American journal of preventive medicine
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This article examines the obesity-related health lifestyle practices of a late-middle age cohort of socioeconomically diverse Black Americans. Black people have the highest prevalence of obesity of any racial group in the U.S. Consequently, the obesity-related health lifestyles of this population is an important topic of investigation, including those in late-middle age for whom there is little data. ⋯ Obesity-related health lifestyles among late-middle aged Black Americans generally do not converge toward a healthier norm with impending old age. An exception is men who have been diagnosed as having diabetes or heart disease. Otherwise, healthy and unhealthy lifestyle practices remain aligned by social class during this period of the life course.
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Growing up in disadvantaged neighborhoods is associated with poor adult health indicators. Consistent and supportive parenting plays a key role in life-long health, but it is not known whether positive parenting can mitigate the relationship between neighborhood adversity and poor health. This study examines parenting as a moderator of the links between childhood neighborhood characteristics and adult health indicators. ⋯ Interventions enhancing consistent and nurturing parenting may help to reduce the long-term associations of neighborhood disadvantage with poor health.
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Observational Study
Diet Quality and the Gut Microbiota in Women Living in Alabama.
The gut microbiota is associated with obesity and modulated by individual dietary components. However, the relationships between diet quality and the gut microbiota and their potential interactions with weight status in diverse populations are not well understood. This study examined the associations between overall diet quality, weight status, and the gut microbiota in a racially balanced sample of adult females. ⋯ Diet quality measured by the HEI was associated with alpha diversity of the gut microbiota among adult females. Abundances of phyla that have been linked with weight status (Bacteroidetes and Firmicutes) were positively associated with diet quality.
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Obesity is associated with kidney stone disease, but it is unknown whether this association differs by SES. This study assessed the extent to which obesity and neighborhood characteristics jointly contribute to urinary risk factors for kidney stone disease. ⋯ Obesity was associated with the presence of multiple stone risk factors and multiple dietary factors; however, the strength and magnitude of these associations did not vary significantly by neighborhood SES, family structure, and housing characteristics.
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This study compares rural and urban differences in the rates of nonfatal self-harm in the U.S. in 2018. ⋯ Comprehensive suicide prevention strategies tailored to rural communities may mitigate the rural-urban disparity in morbidity from suicidal behavior.