Trends in overweight among women differ by occupational class: results from 33 low- and middle-income countries in the period 1992-2009.
Trends in overweight among women differ by occupational class: results from 33 low- and middle-income countries in the period 1992-2009.
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DOI：
10.1038/ijo.2013.50
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发表时间：
2014-01
影响因子：
4.9
通讯作者：
Burdorf, A.
中科院分区：
文献类型：
--
作者：
Lopez-Arana, S.;Avendano, M.;van Lenthe, F. J.;Burdorf, A.
低收入和中等收入国家的女性超重人数有所增加，但这些趋势在不同职业的女性中是否有所不同尚不清楚。我们调查了来自四个地区33个低收入和中等收入国家的妇女按职业类别的趋势。重复横断面人口健康调查（DHS）的跨国研究。在1992年至2009年间，248,925名年龄在25-49岁之间的女性至少接受了两次身高和体重评估。通过访谈评估职业类别、年龄、居住地、教育水平、家庭财富指数、平价、初产年龄和母乳喂养年龄。我们采用logistic和线性回归分析来评估按职业类别超重（BMI > 25 kg/m2）的年百分比变化（APC）。超重患病率从1992-1997年尼泊尔的2.2%到2004-2009年埃及的75%不等。在所有四个区域，从事农业工作的妇女的超重发生率一直较低，而从事专业、技术、管理和文职职业的妇女的超重发生率较高。虽然在大多数区域，所有职业类别的超重发生率都有所增加，但在研究期间，从事农业和生产的妇女超重的增幅最大，而从事较高职业类别的妇女的增幅较小。例如，拉丁美洲和加勒比地区的专业、技术和管理阶层妇女的超重率每年增加0.5%，撒哈拉以南非洲地区的超重率每年增加0.7%，而农业妇女的超重率分别为2.8%和3.7%。在大多数低收入和中等收入国家，超重发生率有所增加，但从事农业和生产的妇女比从事较高职业阶层的妇女的增幅更大。
There has been an increase in overweight among women in low- and middle-income countries, but whether these trends differ for women in different occupations is unknown. We examined trends by occupational class among women from 33 low- and middle-income countries in four regions. Cross-national study with repeated cross-sectional demographic health surveys (DHS). Height and weight were assessed at least twice between 1992 and 2009 in 248,925 women aged 25–49 years. Interviews were conducted to assess occupational class, age, place of residence, educational level, household wealth index, parity, and age at first birth and breastfeeding. We used logistic and linear regression analyses to assess the annual percent change (APC) in overweight (BMI > 25 kg/m2) by occupational class. The prevalence of overweight ranged from 2.2% in Nepal in 1992–1997 to 75% in Egypt in 2004–2009. In all four regions, women working in agriculture had consistently lower prevalence of overweight, while women from professional, technical, managerial as well as clerical occupational classes had higher prevalence. Although the prevalence of overweight increased in all occupational classes in most regions, women working in agriculture and production experienced the largest increase in overweight over the study period, while women in higher occupational classes experienced smaller increases. To illustrate, overweight increased annually by 0.5% in Latin America and the Caribbean and by 0.7% in Sub-Saharan Africa among women from professional, technical, and managerial classes, as compared to 2.8% and 3.7%, respectively, among women in agriculture. The prevalence of overweight has increased in most low and middle income countries, but women working in agriculture and production have experienced larger increases than women in higher occupational classes.
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影响因子：
4.2
作者：
Balarajan, Yarlini;Villamor, Eduardo
通讯作者：
Villamor, Eduardo
影响因子：
4.2
作者：
Gregory, Cria O.;Dai, Jun;Stein, Aryeh D.
通讯作者：
Stein, Aryeh D.
DOI：
10.1016/s0140-6736(10)62037-5
发表时间：
2011-02-12
期刊：
Lancet (London, England)
影响因子：
--
作者：
Finucane MM;Stevens GA;Cowan MJ;Danaei G;Lin JK;Paciorek CJ;Singh GM;Gutierrez HR;Lu Y;Bahalim AN;Farzadfar F;Riley LM;Ezzati M;Global Burden of Metabolic Risk Factors of Chronic Diseases Collaborating Group (Body Mass Index)
通讯作者：
Global Burden of Metabolic Risk Factors of Chronic Diseases Collaborating Group (Body Mass Index)
影响因子：
3.5
作者：
Choi, BongKyoo;Schnall, Peter L.;Baker, Dean
通讯作者：
Baker, Dean
影响因子：
2.9
作者：
Keighley, ED;McGarvey, ST;Vial, S
通讯作者：
Vial, S