روند سیگار کشیدن و چاقی در میان بزرگسالان آمریکایی قبل، در طول و پس از رکود بزرگ و قانون مراقبت مقرون به صرفه
|کد مقاله||سال انتشار||تعداد صفحات مقاله انگلیسی||ترجمه فارسی|
|112382||2017||7 صفحه PDF||سفارش دهید|
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Publisher : Elsevier - Science Direct (الزویر - ساینس دایرکت)
Journal : Preventive Medicine, Volume 102, September 2017, Pages 86-92
This study examined trends in smoking and overweight/obesity rates among United States (US) adults ages 40Â years and older by race and socio-economic status (SES) across three study periods; pre-recession (2003â2005), recession (2007â2009), and post-recession/Affordable Care Act (2010Â âÂ 2012). Data was obtained from the Behavioral Risk Factor Surveillance System (BRFSS), and multivariable regression analysis was used to examine changes in overweight/obesity, smoking, physical activity and smoking cessation rates over the study periods. There were 2,805,957 adults included in the analysis; 65.5% of the study population was overweight/obese, and 33.3% were current smokers. Smoking prevalence increased marginally among those with lower SES (incomeÂ <Â $10,000) from pre-recession (52.5%) to post-recession (52.9%), but declined in other socio-demographic groups. The odds of overweight/obesity increased in the post-recession (OR: 1.22, 95% CI: 1.21â1.23) and recession (OR: 1.11, 95% CI: 1.11â1.12) periods compared with pre-recession, but odds of smoking overall decreased in the post-recession (OR: 0.93, 95% CI: 0.92â0.94) and recession (OR: 0.95, 95% CI: 0.94â0.97) periods. Overweight/obesity increased over the study periods, regardless of race, SES or healthcare access, while smoking rates showed significant declines post-recession compared with pre-recession, except in low SES groups. These findings suggest that strategies focused on reducing overweight/obesity and increasing access to smoking cessation services, especially among low-income adults, are needed. Prospective studies are needed to better evaluate the influence of the economic recession and Affordable Care Act on behavioral risk factors.