Emerging disparities in overweight by educational attainment in Chinese adults (1989-2006).
Emerging disparities in overweight by educational attainment in Chinese adults (1989-2006).
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DOI：
10.1038/ijo.2011.134
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发表时间：
2012-06
影响因子：
4.9
通讯作者：
Popkin, B. M.
中科院分区：
文献类型：
--
作者：
Jones-Smith, J. C.;Gordon-Larsen, P.;Siddiqi, A.;Popkin, B. M.
关键词：
我们测试了近 17 年来中国男性和女性是否因社会经济地位 (SES)（以教育程度为代表）而出现超重差异。中国健康与营养调查 (CHNS) 是一项涵盖 7,314 名女性和 6,492 名男性的小组研究，数据用于纵向跟踪 1989 年至 2006 年间中国成年人（基线年龄 18-50 岁）的 BMI 和超重几率（基线年龄 18-50 岁），以确定低（<小学）与高（>中学）教育程度的个体是否经历了不成比例的更快的 BMI 或几率增加随着时间的推移超重（BMI≥25）。列出了未调整的平均 BMI 和受教育程度影响的超重患病率。使用性别分层随机效应模型来估计出生队列的关联和相互作用。女性超重患病率增加了一倍，男性超重患病率增加了两倍。 1989 年的女性中，教育程度高的女性和教育程度低的女性超重的几率没有差异；然而，到2006年，在较年轻（OR = 0.22；CI 0.11，0.42）和较年长（OR = 0.27；CI 0.10，0.72）出生队列中，受教育程度最高的人超重的几率显着降低。男性则出现相反的趋势，他们一开始的 SES 超重几率也没有差异，但到 2006 年，最高教育群体与最低教育群体的优势比为 OR 3.4（CI 1.82，6.18）。 17年来，低SES与中国女性较高的BMI和超重几率相关，而高SES仍然是中国男性超重的风险因素。
We test whether a disparity by socioeconomic status (SES) (represented by educational attainment) in overweight has emerged among men or women during a recent 17 year period in China. Data from the China Health and Nutrition Survey (CHNS), a panel study including 7,314 women and 6,492 men, are used to longitudinally track the BMI and odds of overweight by educational attainment among Chinese adults (baseline age 18–50) from 1989 to 2006 to determine whether individuals of low (<primary school) versus high (>secondary school) educational attainment experienced a disproportionately faster increase in BMI or odds of overweight (BMI≥25) over time. The unadjusted mean BMI and prevalence of overweight by education are presented. Sex-stratified, random-effects models are used to estimate the associations and interactions by birth cohort are included. Overweight prevalence has doubled for women and tripled for men. Among women in 1989, the odds of overweight was not different for those of high versus low educational attainment; however, by 2006, odds of overweight were significantly lower for those with the highest education in both the younger (OR= 0.22; CI 0.11, 0.42) and older (OR=0.27; CI 0.10, 0.72) birth cohorts. The reverse trend is seen for men, who also begin with no difference in odds of overweight by SES, but by 2006, the odds ratio for the highest versus lowest education group was OR 3.4 (CI 1.82, 6.18). Over 17 years, low SES has become associated with higher BMI and odds of overweight among Chinese women, while high SES remains a risk factor for overweight among Chinese men.
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影响因子：
7.7
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ENTWISLE, B;HENDERSON, GE;ZHAI, FY
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作者：
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通讯作者：
Popkin, Barry M.