Smoking, Physical Inactivity, and Obesity Associations With Social Status
Smoking, Physical Inactivity, and Obesity Associations With Social Status
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DOI：
10.3238/arztebl.2010.0001
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发表时间：
2010-01-07
影响因子：
7.7
通讯作者：
Lampert, Thomas
中科院分区：
文献类型：
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作者：
Lampert, Thomas
背景：作者分析了德国18岁及以上男性和女性在吸烟、缺乏运动和肥胖方面的社会地位特异性差异。方法：美国罗伯特科赫研究所于2002年9月至2003年5月进行的2003年电话健康调查（n = 8318）为本研究提供资料。评估受试者目前的吸烟状况、缺乏运动和肥胖情况。他们的社会地位是根据他们提供的教育和专业培训、职业职位和家庭净收入等信息来判断的。结果：社会地位低的男性吸烟（OR = 1.89, 95% CI = 1.53-2.34）、不爱运动（OR = 2.30, 95% CI = 1.87-2.84）、肥胖（OR = 1.34, 95% CI = 1.02-1.77）的可能性高于社会地位高的男性。对于女性来说，社会地位对吸烟和缺乏运动的影响与男性一样大（OR = 1.63, 95% CI = 1.30-2.09; OR = 1.91, 95% CI = 1.58-2.33），而对肥胖的影响甚至比男性更大（OR = 3.20, 95% CI = 2.46-4.18）。结论：社会地位低下的人群应成为卫生政策和医疗实践中预防和促进健康措施的重要目标群体。
Background: The author analyzed social-status-specific differences in tobacco smoking, physical inactivity, and obesity among men and women aged 18 years and above in Germany.Methods: The 2003 Telephone Health Survey carried out by the Robert Koch Institute from September 2002 to May 2003 (n = 8318) provided the data for this study. The subjects' current smoking status, physical inactivity, and obesity were assessed. Their social status was judged on the basis of the information they gave about their education and professional training, occupational position, and net household income.Results: Men of low social status were found to be more likely to smoke (OR = 1.89, 95% CI = 1.53-2.34), to be physically inactive (OR = 2.30, 95% CI = 1.87-2.84), and to be obese (OR = 1.34, 95% CI = 1.02-1.77) than men of high social status. For women, social status had just as large an effect on smoking and physical inactivity as it did in men (OR = 1.63, 95% CI = 1.30-2.09; and OR = 1.91, 95% CI = 1.58-2.33, respectively), while its effect on obesity was even greater than in men (OR = 3.20, 95% CI = 2.46-4.18).Conclusion: These results imply that persons of low social status should be an important target group for preventive and health-promoting measures, both in health policy and in medical practice.