Systemic and Environmental Contributors to Obesity Inequities in Marginalized Racial and Ethnic Groups
Abstract
Obesity is a multifactorial disease that disproportionally affects diverse racial and ethnic groups. Structural racism influences racial inequities in obesity prevalence through environmental factors, such as racism and discrimination, socioeconomic status, increased levels of stress, and bias in the health care delivery system. Researchers, clinicians, and policy makers must work to address the environmental and systematic barriers that contribute to health inequities in the United States. Specifically, clinicians should quantitatively and qualitatively assess environmental and social factors and proactively engage in patient-centered care to tailor available treatments based on identified needs and experiences.
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Structural racism is associated with higher obesity prevalence for Black populations by constraining their social and material opportunities and resources.
“as structural racism is associated with higher obesity prevalence for Black populations by constraining their social and material opportunities and resources [21].”
From Intersections of Structural State-Level Racism and Neighborhood Deprivation on Nutrition and Obesity for Black Adolescents (2025) · cites this paper as [21]
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References 102 · Cited by 18
- Authors
- Newsome, F. A., Gravlee, C. C., & Cardel, M. I.
- Affiliations
- University of Florida Health (US)
- University of Florida (US)
- Venue
- Nursing Clinics of North America
- Publisher
- Elsevier BV
- Published
- 2021-12
- Volume
- 56
- Issue
- 4
- Pages
- 619-634
- ISSN
- 0029-6465 (ISSN-L)
- OpenAlex
- W3211914406
- Cited by
- 18
- References
- 102
- Citations by year
- 2026: 1 · 2025: 7 · 2024: 5 · 2023: 4 · 2022: 1
- FWCI
- 0.66
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- Locations
- Nursing Clinics of North America (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Health Professions › Pharmacy › Obesity and Health Practices
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Obesity, Physical Activity, Diet
- Social Sciences › Sociology and Political Science › Racial and Ethnic Identity Research
- Keywords
- obesity, health disparities, racial and ethnic disparities, structural racism, discrimination, socioeconomic status, stress, health care access, patient-centered care, environmental factors, marginalized communities
- MeSH terms
- Delivery of Health Care, Environment, Ethnicity, Health Services Accessibility, Humans, Obesity, Socioeconomic Factors, United States, Bias, Racial Groups, Health Status Disparities, Social Determinants of Health
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