Black American adults often report higher rates of obesity and caregiving compared with other racial or ethnic groups. Consequently, many Black American caregivers and care recipients are obese or have obesity-related chronic conditions (e.g., diabetes, hypertension). This study investigated associations between caregiving and obesity among Black Americans, including the role of health behaviors and chronic conditions. The sample included data from 2015 and 2017 Behavioral Risk Factor Surveillance System for non-Hispanic Black (NHB) or African American adult caregivers (n = 2,562) and noncaregivers (n = 7,027). The association between obesity (dependent variable) and caregiving status, fruit consumption, vegetable consumption, physical activity, and number of chronic conditions (independent variables) were evaluated using hierarchical binomial logistic regressions. Caregiving, being female, and chronic conditions were associated with higher odds of obesity, while physical activity was associated with lower odds of obesity. Physical activity, diet, and chronic conditions did not account for differences in obesity among caregiving and noncaregiving Black Americans. Increasing understanding of health behaviors and chronic disease burden of NHB caregivers has implications for programs aiming to improve obesity-related outcomes for caregivers and recipients. Future research should investigate multilevel factors that contribute to observed differences.

中文翻译：

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美国黑人成人的护理和肥胖


与其他种族或族裔群体相比，美国黑人成年人的肥胖率和照顾率往往更高。因此，许多美国黑人护理者和护理接受者肥胖或患有与肥胖相关的慢性病（例如糖尿病、高血压）。这项研究调查了美国黑人的护理与肥胖之间的关联，包括健康行为和慢性病的作用。该样本包括 2015 年和 2017 年非西班牙裔黑人 (NHB) 或非裔美国成年看护者 (n = 2,562) 和非看护者 (n = 7,027) 行为风险因素监测系统的数据。使用分层二项式逻辑回归评估肥胖（因变量）与护理状况、水果消耗、蔬菜消耗、体力活动和慢性病数量（自变量）之间的关联。照顾、女性身份和慢性病与肥胖几率较高相关，而体力活动与肥胖几率较低相关。体力活动、饮食和慢性病并不能解释照顾和不照顾黑人的肥胖差异。加深对 NHB 护理人员的健康行为和慢性疾病负担的了解，对于旨在改善护理人员和接受者肥胖相关结果的计划具有重要意义。未来的研究应该调查导致观察到的差异的多层次因素。