Racial inequality, racial discrimination and obesity incidence in adults from the ELSA-Brasil cohort

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dc.creatorAmanda Viana Machado
dc.creatorLidyane do Valle Camelo
dc.creatorDóra Chor
dc.creatorRosane Griep
dc.creatorJoanna Guimarães
dc.creatorLuana Giatti
dc.creatorSandhi Maria Barreto
dc.date.accessioned2025-07-22T16:25:06Z
dc.date.accessioned2025-09-08T23:54:17Z
dc.date.available2025-07-22T16:25:06Z
dc.date.issued2021
dc.format.mimetypepdf
dc.identifier.doihttps://doi.org/10.1136/jech-2020-214740
dc.identifier.issn0143-005X
dc.identifier.urihttps://hdl.handle.net/1843/83742
dc.languageeng
dc.publisherUniversidade Federal de Minas Gerais
dc.relation.ispartofJournal of epidemiology and community health
dc.rightsAcesso Aberto
dc.subjectSaúde pública
dc.subjectDiscriminação
dc.subjectDiscriminação racial
dc.subjectObesidade
dc.titleRacial inequality, racial discrimination and obesity incidence in adults from the ELSA-Brasil cohort
dc.typeArtigo de periódico
local.citation.issue5
local.citation.volume75
local.description.resumoBackground This study investigated whether self-reported race/skin colour and perceived racial discrimination predict higher obesity incidence after approximately 4-year follow-up of the Brazilian Longitudinal Study of Adult Health (ELSA-Brasil). We also investigated whether these associations are modified by educational level. Methods Following exclusion of individuals defined as obese (body mass index ≥30 kg/m2) at baseline, associations between race/skin colour and obesity incidence between the first (2008–2010) and second (2012–2014) visits were investigated in 10 130 participants. Next, associations between perceived racial discrimination and obesity incidence among black (n=1532) and brown (n=2958) individuals were investigated separately. Racial discrimination (yes/no) was assessed using the Lifetime Major Event Scale. Logistic regression models adjusted for age, sex and research site were used. All analyses were stratified for educational level. Results Obesity risk was higher in Blacks with high education compared with white individuals to the same education level (OR: 2.22; 95% CI 1.62 to 3.04) following adjustments. After adjustments, obesity incidence was higher among black individuals reporting racial discrimination compared with peers who did not report this experience, but only among the low education group (OR: 1.64; 95% CI 1.08 to 2.51). No statistical association with perceived discrimination was observed among brown individuals. Conclusion Results are congruent with findings from other studies reporting associations between racial inequality and obesity incidence and also suggest racial discrimination may be one of the mechanisms leading to such inequalities. Also, it supports the paradox theory by which education modify the association in distinct directions.
local.identifier.orcidhttps://orcid.org/0000-0001-5879-9466
local.identifier.orcidhttps://orcid.org/0000-0001-7471-7547
local.identifier.orcidhttps://orcid.org/0000-0002-3941-5786
local.identifier.orcidhttps://orcid.org/0000-0002-6250-2036
local.identifier.orcidhttps://orcid.org/0000-0002-6283-1008
local.identifier.orcidhttps://orcid.org/0000-0001-5454-2460
local.identifier.orcidhttps://orcid.org/0000-0001-7383-7811
local.publisher.countryBrasil
local.publisher.departmentMED - DEPARTAMENTO DE MEDICINA PREVENTIVA SOCIAL
local.publisher.initialsUFMG
local.url.externahttps://jech.bmj.com/content/75/7/695.long#block-system-main

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