Tag Archives | Obesity

Signs of the End of the Paradox? Cohort Shifts in Smoking and Obesity and the Hispanic Life Expectancy Advantage

Jennifer Van Hook, Michelle L. Frisco, Carlyn E. Graham

Sociological Science August 31, 2020
10.15195/v7.a16


Hispanics’ paradoxical life expectancy advantage over whites has largely been attributed to Hispanics’ lower smoking prevalence. Yet across birth cohorts, smoking prevalence has declined for whites and Hispanics, and Hispanics’ obesity prevalence has increased substantially. Our analysis uses data from the 1989 to 2014 National Health Interview Survey and Linked Mortality files to investigate whether these trends could lead Hispanics to lose their comparative mortality advantage. Simulations suggest that foreign-born Hispanics’ life expectancy advantage over whites is likely to persist because cohort trends in smoking and obesity largely offset each other. However, U.S.-born Hispanics’ life expectancy advantage over whites is likely to diminish or disappear entirely as the 1970s and 1980s birth cohorts age due to increases in obesity prevalence and the relatively high mortality risks of those who are obese. Results have important implications for understanding the future of immigrants’ health advantages and ethnic disparities in health.
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Obesity Is in the Eye of the Beholder: BMI and Socioeconomic Outcomes across Cohorts

Vida Maralani, Douglas McKee

Sociological Science, April 19, 2017
DOI 10.15195/v4.a13

The biological and social costs of body mass cannot be conceptualized in the same way. Using semiparametric methods, we show that the association between body mass index (BMI) and socioeconomic outcomes such as wages, being married, and family income is distinctly shaped by gender, race, and cohort rather than being above a specific threshold of BMI. For white men, the correlation between BMI and outcomes is positive across the “normal” range of BMI and turns negative near the cusp of the overweight range, a pattern that persists across cohorts. For white women, thinner is nearly always better, a pattern that also persists across cohorts. For black men in the 1979 cohort, the association between BMI and wages is positive across the normal and overweight ranges for wages and family income and inverted U–shaped for marriage. For black women in the 1979 cohort, thinner is better for wages and marriage. By the 1997 cohort, however, the negative association between body mass and outcomes dissipates for black Americans but not for white Americans. In the social world, “too fat” is a subjective, contingent, and fluid judgment that differs depending on who is being judged, who does the judging, and the social domain.

Creative Commons LicenseThis work is licensed under a Creative Commons Attribution 4.0 International License.


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