Education and obesity at age 40 among American adults
Education and obesity at age 40 among American adults
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DOI：
10.1016/j.socscimed.2012.11.025
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发表时间：
2013-02-01
影响因子：
5.4
通讯作者：
Abrams, Barbara
中科院分区：
文献类型：
--
作者：
Cohen, Alison K.;Rehkopf, David H.;Abrams, Barbara
尽管许多人研究了教育程度和肥胖之间的关系，但迄今为止的研究尚未充分研究先前的常见原因以及种族/民族或性别之间可能的相互作用。目前还不清楚实际教育程度和肥胖之间的关系是否独立于期望教育程度或预期教育程度的作用。作者使用广义线性对数链接模型来检验美国1979年国家青年纵向调查队列中25岁时的教育程度与40岁时的肥胖（BMI >= 30）之间的关联，调整了人口统计学，混杂因素和中介因素。种族/族裔而不是性别与教育程度相互作用。在一个完整的病例分析中，在调整了儿童期、青少年期和成年期的社会经济协变量后，仅在白人中，大学毕业生比高中毕业生更不容易肥胖（RR = 0.69，95%CI：0.57，0.83）。当作者调整教育愿望和教育期望并分析多重插补数据集以解决缺失时，两项敏感性分析中的风险比保持相似。在控制了一系列混杂因素和中介因素后，对教育作用的这种更细致入微的理解有助于推进对健康和肥胖风险因素的社会决定因素的研究。(c)2012爱思唯尔有限公司保留所有权利。
Although many have studied the association between educational attainment and obesity, studies to date have not fully examined prior common causes and possible interactions by race/ethnicity or gender. It is also not clear if the relationship between actual educational attainment and obesity is independent of the role of aspired educational attainment or expected educational attainment. The authors use generalized linear log link models to examine the association between educational attainment at age 25 and obesity (BMI >= 30) at age 40 in the USA's National Longitudinal Survey of Youth 1979 cohort, adjusting for demographics, confounders, and mediators. Race/ethnicity but not gender interacted with educational attainment. In a complete case analysis, after adjusting for socioeconomic covariates from childhood, adolescence, and adulthood, among whites only, college graduates were less likely than high school graduates to be obese (RR = 0.69, 95%CI: 0.57, 0.83). The risk ratio remained similar in two sensitivity analyses when the authors adjusted for educational aspirations and educational expectations and analyzed a multiply imputed dataset to address missingness. This more nuanced understanding of the role of education after controlling for a thorough set of confounders and mediators helps advance the study of social determinants of health and risk factors for obesity. (c) 2012 Elsevier Ltd. All rights reserved.