factors, and medical co-morbidities were examined among 457 adults attending public mental health programs in 4 U.S. states. BMI was measured directly and other information was gathered by interview. Over half (59 %, n = 270) were obese including 18 % (n = 83) who were morbidly obese. In hierarchical ordinary least squares regression analysis controlling for demographic, psychiatric, medical, smoking, and health insurance statuses, women were significantly more likely to be obese than men. Obesity also was more likely among those who were younger and not high school graduates, those with diabetes or hypertension, and those who did not smoke tobacco. Interaction effects were found between gender and diabetes, hypertension, tobacco smoking, education, race, and age. The high prevalence of obesity among women, coupled with interactions between gender and other factors, suggest that targeted approaches are needed to promote optimal physical health in this population.
KW - Health disparities
KW - Obesity and gender
KW - Public mental health
KW - Serious mental illness
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U2 - 10.1007/s10597-015-9965-2
DO - 10.1007/s10597-015-9965-2
M3 - Article
C2 - 26711093
AN - SCOPUS:84952024061
SN - 0010-3853
VL - 52
SP - 406
EP - 415
JO - Community Mental Health Journal
JF - Community Mental Health Journal
IS - 4
ER -
