Socioeconomic status, financial hardship and measured obesity in older adults: a cross-sectional study of the EPIC-Norfolk cohort.
Socioeconomic status, financial hardship and measured obesity in older adults: a cross-sectional study of the EPIC-Norfolk cohort.
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DOI：
10.1186/1471-2458-13-1039
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发表时间：
2013-11-04
影响因子：
4.5
通讯作者：
Monsivais P
中科院分区：
文献类型：
--
作者：
Conklin AI;Forouhi NG;Suhrcke M;Surtees P;Wareham NJ;Monsivais P
社会经济地位与肥胖密切相关。当前的经济环境也与芬兰公务员自我报告的体重状况独立相关。我们的目的是在考虑传统社会经济指标的同时，研究三种类型的经济困难与老年人群中测量的一般和中心肥胖之间的关系。来自EPIC-Norfolk队列的10,137名参与者（≥50岁）的数据，他们回答了邮政健康和生活经历问卷（1996-2000）并参加了临床评估（1998-2002）。多变量logistic回归模型评估了通过人体测量计算得出的一般肥胖（BMI≥30 kg/m2）和中心性肥胖（女性：≥88 cm；男性：≥102 cm）的可能性。肥胖患病率与标准社会经济指标一致，最低社会阶层的50岁以上人群肥胖的可能性是最高社会阶层的两倍（女性OR 2.10 [CI95: 1.41-3.13]；男性OR 2.36[1.44-3.87]）。在对社会经济地位进行调整后，女性（OR为2.04[1.54-2.69]）和男性（OR为1.83[1.34-2.49]）报告的收入不足与肥胖相关。肥胖与总是或经常没有足够的钱购买食物/衣服之间也存在类似的关联（女性or为1.40[1.03-1.90]；男性or为1.81[1.28-2.56]），相比之下，从未发生过这种情况的报告。与没有困难的人相比，肥胖和支付账单困难程度最高（女性为2.20[1.37-3.55]；男性为2.40[1.38-4.17]）的独立相关性最强。中心性肥胖的发现在女性中略高，在男性中略低。即使将教育程度、社会阶层和房屋所有权等因素考虑在内，50岁以上的英国人更有可能出现肥胖。公共卫生政策需要考虑到迄今为止被忽视的老年人经济困难，特别是支付账单困难的作用，作为预防或减少肥胖战略的一部分。
Socioeconomic status is strongly associated with obesity. Current economic circumstances are also independently associated with self-reported weight status in Finnish civil servants. We aimed to examine three types of financial hardship in relation to measured general and central obesity in a general population of older adults, while considering conventional socioeconomic indicators. Data from 10,137 participants (≥50 years) in the EPIC-Norfolk cohort who responded to a postal Health and Life Experiences Questionnaire (1996–2000) and attended a clinical assessment (1998–2002). Multivariable logistic regression models assessed likelihood of general obesity (BMI ≥30 kg/m2) and central obesity (women: ≥88 cm; men: ≥102 cm) calculated from measured anthropometrics. Obesity prevalence was consistently patterned by standard socioeconomic indicators, with over-50s in the lowest social class being twice as likely to be obese than those in the highest class (women OR 2.10 [CI95: 1.41—3.13]; men OR 2.36 [1.44—3.87]). After adjustment for socioeconomic status, reporting having less than enough money for one’s needs (compared to more than enough) was associated with obesity in women (OR 2.04 [1.54—2.69]) and men (OR 1.83 [1.34—2.49]). Similar associations were demonstrated between obesity and always or often not having enough money for food/clothing (women OR 1.40 [1.03—1.90]; men OR 1.81 [1.28—2.56]), compared to reporting this never occurred. The strongest independent associations were seen for obesity and reported greatest level of difficulty paying bills (women OR 2.20 [1.37—3.55]; men 2.40 [1.38—4.17]), compared to having no difficulties. Findings for central obesity were slightly higher in women and lower in men. Obesity in British over-50s was more likely in study participants who reported greater financial hardship, even after education, social class and home ownership were taken into account. Public health policies need to consider the hitherto neglected role of financial hardship in older people, especially difficulty paying bills, as part of strategies to prevent or reduce obesity.
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影响因子：
4.2
作者：
Bihan, Helene;Castetbon, Katia;Hercberg, Serge
通讯作者：
Hercberg, Serge
影响因子：
3.6
作者：
BINGHAM, SA;GILL, C;DAY, NE
通讯作者：
DAY, NE
DOI：
10.1097/jom.0b013e3181c88525
发表时间：
2010-01
影响因子：
3.2
作者：
Fernandez ID;Su H;Winters PC;Liang H
通讯作者：
Liang H
影响因子：
2.1
作者：
Cawley, John;Moran, John;Simon, Kosali
通讯作者：
Simon, Kosali
影响因子：
4.4
作者：
BRINES, J
通讯作者：
BRINES, J