Obesity and socioeconomic disadvantage in midlife female public sector employees: a cohort study.
Obesity and socioeconomic disadvantage in midlife female public sector employees: a cohort study.
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DOI：
10.1186/s12889-017-4865-8
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发表时间：
2017-10-24
影响因子：
4.5
通讯作者：
Kouvonen A
中科院分区：
文献类型：
--
作者：
Hiilamo A;Lallukka T;Mänty M;Kouvonen A
肥胖与社会经济劣势之间的双向关系已得到充分确立，但以往关于肥胖的社会和经济后果的研究主要集中在相对年轻的研究人群。我们研究了在10 - 12年的随访中肥胖是否与社会经济劣势相关，以及中年女性中与肥胖相关的社会经济不平等是如何发展的。
基线数据来自赫尔辛基健康研究队列中的女性人群，该队列包括2000 - 2002年芬兰赫尔辛基市40 - 60岁的员工（n = 6913，回复率69%）。随访调查于2007年（n = 5810）和2012年（n = 5400）进行。社会经济劣势通过五项二分法指标进行衡量。利用广义估计方程（GEE）进行重复逻辑回归分析，以检验基线自我报告的肥胖与各阶段社会经济劣势可能性之间的关联。通过随机效应逻辑回归模型中的时间交互项来检验时间对不平等发展的影响。
在对教育水平进行调整后，基线肥胖与反复贫困（比值比 = 1.23；95%置信区间：1.05 - 1.44）、频繁的经济困难（比值比 = 1.74；95%置信区间：1.52 - 1.99）、家庭净收入低（比值比 = 1.23；95%置信区间：1.07 - 1.41）、家庭财富少（比值比 = 1.90；95%置信区间：1.59 - 2.26）以及个人收入低（比值比 = 1.22；95%置信区间：1.03 - 1.44）相关。在随访期间，肥胖参与者和正常体重参与者之间的贫困率和低个人收入的差异扩大。没有伴侣以及过早退出有薪工作解释了这种不平等的扩大。
社会经济劣势中的体重状况不平等在成年后期持续存在或扩大。
本文的在线版本（10.1186/s12889 - 017 - 4865 - 8）包含补充材料，可供授权用户使用。
The two-way relationship between obesity and socioeconomic disadvantage is well established but previous studies on social and economic consequences of obesity have primarily focused on relatively young study populations. We examined whether obesity is associated with socioeconomic disadvantage through the 10–12-year follow-up, and how obesity-related socioeconomic inequalities develop during midlife among women. Baseline data were derived from the female population of the Helsinki Health Study cohort, comprising 40–60 –year-old employees of the City of Helsinki, Finland in 2000–2002 (n = 6913, response rate 69%). The follow-up surveys were carried out in 2007 (n = 5810) and 2012 (n = 5400). Socioeconomic disadvantage was measured by five dichotomous measures. Repeated logistic regression analyses utilising generalized estimating equations (GEE) were used to test the association between baseline self-reported obesity and the likelihood of socioeconomic disadvantage through all phases. The effect of time on the development of inequalities was examined by time interaction terms in random effect logistic regression models. After adjustment for educational level, baseline obesity was associated with repeated poverty (OR = 1.23; 95% CI; 1.05–1.44), frequent economic difficulties (OR = 1.74; 95% CI; 1.52–1.99), low household net income (OR = 1.23; 95% CI; 1.07–1.41), low household wealth (OR = 1.90; 95% CI; 1.59–2.26) and low personal income (OR = 1.22; 95% CI; 1.03–1.44). The differences in poverty rate and low personal income between the participants with obesity and participants with normal weight widened during the follow-up. Living without a partner and early exit from paid employment explained the widening of inequalities. Weight status inequalities in socioeconomic disadvantage persisted or widened during the late adulthood. The online version of this article (10.1186/s12889-017-4865-8) contains supplementary material, which is available to authorized users.
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影响因子：
158.5
作者：
GORTMAKER, SL;MUST, A;DIETZ, WH
通讯作者：
DIETZ, WH
影响因子：
6.9
作者：
McAdams, Mara A.;Van Dam, Rob M.;Hu, Frank B.
通讯作者：
Hu, Frank B.
影响因子：
3.4
作者：
Kuchibhatla, M;Fillenbaum, GG
通讯作者：
Fillenbaum, GG
影响因子：
12.7
作者：
Laaksonen, M;Rahkonen, O;Lahelma, E
通讯作者：
Lahelma, E
DOI：
10.1038/oby.2004.230
发表时间：
2004-11-01
期刊：
OBESITY RESEARCH
影响因子：
--
作者：
Laaksonen, M;Sarlio-Lähteenkorva, S;Lahelma, E
通讯作者：
Lahelma, E