Education, income, occupational status and health risk behaviour
Education, income, occupational status and health risk behaviour
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DOI：
10.1007/s10389-007-0120-6
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发表时间：
2007-10-01
影响因子：
1.8
通讯作者：
Willich, Stefan N.
中科院分区：
文献类型：
--
作者：
Nocon, Marc;Keil, Thomas;Willich, Stefan N.
社会经济地位与各种健康相关行为有关。在我们的研究中，我们确定了独立的影响，收入，教育程度和职业地位超重，吸烟和体力活动在德国population.Subjects和方法德国国家健康访谈和检查调查是一个具有代表性的德国成年人口的样本，包括7,124名男性和女性。计算了肥胖、吸烟和缺乏体育活动的患病率，这些患病率按教育、收入和职业状况分层。多元Logistic回归模型被用来估计的优势比（OR）和95%的置信区间（CI）的教育，收入，职业地位和健康相关的行为，调整年龄和gender.Results健康危险行为更普遍的受试者教育程度低，收入或职业地位。在相互调整后，教育，收入和职业独立与身体活动不足。教育程度低与肥胖（OR：2.58，95%CI：1.99-3.34）和吸烟（OR：2.09，95%CI：1.71-2.54）密切相关。低收入与吸烟相关（OR：1.40，95%CI：1.07-1.83），但与肥胖无关;低职业地位与肥胖相关（OR：1.42，95%CI：1.05-1.92），但与吸烟无关。高收入或职业不能补偿低教育对肥胖和吸烟的影响。结论低社会经济地位与健康危险行为有关。关于肥胖和吸烟，教育比收入或职业地位更重要。减少这些危险因素的公共卫生方案应侧重于生命早期的健康教育。
Aim Socio-economic status is associated with a variety of health-related behaviours. In our study, we determined the independent effects of income, educational attainment and occupational status on overweight, smoking and physical activity in the German population.Subjects and methods The German National Health Interview and Examination Survey is a representative sample of the German adult population and includes 7,124 men and women. Prevalences of obesity, smoking and physical inactivity stratified for education, income and occupational status were calculated. Multiple logistic regression models were used to estimate the odds ratios (OR) and 95% confidence intervals (CI) for education, income, occupational status and health-related behaviour, adjusted for age and gender.Results Health risk behaviours were more prevalent in subjects with lower education, income or occupational status. After mutual adjustment, education, income and occupation were independently associated with physical inactivity. Low education was strongly associated with both obesity (OR: 2.58, 95% CI: 1.99-3.34) and smoking (OR: 2.09, 95% CI: 1.71-2.54). Low income was associated with smoking (OR: 1.40, 95% CI: 1.07-1.83), but not with obesity, and low occupational status was associated with obesity (OR: 1.42, 95% CI: 1.05-1.92), but not with smoking. High income or occupation could not compensate for the impact of low education on obesity and smoking.Conclusion Low socio-economic status is associated with health risk behaviours. Concerning obesity and smoking, education was more important than income or occupational status. Public health programmes to reduce these risk factors should focus on early-life health education.