Trends in social inequalities in obesity: Belgium, 1997 to 2004
Trends in social inequalities in obesity: Belgium, 1997 to 2004
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DOI：
10.1016/j.ypmed.2008.09.010
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发表时间：
2009-01-01
影响因子：
5.1
通讯作者：
Demarest, Stefaan
中科院分区：
文献类型：
--
作者：
Charafeddine, Rana;Van Oyen, Herman;Demarest, Stefaan
目标.研究肥胖社会不平等的时间趋势产生了不同的结果。本研究的目的是调查肥胖的社会不平等是否增加了加班费。我们使用了三次全国横断面健康访谈调查（1997年n = 7953，2001年n = 8887，2004年n = 9709）的数据来估计年龄标准化肥胖患病率和一系列反映18岁及以上男女健康不平等的汇总指标。对于男性，肥胖和教育之间存在明显的社会经济梯度。1997年至2004年期间，这一梯度大幅上升。例如，不平等的相对指数从1.92（95% CI：1.16-3.18）增加到3.71（95% CI：2.49-5.54）。女性肥胖的社会不平等现象表明了一种不同的模式。我们的研究结果显示，女性肥胖的社会经济梯度非常陡峭，但随着时间的推移，没有观察到显着变化。1997年女性肥胖的相对不平等指数为4.04（95%CI：2.47-6.63），2004年为4.03（95%CI：2.75-5.90）。使用三个可比较的全国范围内的人口为基础的调查，我们的研究表明，在比利时从1997年到2004年，肥胖的社会经济梯度增加了男性和女性持续存在。(C)2008年爱思唯尔公司All rights reserved.
Objectives. Studies examining the time trend in social inequalities in obesity have yielded diverse results. The aim of this study is to investigate whether social inequalities in obesity have increased overtime in Belgium.Methods. We used data from three national cross-sectional health interview surveys (1997 n = 7953, 2001 n = 8887, and 2004 n = 9709) to estimate age-standardized obesity prevalence and a series of summary measures reflecting health inequalities in men and women aged 18 years and older.Results. For males, a clear socioeconomic gradient was observed between obesity and education. This gradient witnessed a large increase between the years 1997 and 2004. For instance, the relative index of inequality increased from 1.92 (95% CI: 1.16-3.18) to 3.71 (95% CI: 2.49-5.54). Social inequalities in female obesity indicate a different pattern. Our results revealed a very steep socioeconomic gradient for female obesity, but overtime, no significant change was observed. The relative index of inequality for female obesity was 4.04 (95% CI: 2.47-6.63) in 1997 and 4.03 (95% CI: 2.75-5.90) in 2004.Conclusions. Using three comparable nation-wide population-based surveys, our study has shown that in Belgium from 1997 to 2004, the socioeconomic gradient in obesity has increased for males and persisted for females. (C) 2008 Elsevier Inc. All rights reserved.