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Ann Epidemiol. 2015 Sep;25(9):656-660.e2. doi: 10.1016/j.annepidem.2015.05.002. Epub 2015 May 14.

Disparities in meeting physical activity guidelines for Asian-Americans in two metropolitan areas in the United States.

Author information

1
Department of Population Health, NYU School of Medicine, New York. Electronic address: stella.yi@nyumc.org.
2
Independent consultant, New York, NY.
3
Los Angeles County Department of Public Health, Los Angeles, CA.
4
Department of Population Health, NYU School of Medicine, New York.

Abstract

PURPOSE:

Physical activity (PA) levels in Asian-American adults may be lower than other racial or ethnic groups. This analysis tested the hypothesis that Asian-Americans are less likely to meet PA guidelines than other racial or ethnic groups regardless of location of residence.

METHODS:

The New York City (NYC) Community Health Survey (2010, 2012) and Los Angeles County (LAC) Health Survey (2011) are cross-sectional surveys conducted with similar sampling strategies (NYC: n = 17,462; LAC: n = 8036). Meeting PA guidelines was calculated using self-reported moderate or vigorous minutes per week; multivariable regression models adjusted for demographics, insurance, nativity and language spoken at home. Data were weighted to be representative of their respective geographies.

RESULTS:

In both areas, Asian-Americans had a low prevalence of meeting PA guidelines (NYC: 42.7 [39.2-46.3]; LAC: 55.8 [51.2-60.2]). Other racial or ethnic groups were more likely to meet PA guidelines versus Asian-Americans after adjustment for covariates in NYC (white odds ratio [OR]: 1.35 [1.09-1.68]; black OR: 1.61 [1.28-2.02]; Hispanic OR: 2.14 [1.74-2.62]) and in LAC (white OR: 1.45 [1.13-1.86]; Hispanic OR: 1.71 [1.32-2.22]).

CONCLUSIONS:

Asian-Americans were less likely to meet PA guidelines compared with other racial or ethnic groups in NYC and LAC. Description of cultural and neighborhood-level factors and of types of PA in specific Asian subgroups is needed.

KEYWORDS:

Asian-Americans; Exercise; Health status disparities; Population surveillance; Urban health

PMID:
26065343
PMCID:
PMC4547861
DOI:
10.1016/j.annepidem.2015.05.002
[Indexed for MEDLINE]
Free PMC Article

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