Obesity and socioeconomic status in developing countries: a systematic review.
Obesity and socioeconomic status in developing countries: a systematic review.
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DOI：
10.1111/j.1467-789x.2012.01017.x
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发表时间：
2012-11
期刊：
影响因子：
--
通讯作者：
Suhrcke M
中科院分区：
文献类型：
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作者：
Dinsa GD;Goryakin Y;Fumagalli E;Suhrcke M
我们对评估低收入和中等收入国家（世界银行定义为人均收入不超过12，275美元的国家）儿童、男性和女性的社会经济地位（SES）与测量肥胖之间关系的研究进行了系统性综述。自2004年发表的一篇有影响力的综述以来，关于这一主题的证据显著增加。我们发现，在低收入国家或人类发展指数（HDI）较低的国家，社会经济地位与肥胖之间的关联似乎对男性和女性都是积极的：更富裕和/或教育程度更高的人更容易肥胖。然而，在中等收入国家或人类发展指数中等的国家，这种关联在很大程度上对男子有好有坏，对妇女则主要是负面的。这一特殊的转变似乎发生在人均收入水平甚至比以前一次有影响力的审查所建议的更低的水平上。相比之下，儿童肥胖似乎主要是中低收入国家富人的问题。
We undertook a systematic review of studies assessing the association between socioeconomic status (SES) and measured obesity in low- and middle-income countries (defined by the World Bank as countries with per capita income up to US$12,275) among children, men and women. The evidence on the subject has grown significantly since an earlier influential review was published in 2004. We find that in low-income countries or in countries with low human development index (HDI), the association between SES and obesity appears to be positive for both men and women: the more affluent and/or those with higher educational attainment tend to be more likely to be obese. However, in middle-income countries or in countries with medium HDI, the association becomes largely mixed for men and mainly negative for women. This particular shift appears to occur at an even lower level of per capita income than suggested by an influential earlier review. By contrast, obesity in children appears to be predominantly a problem of the rich in low- and middle-income countries.