Racial and ethnic disparities in obesity prevalence among children, adolescents, and young adults receiving inpatient care in Hawai‘i, 2015–2016

Preventive Medicine Reports

So Yung Choi¹  Stephanie L. Cacal²  Tetine L. Sentell²  Tammy Chase-Brunelle²  Catherine M. Pirkle³  Lance K. Ching³  L. Brooke Keliikoa³  Toby Beckelman⁴ 

[1] Corresponding author at: 1960 East-West Road, Biomed D104, Honolulu, HI 96822, USA.;Hawai‘i State Department of Health, Chronic Disease Prevention and Health Promotion Division, 1250 Punchbowl Street, Honolulu, HI 96813, USA;University of Hawai‘i at Mānoa, Office of Public Health Studies, 1960 East-West Road, Biomed D204, Honolulu, HI 96822, USA;University of Hawai‘i, John A. Burns School of Medicine, 651 Ilalo Street, MEB 411, Honolulu, HI 96813, USA;

关键词: Pediatric;    Young adult;    Inpatient;    Obesity;    Pacific Islander;    Asian American;   

DOI  :  

来源: DOAJ

【 摘 要 】

The number of hospitalizations with an obesity diagnosis have increased among youth in the past two decades, yet remain understudied, particularly among racial/ethnic minority groups. The purpose of this study was to characterize obesity prevalence among children, adolescents, and young adults receiving inpatient care in Hawai‘i acute care hospitals during 2015–2016. This study analyzed statewide administrative data from a racially and ethnically diverse population. Participants (N = 7,751) included Hawai‘i residents aged 5–29 years receiving inpatient care, excluding those hospitalized due to pregnancy. Recorded height and weight were used to calculate body mass index (BMI) and classify obesity. Primary or secondary diagnoses for obesity were assessed. A multivariable logistic regression model was used to determine characteristics associated with obesity, including race/ethnicity-sex interaction, age group, insurance payer, and county of residence. Based on BMI, 28.4% (2,202/7,751) of patients had obesity. However, an obesity diagnosis was present only in 40.4% (889/2,202) of patients with obesity based on BMI (11.9% of all patients). In the multivariable model, compared to whites, the odds of having obesity were highest among Pacific Islanders [adjusted odds ratio (aOR) = 4.07, 95% CI(3.16–5.23)] and Native Hawaiians [aOR = 2.16, 95% CI(1.75–2.67)] for females, and among Pacific Islanders [aOR = 5.39, 95% CI(4.27–6.81)], Native Hawaiians [aOR = 2.36, 95% CI(1.91–2.91)], and Filipinos [aOR = 2.08, 95% CI(1.64–2.64)] for males. Obesity was also associated with age group, but not insurance payer type or county of residence. These findings support the need for greater attention to obesity in the inpatient setting and equity-focused interventions to reduce obesity among younger hospitalized patients.

【 授权许可】

Unknown