Geography, Race/Ethnicity, and Physical Activity Among Men in the United States

Engaging in regular physical activity reduces one’s risk of chronic disease, stroke, cardiovascular disease, and some forms of cancer. These preventive benefits associated with physical activity are of particular importance for men, who have shorter life expectancy and experience higher rates of chronic diseases as compared to women. Studies at the community and national levels have found that social and environmental factors are important determinants of men’s physical activity, but little is known about how regional influences affect physical activity behaviors among men. The objective of this study is to examine the association between geographic region and physical activity among men in the United States, and to determine if there are racial/ethnic differences in physical activity within these geographic regions. Cross-sectional data from men who participated the 2000 to 2010 National Health Interview Survey ( N = 327,556) was used. The primary outcome in this study was whether or not men had engaged in sufficient physical activity to receive health benefits, defined as meeting the 2008 Physical Activity Guidelines for Americans. Race/ethnicity and geographic region were the primary independent variables. Within every region, Hispanic and Asian men had lower odds of engaging in sufficient physical activity compared to white men. Within the Northeast, South, and West, black men had lower odds of engaging in sufficient physical activity compared to white men. The key findings indicate that the odds of engaging in sufficient physical activity among men differ significantly between geographic regions and within regions by race/ethnicity.

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Geography, Race/Ethnicity, and Obesity Among Men in the United States

American Journal of Men s Health ◽

10.1177/1557988314565811 ◽

2015 ◽

Vol 10 (3) ◽

pp. 228-236 ◽

Cited By ~ 9

Author(s):

Elizabeth A. Kelley ◽

Janice V. Bowie ◽

Derek M. Griffith ◽

Marino Bruce ◽

Sarah Hill ◽

...

Keyword(s):

United States ◽

Ethnic Differences ◽

White Men ◽

The United States ◽

Geographic Region ◽

The South ◽

Lower Odds ◽

Logistic Regression Models ◽

Geographic Regions ◽

Racial Ethnic

The prevalence of obesity in the United States has increased significantly and is a particular concern for minority men. Studies focused at the community and national levels have reported that geography can play a substantial role in contributing to obesity, but little is known about how regional influences contribute to obesity among men. The objective of this study is to examine the association between geographic region and obesity among men in the United States and to determine if there are racial/ethnic differences in obesity within these geographic regions. Data from men, aged 18 years and older, from the National Health Interview Survey were combined for the years 2000 to 2010. Obesity was defined as body mass index (BMI) ≥30 kg/m2. Logistic regression models were specified to calculate the odds ratio (OR) and 95% confidence interval (CI) for the association between geographic region and obesity and for race and obesity within geographic regions. Compared to men living in the Northeast, men living in the Midwest had significantly greater odds of being obese (OR = 1.09, 95% CI [1.02, 1.17]), and men living in the West had lower odds of being obese (OR = 0.82, 95% CI [0.76, 0.89]). Racial/ethnic differences were also observed within geographic region. Black men have greater odds of obesity than White men in the South, West, and Midwest. In the South and West, Hispanic men also have greater odds of obesity than White men. In all regions, Asian men have lower odds of obesity than White men.

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Association of Physical Activity With Income, Race/Ethnicity, and Sex Among Adolescents and Young Adults in the United States

JAMA Pediatrics ◽

10.1001/jamapediatrics.2018.1273 ◽

2018 ◽

Vol 172 (8) ◽

pp. 732 ◽

Cited By ~ 38

Author(s):

Sarah Armstrong ◽

Charlene A. Wong ◽

Eliana Perrin ◽

Sara Page ◽

Lauren Sibley ◽

...

Keyword(s):

Physical Activity ◽

United States ◽

Young Adults ◽

The United States ◽

Adolescents And Young Adults ◽

Race Ethnicity

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Abuse of reformulated OxyContin: Updated findings from a sentinel surveillance sample of individuals assessed for substance use disorder

Journal of Opioid Management ◽

10.5055/jom.2017.0419 ◽

2017 ◽

Vol 13 (6) ◽

pp. 425 ◽

Cited By ~ 4

Author(s):

Theresa A. Cassidy, MPH ◽

Eileen Thorley, MPH ◽

Ryan A. Black, PhD ◽

Angela DeVeaugh-Geiss, PhD ◽

Stephen F. Butler, PhD ◽

...

Keyword(s):

Substance Use ◽

Substance Use Disorder ◽

The United States ◽

Geographic Region ◽

Addiction Severity Index ◽

Prescription Opioid ◽

Cross Sectional ◽

Geographic Regions ◽

Drug Problems ◽

Treatment Settings

Objective: To examine abuse prevalence for OxyContin and comparator opioids over a 6-year period prior to and following market entry of reformulated OxyContin and assess consistency in abuse across treatment settings and geographic regions. Design: An observational study examining longitudinal changes using cross-sectional data from treatment centers for substance use disorder.Setting: A total of 874 facilities in 39 states in the United States within the National Addictions Vigilance Intervention and Prevention Program (NAVIPPRO®) surveillance system.Participants: Adults (72,060) assessed for drug problems using the Addiction Severity Index-Multimedia Version (ASI-MV®) from January 2009 through December 2015 who abused prescription opioids.Main outcome measure(s): Percent change in past 30-day abuse. Results: OxyContin had significantly lower abuse 5 years after reformulation compared to levels for original OxyContin. Consistency of magnitude in OxyContin abuse reductions across geographic regions, ranging from 41 to 52 percent with differences in abuse reductions in treatment setting categories occurred. Changes in geographic region and treatment settings across study years did not bias the estimate of lower OxyContin abuse through confounding.Conclusion: In the postmarket setting, limitations and methodologic challenges in abuse measurement exist and it is difficult to isolate singular impacts of any one intervention given the complexity of prescription opioid abuse. Expectations for a reasonable threshold of abuse for any one ADF product or ADF opioids as a class are still uncertain and undefined. A significant decline in abuse prevalence of reformulated OxyContin was observed 5 years after its reformulation among this treatment sample of individuals assessed for substance use disorder that was lower historically for the original formulation of this product.

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Incidence of testicular cancer in the United States from 1992 to 2009.

Journal of Clinical Oncology ◽

10.1200/jco.2013.31.6_suppl.339 ◽

2013 ◽

Vol 31 (6_suppl) ◽

pp. 339-339 ◽

Cited By ~ 2

Author(s):

Manas Nigam ◽

Brisa Aschebrook-Kilfoy ◽

Sergey Shikanov ◽

Scott E. Eggener

Keyword(s):

United States ◽

Testicular Cancer ◽

White Men ◽

The United States ◽

Incidence Rates ◽

The Us ◽

Hispanic Men ◽

Tumor Characteristic ◽

Race Ethnicity ◽

Hispanic White

339 Background: The incidence of testicular cancer (TC) increased in the US through 2003. However, little is known about these trends after 2003. We sought to determine trends in TC incidence based on race, ethnicity and tumor characteristics. Methods: TC incidence and tumor characteristic data from 1992-2009 were extracted from the Surveillance, Epidemiology, and End Results-13 (SEER) registry. Trends were determined using JoinPoint. Results: TC incidence in the US increased from 1992 (5.7/100,000) to 2009 (6.8/100,000) with annual percentage change (APC) of 1.1% (p < 0.001). TC rates were highest in non-Hispanic white men (1992: 7.5/100,000; 2009: 8.6/1000) followed by Hispanic men (1992: 4.0/100,000; 2009: 6.3/100,000) and lowest among non-Hispanic black men (1992: 0.7/100,000; 2009: 1.7/100,000). Significantly increasing incidence rates were observed in non-Hispanic white men (1.2%, p < 0.001) but most prominently among Hispanics, especially from 2002-2009 (5.6%, p < 0.01). A significant increase was observed for localized TC (1.21%, p < 0.001) and metastatic TC (1.43%, p < 0.01). Increased incidence occurred in localized tumors for non-Hispanic white men (1.56%, p <0.001), while Hispanic men experienced an increase in localized (2.6%, p < 0.001), regionalized (16.5% from 2002-09, p < 0.01), and distant (2.6%, p < 0.01) disease. Conclusions: Through 2009, testicular cancer incidence continues to increase in the United States, most notably among Hispanic men. [Table: see text]

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Association of Social Networks and Physical Activity in South Asians: The Mediators of Atherosclerosis in South Asians Living in America Cohort Study

Journal of Physical Activity and Health ◽

10.1123/jpah.2019-0099 ◽

2020 ◽

Vol 17 (2) ◽

pp. 149-155 ◽

Cited By ~ 2

Author(s):

Mitali S. Thanawala ◽

Juned Siddique ◽

John A. Schneider ◽

Alka M. Kanaya ◽

Andrew J. Cooper ◽

...

Keyword(s):

Physical Activity ◽

United States ◽

Social Networks ◽

Confidence Interval ◽

Leisure Time Physical Activity ◽

South Asians ◽

Ethnic Disparities ◽

The United States ◽

Activity Levels ◽

Cross Sectional

Background: Eliminating racial/ethnic disparities in physical activity remains a challenge in the United States. South Asian immigrants in the United States have particularly low physical activity levels, and evidence suggests that social context may be important. This study examined associations between personal social networks and moderate to vigorous leisure-time physical activity (MVPA) among South Asians in the United States. Methods: We used cross-sectional data (2014–2017) from 689 South Asians (aged 43–85 y) who participated in the Mediators of Atherosclerosis in South Asians Living in America study. Self-reported physical activity and egocentric network data were collected from participants about their network members. Regression models were used to determine associations between social network characteristics and participants’ MVPA. Results: Participants were on average 59 years old (SD = 9) and reported 1335 metabolic equivalent minutes per week of MVPA (interquartile range = 735, 2212). Having network members who exercised or who were exercise partners associated with increased MVPA in men (β coefficient = 241 MET min/wk [95% confidence interval, 63 to 419] and β = 520 MET min/wk [95% confidence interval, 322 to 718], respectively). For women, the association was only significant if the exercise partner was a spouse. Conclusion: Physical activity interventions utilizing network members as exercise partners may have potential in South Asians but must consider gender differences.

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Exploring the Association Between Electronic Wearable Device Use and Levels of Physical Activity Among Individuals With Depression and Anxiety: A Population Level Study

Frontiers in Digital Health ◽

10.3389/fdgth.2021.707900 ◽

2021 ◽

Vol 3 ◽

Author(s):

Henry Onyeaka ◽

Joe Firth ◽

Valentine Enemuo ◽

Chioma Muoghalu ◽

John Naslund ◽

...

Keyword(s):

Physical Activity ◽

United States ◽

Large Scale ◽

Population Level ◽

The United States ◽

Individual Characteristics ◽

Activity Levels ◽

Depression And Anxiety ◽

Related Factors ◽

Cross Sectional

Aim: The present study aimed to investigate the cross-sectional association between self-reported use of electronic wearable devices (EWDs) and the levels of physical activity among a representative sample of adults with depression and anxiety in the United States.Methods: For this cross-sectional study, data were pooled from the Health Information National Trends Survey 2019. A sample of 1,139 adults with self-reported depression and anxiety (60.9% women; mean age of 52.5 years) was analyzed. The levels of physical activity and prevalence of EWD utilization were self-reported. The chi-square tests were used to compare individual characteristics through the use of EWDs. Multivariable logistic regression was employed to investigate the association between EWDs and physical activity levels while adjusting for sociodemographic and health-related factors.Results: From the 1,139 adults with self-reported depression and anxiety, 261 (weighted percentage 28.1%) endorsed using EWD in the last year. After adjusting for covariates, the use of EWDs was only significantly associated with a higher odds of reporting intention to lose weight (OR 2.12; 95% CI 1.04, 4.35; p = 0.04). We found no association between the use of EWDs and meeting the national weekly recommendation for physical activity or resistance/strength exercise training.Conclusion: About three in 10 adults suffering from depression and anxiety in the United States reported using EWDs in the last year. The current study findings indicate that among people living with mental illness, EWD use is associated with higher odds of weight loss intent suggesting that EWDs may serve as an opening for the clinical interactions around physical health through identifying patients primed for behavior change. Further large-scale studies using randomized trial designs are needed to examine the causal relationships between EWDs and the physical activity of people with mental health conditions.

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Breast Cancer Incidence and Mortality Trends, Variation by State and Race/Ethnicity, and Association With Obesity, Physical Activity, and Mammography Screening in the United States

SSRN Electronic Journal ◽

10.2139/ssrn.3963787 ◽

2021 ◽

Author(s):

Zhaomin Xie ◽

Wei Xie ◽

Yuanke Liang ◽

Haoyu Lin ◽

Jundong Wu ◽

...

Keyword(s):

Breast Cancer ◽

Physical Activity ◽

United States ◽

Cancer Incidence ◽

Mammography Screening ◽

Breast Cancer Incidence ◽

The United States ◽

Mortality Trends ◽

Incidence And Mortality ◽

Race Ethnicity

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“How Come You Sent Me the Canadian One?” Application and Uptake of the Canadian Physical Activity Guidelines for Adults With Multiple Sclerosis in the United States

Adapted Physical Activity Quarterly ◽

10.1123/apaq.2020-0136 ◽

2020 ◽

pp. 1-22

Author(s):

Whitney N. Neal ◽

Emma Richardson ◽

Robert W. Motl

Keyword(s):

Physical Activity ◽

United States ◽

Multiple Sclerosis ◽

Thematic Analysis ◽

The United States ◽

Exercise Behavior ◽

Dissemination And Implementation ◽

Multifaceted Approach ◽

Physical Activity Guidelines ◽

Semistructured Interviews

The uptake and benefits of the Canadian Physical Activity Guidelines for Adults with Multiple Sclerosis (PAGs) have been validated, but there is limited understanding regarding the knowledge, needs, and preferences of people with multiple sclerosis (MS) for implementing the PAGs outside of clinical research. The authors conducted online, semistructured interviews with 40 persons with MS from across the United States seeking information on awareness of and potential approaches for increasing the uptake of the PAGs. They identified first impressions and potential approaches for increasing the uptake of the PAGs through inductive, semantic thematic analysis. Participants perceived the PAGs as a good introduction for structured exercise but desired more information on how to meet the PAGs. Participants further believed that modifying the PAGs for inclusivity and applying a multifaceted approach for dissemination and implementation may increase uptake of exercise behavior. Physical activity research in MS should include both analyzing the effects of exercise and the unique challenges faced by persons with MS in putting the PAGs into practice.

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The Effects of Race/Ethnicity and Physician Recommendation for Physical Activity on Physical Activity Levels and Arthritis Symptoms Among Adults With Arthritis

10.21203/rs.3.rs-37158/v1 ◽

2020 ◽

Author(s):

Jeremy Huckleby ◽

Faustine Williams ◽

Rose Ramos ◽

Anna Napoles

Keyword(s):

Physical Activity ◽

African Americans ◽

Symptom Burden ◽

Cross Sectional Study ◽

Activity Levels ◽

Physician Recommendation ◽

Cross Sectional ◽

Physical Activity Guidelines ◽

Relieve Symptom ◽

Race Ethnicity

Abstract Background: Among U.S. adults with physician-diagnosed arthritis, we examined the effects of race/ethnicity and receiving physician exercise recommendation on meeting aerobic and strengthening physical activity guidelines, and arthritis symptoms, and whether race/ethnicity moderates the effects of physician recommendation on activity levels and symptoms.Methods: Retrospective, cross-sectional study of National Health Interview Survey pooled data from 2002, 2006, 2009, and 2014. The study included 27,887 U.S. adults aged ≥18 years with arthritis. Outcomes were meeting aerobic (yes/no) and strengthening guidelines (yes/no), arthritis-associated activity limitations (yes/no) and arthritis-related pain (0-10; higher score=more pain). Predictors were race/ethnicity (White, African American, Latino, and Asian) and receipt of physician recommendation for exercise (yes/no). Covariates included demographic and health characteristics and U.S. region.Results: Controlling for covariates, physician exercise recommendation was independently associated with meeting aerobic (AOR=1.14; 95% CI 1.06, 1.24) and strengthening (AOR=1.17; 95% CI 1.06, 1.28) guidelines; effects did not differ by race/ethnicity. African Americans were more likely than Whites to meet strengthening guidelines (AOR=1.22; 95% CI 1.07, 1.40) and Asians were less likely to meet aerobic (AOR=0.80; 95% CI 0.65, 0.99) and strengthening (AOR=0.76; 95% CI 0.60, 0.96) guidelines. Compared to Whites, African Americans (B=0.51; 95% CI 0.26, 0.76) and Latinos (B=0.43; 95% CI 0.14, 0.72) reported more severe, while Asians reported less severe (B=-0.60; 95% CI -1.17, -0.04) joint painConclusions: Disparities in pain exist for African Americans and Latinos with arthritis. Physician exercise recommendation is critical among patients with arthritis to relieve symptom burden.

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