Does social status predict adult smoking and obesity? Results from the 2000 Mexican National Health Survey
Does social status predict adult smoking and obesity? Results from the 2000 Mexican National Health Survey
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DOI：
10.1080/17441690902756062
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发表时间：
2010-01-01
影响因子：
3.3
通讯作者：
Pebley, A. R.
中科院分区：
文献类型：
--
作者：
Buttenheim, A. M.;Wong, R.;Pebley, A. R.
社会经济地位通常与更好的健康有关，但最近的证据表明，这种健康的“社会梯度”远非普遍。这项研究探讨了墨西哥吸烟和肥胖的社会梯度-一个处于快速社会经济变革中的国家-是否符合或偏离富裕国家的结果。使用39，129名墨西哥成年人的全国代表性样本，我们计算了受教育程度和家庭财富的吸烟和肥胖几率。我们的结论是，在墨西哥吸烟和肥胖的社会经济决定因素是复杂的，有一些平坦的梯度和一些强大的正或负梯度。较高的社会地位（教育和资产）与城市妇女吸烟较多和肥胖较少有关。地位较高的农村妇女吸烟也更多，但这些妇女的肥胖与教育有非线性关系。对于城市男性来说，较高的资产水平（而不是教育）与肥胖有关，而教育则可以保护吸烟。地位较高、资产较多的农村男性更有可能吸烟和肥胖。随着墨西哥家庭财富、教育和城市化程度的不断提高，这些模式表明了现在和未来公共卫生干预的潜在目标。
Socioeconomic status is generally associated with better health, but recent evidence suggests that this 'social gradient' in health is far from universal. This study examines whether social gradients in smoking and obesity in Mexico - a country in the midst of rapid socioeconomic change - conform to or diverge from results for richer countries. Using a nationally representative sample of 39,129 Mexican adults, we calculate the odds of smoking and of being obese by educational attainment and by household wealth. We conclude that socioeconomic determinants of smoking and obesity in Mexico are complex, with some flat gradients and some strong positive or negative gradients. Higher social status (education and assets) is associated with more smoking and less obesity for urban women. Higher status rural women also smoke more, but obesity for these women has a non-linear relationship to education. For urban men, higher asset levels (but not education) are associated with obesity, whereas education is protective of smoking. Higher status rural men with more assets are more likely to smoke and be obese. As household wealth, education and urbanisation continue to increase in Mexico, these patterns suggest potential targets for public health intervention now and in the future.