Evidence map›Paper›PMID 31858741›Full record

ArticleObesity (Silver Spring, Md.)2020

Assessing the Role of Health Behaviors, Socioeconomic Status, and Cumulative Stress for Racial/Ethnic Disparities in Obesity.

Adolfo G Cuevas, Ruijia Chen, Natalie Slopen, Katherine A Thurber, Norbert Wilson, Christina Economos, David R Williams

Open access · greenAbstract read
In one paragraph

Article in Obesity (Silver Spring, Md.), 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 39 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
39citing papers in PubMed, 1 pooled it
10.1field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

39 citing papers in PubMed, 1 synthesis or guideline pooled it, 59 citations in OpenAlex.

  1. Pooled it
  2. Racial disparities in the efficacy of traditional versus acceptance-based behavioral weight loss.Health psychology : official journal of the Division of Health Psychology, American Psychological Association · 2026
    Trial
  3. Trial
  4. Article
  5. Article
  6. Health disparities in neurology.Nature reviews. Neurology · 2025
    Review
  7. Article
  8. Review
  9. Article
  10. Article
  11. Article
  12. Developing a Dietary Questionnaire for Rural Mexican Americans.Journal of immigrant and minority health · 2025
    Article
  13. Article
  14. Article
  15. Article
  16. Weight Gain and Antiretroviral Therapy.Infectious disease clinics of North America · 2024
    Review
  17. Article
  18. Article
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 4 institutions in 2 countries.

Adolfo G CuevasDepartment of Community Health, Tufts University, Medford, Massachusetts, USA.ORCID 0000-0001-9875-3825
Ruijia ChenDepartment of Social and Behavioral Sciences, Harvard T.H. Chan School of Public Health, Boston, Massachusetts, USA.
Natalie SlopenDepartment of Epidemiology and Biostatistics, University of Maryland, College Park, Maryland, USA.
Katherine A ThurberNational Centre for Epidemiology and Population Health, Research School of Population Health, Australian National University, Canberra, Australian Capital Territory, Australia.ORCID 0000-0002-5626-1133
Norbert WilsonFriedman School of Nutrition Science and Policy, Tufts University, Boston, Massachusetts, USA.
Christina EconomosFriedman School of Nutrition Science and Policy, Tufts University, Boston, Massachusetts, USA.
David R WilliamsDepartment of Social and Behavioral Sciences, Harvard T.H. Chan School of Public Health, Boston, Massachusetts, USA.
Tufts University · USHarvard University · USAustralian National University · AUUniversity of Maryland, College Park · US

Funding

WORD PROCESSING CENTER--COREP30CA006927 · NCI · RESEARCH INST OF FOX CHASE CAN CTR · PI CHARNITA M. ZEIGLER-JOHNSON · 1985 to 2026
$138.8M
CTSA Institutional Mentored Career Development Program (KL2)KL2TR002545 · NCATS · TUFTS UNIVERSITY BOSTON · PI FREUND, KAREN · 2018 to 2022
$5.0M
Sci-Tech Core-Maryland Population Research CenterP2CHD041041 · NICHD · UNIV OF MARYLAND, COLLEGE PARK · PI MICHAEL S. RENDALL · 2018 to 2026
$3.9M
National Institute of Health 3R25CA057711NCATS NIH HHS KL2 TR002545NCI NIH HHS P30 CA006927NICHD NIH HHS P2C HD041041
6 · The paper itself

Abstract

objectiveThis study aimed to examine the explanatory role of health behaviors, socioeconomic position (SEP), and psychosocial stressors on racial/ethnic obesity disparities in a multiethnic and multiracial sample of adults.

methodsUsing data from the Chicago Community Adult Health Study (2001-2003), Oaxaca-Blinder decomposition analysis was conducted to quantify the extent to which health behaviors (fruit and vegetable consumption and physical activity), SEP, and cumulative stressors (e.g., perceived discrimination, financial strain) each explained differences in obesity prevalence in Black, US-born Hispanic, and non-US-born Hispanic compared with non-Hispanic White participants.

resultsSEP and health behaviors did not explain obesity differences between racial/ethnic minorities and White individuals. Having high levels of stress in four or more domains explained 4.46% of the differences between Black and White individuals, whereas having high levels of stress in three domains significantly explained 14.13% of differences between US-born Hispanic and White. Together, the predictors explained less than 20% of differences between any racial/ethnic minority group and White individuals.

conclusionsExposure to stressors may play a role in obesity disparities, particularly among Black and US-born Hispanic individuals. Other obesity-related risk factors need to be examined to understand the underlying mechanisms explaining obesity disparities.

Indexed as

Health Status DisparitiesSocial ClassAdultEthnicityFemaleHealth BehaviorHumansMaleMinority GroupsObesityPsychologyRacial GroupsRisk FactorsYoung Adult

Identifiers

PMID31858741
PMCPMC6927482
OpenAlexW2995880813

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.