Multiple dimensions of socioeconomic position and obesity among employees:: The Helsinki Health Study
Multiple dimensions of socioeconomic position and obesity among employees:: The Helsinki Health Study
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DOI：
10.1038/oby.2004.230
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发表时间：
2004-11-01
期刊：
影响因子：
--
通讯作者：
Lahelma, E
中科院分区：
文献类型：
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作者：
Laaksonen, M;Sarlio-Lähteenkorva, S;Lahelma, E
目的：研究肥胖的社会经济差异，使用几个不同的社会经济指标，从儿童的社会经济环境和成人的社会经济地位，物质资源和经济satisfactions.Research方法和程序：数据来自赫尔辛基健康研究基线调查在2000年和2001年。邮政调查的答复者是赫尔辛基市的中年雇员（4 975名妇女和1 252名男子，答复率为68%）。通过拟合一系列logistic回归模型，对8项社会经济指标与肥胖（BMI大于或等于30 kg/m2）之间的关系进行了检验。结果：在女性中，除家庭收入和经济满意度外，所有社会经济指标均与肥胖相关。父母教育和儿童经济困难，即，在调整了当前社会经济地位的所有指标后，儿童时期的社会经济条件仍然与肥胖有关。成年人的社会经济地位，自己的教育和职业阶层的指标，不再与肥胖儿童的社会经济条件进行调整。在完全调整后，房屋所有权和经济困难与肥胖有关。在男性中，这一发现与女性中的结果相似，但很少有关联达到统计学意义。讨论：肥胖与社会经济地位的多个维度相关。儿童期社会经济不利因素与肥胖相关，与当前社会经济地位的各种指标无关。在调整了其他社会经济地位指标后，肥胖与教育水平和职业类别之间的联系消失了。这表明，通过这些关键的社会经济指标观察到的肥胖患病率的变化可能反映了相关物质资源的差异。
Objective: To examine socioeconomic differences in obesity using several different socioeconomic indicators, ranging from childhood socioeconomic environment and adult socioeconomic status to material resources and economic satisfaction.Research Methods and Procedures: The data derived from the Helsinki Health Study baseline surveys in 2000 and 2001. Respondents to postal surveys were middle-aged employees of the City of Helsinki (4,975 women and 1,252 men, response rate 68%). Associations between eight socioeconomic indicators and obesity (BMI greater than or equal to 30 kg/m(2)), calculated from self-reported data, were examined by fitting a series of logistic regression models.Results: In women, all socioeconomic indicators except household income and economic satisfaction were associated with obesity. Parental education and childhood economic difficulties, i.e., socioeconomic conditions in childhood, remained associated with obesity after adjusting for all indicators of current socioeconomic position. Indicators of adult socioeconomic status, own education and occupational class, were no longer associated with obesity when childhood socioeconomic conditions were adjusted for. Home ownership and economic difficulties were associated with obesity after full adjustments. In men, the findings paralleled those among women, but few associations reached statistical significance.Discussion: Obesity was associated with several dimensions of socioeconomic position. Childhood socioeconomic disadvantage was associated with obesity independently of the various indicators of current socioeconomic position. Associations between obesity and both educational level and occupational class disappeared after adjustment for other indicators of socioeconomic position. This suggests that the variation observed in the prevalence of obesity by these key socioeconomic indicators may reflect differences in the related material resources.