期刊论文详细信息
BMC Research Notes
Socioeconomic inequality and obesity prevalence trends in luxembourg, 1995–2007
Nathalie Lorentz1  Anastase Tchicaya1 
[1] Population and Employment Department, Centre d’études de populations, de pauvreté et de politiques socioéconomiques/International Networks for Studies in Technology, Environment, Alternatives, Development (CEPS/INSTEAD), Fonte Avenue 3, Esch/Alzette, L-4364, Luxembourg
关键词: Luxembourg;    Socioeconomic inequalities;    Body Mass Index;    Obesity;   
Others  :  1165836
DOI  :  10.1186/1756-0500-5-467
 received in 2011-12-21, accepted in 2012-08-17,  发布年份 2012
PDF
【 摘 要 】

Background

Overweight and obesity are becoming increasingly critical problems in most developed countries. Approximately 20% of adults in most European countries are obese. This study examines the prevalence of overweight and obesity in Luxembourg and their association with different demographic, socioeconomic (SES), and behavioural factors.

Methods

The data used in this study were taken from 2 surveys on household income and living conditions conducted in 1995 and 2007. The target population was household residents aged 16 years and older, and body mass index (BMI) data were self-reported. Average BMI, overweight, and obesity prevalence rates were calculated according to each demographic (gender, nationality, marital status), SES (educational level, profession, and place of residence), and behavioural (physical activity and diet) factors. A multivariate logistic regression analysis was conducted to measure the relationship between obesity and demographic, SES, and behavioural factors. All analyses were conducted according to gender, and data used were weighted.

Results

Between 1995 and 2007, the average BMI remained nearly constant among men and women in the entire study population. Obesity prevalence increased by 24.5% through the study period (14.3% in 1995 to 17.8% in 2007). Obesity prevalence increased by 18.5% for men (15.1% in 1995 to 17.9% in 2007) and by 30% for women (13.6% in 1995 to 17.7% in 2007). Between 1995 and 2007, obesity increased sharply by 48.2% (from 11% to 16.3%) in Portuguese men, 76.7% (from 13.3% to 23.5%) in Portuguese women, 79.7% (from 17.2% to 30.9%) in widowed men, and 84.3% (from 12.1% to 22.3%) in divorced women. Multivariate logistic regression analysis showed that the relationship between the educational level and obesity was not statistically significant for men, but was significant for women.

Conclusions

The prevalence of overweight and obesity is high in Luxembourg and has changed slightly in recent years. SES inequalities in obesity exist and are most compelling among women. The fight against obesity should focus on education, with emphasis on the socially disadvantaged segment of the population.

【 授权许可】

   
2012 Tchicaya and Lorentz; licensee BioMed Central Ltd.

【 预 览 】
附件列表
Files Size Format View
20150416034034206.pdf 192KB PDF download
【 参考文献 】
  • [1]World Health Organization: Obesity: preventing and managing the global epidemic. Report of a WHO consultation (3-5 June 1997). WHO Technical Report Series 2000, 894:1-252.
  • [2]World Health Organization/Europe: European Charter on Counteracting Obesity. Istanbul (Turkey); 2006:15-17.
  • [3]James WPT: The epidemiology of obesity: the size of the problem. Journal of Internal Medicine 2008, 263:336-352.
  • [4]Amarasinghe A, D’Souza G, Brown C, Oh H: The influence of socioeconomic and environmental factors on health and obesity in rural Appalachia. Research Paper 2006, 12:33p.
  • [5]Philipson TJ: The World-wide growth in obesity: An economic research agenda. Heal Econ 2001, 10:1-7.
  • [6]Wang G, Zheng Z, Heath G, Macera C, Pratt M, Buchner D: Economic burden of cardiovascular disease associated with excess body weight in US adults. Am J. Pre Med 2002, 23(1):1-6.
  • [7]Bianchini F, Kaaks R, Vainio H: Weight control and physical activity in cancer prevention. Obesity review 2002, 3(1):5-8.
  • [8]Costa-Font J, Fabbri D, Gil J: Decomposing cross-country differences in levels of obesity and overweight: does the social environment matter? LSE Health Working paper 2008, 12/2008:1-27.
  • [9]Sassi F, Devaux M, Church J, Cecchini M, Borgonovi F: Education and Obesity in four OECD Countries. OECD Health Working Papers 2009, 46:1-46.
  • [10]Cawley J, Meyerhoefer C, Newhouse D: The impact of state physical education requirements on youth physical activity and overweight. Health Econ. 2007, 16(12):1287-1301.
  • [11]Gutierrez-Fisac JL, Regidor E, Banegas JR, Artalejo FR: The size of obesity differences associated with educational level in Spain, 1987 and 1995/97. Journal of Epidemiology and Community Health 2002, 56:457-460.
  • [12]Molarius A, Seidell JC, Sans S, et al.: Educational level, relative body weight, and changes in their association over 10 years : An international perspective from the WHO MONICA Project. Am J Public Health 2000, 90(8):1260-1268.
  • [13]Molarius A: The contribution of lifestyle factors to socioeconomic differences in obesity in men and women–a population-based study in Sweden. Eur J Epidemiol 2003, 18(3):227-234.
  • [14]Kilicarslan A, Isildak M, Sain Guven G, Oz SG, Durusu Tanriover M, Duman AE, Saracbasi O, Sozen T: Demographic, socioeconomic and educational aspects of obesity in an adult population. Journal of the National Medical Association 2006, 98(8):1313-1317.
  • [15]Ghosh A: Effects of socio-economic and behavioural characteristics in explaining central obesity: a study on adult Asian Indians in Calcutta, India. Colloque Antropol 2005, 30:265-271.
  • [16]Molarius A, Seidell JC, Kuulasmaa K, Dobson AJ, Sans S: Smoking and relative body weight : an international perspective from the WHO MONICA project. J. Epidemiol Community Health 1997, 51:252-260.
  • [17]Manhem K, Dotevall A, Wilhelmsen L, al : Social gradients in cardiovascular risk factors and symptoms of Swedish men and women: The Göteborg MONICA Study 1995. J Cardiovasc Risk 2000, 7:359-368.
  • [18]Blakely T, Hales S, Kieft C, Wilson N, Woodward A, et al.: Distribution of risk factors by poverty. WHO Comparative quantification of health risks: Global and regional burden of disease attributable to selected major risk factors 2nd edition. 2004.
  • [19]Meyer HE, Sogaard AJ, Tverdal A, Selmer RM: Body mass index and mortality: the influence of physical activity and smoking. Medical and Science in Sport and Exercise 2002, 34:1065-1070.
  • [20]Cui R, Iso H, Toyoshima H, Date C, Yamamoto A, Kikuchi S, Kondo T, Watanabe Y, Wada Y, Inaba Y, Tamakoshi A: Body mass index and mortality from cardiovascular disease among Japanese men and women: the JACC study. Stroke 2005, 36:1377-1382.
  • [21]Lawlor DA, Hart CL, Hole DJ, Davey Smith G: Reverse causality and confounding and the associations of overweight and obesity with mortality. Obesity (Silver Spring) 2006, 14:2294-2304.
  • [22]Tchicaya A: Etat de santé et facteurs de risque: quelques indicateurs pour le Luxembourg en 2005. Collection Population & Emploi CEPS/INSTEAD 2006, 22:1-8.
  • [23]Tchicaya A, Braun M, Lorentz N, Delagardelle C, Beissel J, Wagner D: Social inequality in awareness of cardiovascular risk factors in patients undergoing coronary angiography. European Journal of Preventive Cardiology 2012. http://cpr.sagepub.com/content/early/2012/04/16/2047487312446123 webcite
  • [24]STATEC: Luxembourg in figures. 2011. http://www.statistiques.public.lu/catalogue-publications/luxembourg-en-chiffres/luxembourg-figures.pdf webcite
  • [25]Charles M-A, Eschwège E, Basdevant A: Monitoring the obesity epidemic in France: the Obepi surveys 1997–2006. Obesity (Silver Spring) 2008, 16(9):2182-2186.
  • [26]Marques-Vidal P, Paccaud F, Ravasco P: Ten-year trends in overweight and obesity in the adult Portuguese population, 1995 to 2005. BMC Publ Health 2011, 11:772. http://www.biomedcentral.com/147-2458/11/772 webcite BioMed Central Full Text
  • [27]Schneider H, Dietrich ES, Venetz WP: Trends and stabilization up to 2022 in overweight and obesity in Switzerland, comparison to France, UK, US and Australia. International Journal of Environmental Research and Public Health 2010, 7:460-472.
  • [28]Tzotzas T, Vlahavas G, Papadopoulou S, Kapantais E, Kaklamanou D, Hassapidou M: Marital status and educational level associated to obesity in Greek adults: data from the National Epidemiological Survey. BMC Publ Health 2010, 10:732. http://www.biomedcentral.com/1471-2458/10/732 webcite BioMed Central Full Text
  • [29]Flegal KM, Carroll MD, Ogen CL, Curtin LR: Prevalence and trends in obesity among US adults. JAMA 2010, 303(3):235-241.
  • [30]National Obesity Observatory: Trends in Obesity Prevalence. Health Survey for England 2010. http://www.noo.org.uk/NOO_about_obesity/trends webcite, (accessed June 10, 2012)
  • [31]Baum CL II, Ruhm CJ: Age, socioeconomic status and obesity growth. NBER Working Paper Series 2007, 13289:1-51.
  • [32]Kenkel D: Health behavior, health knowledge, and schooling. J Polit Econ 1991, 99:287-305.
  • [33]Kilicarslan A, Isildak M, Guven GS, Oz SG, Tannover MD, Duman AE, Saracbasi O, Sozen T: Demographic, socioeconomic and educational aspects of obesity in an adult population. J Natl Med Assoc. 2006, 98(8):1313-7.
  • [34]Brunner E, Shipley MJ, Blane D, Smith GD, Marmot MG: When does cardiovascular risk start? Past and present socioeconomic circumstances and risk factors in adulthood. Journal of Epidemiology and Community Health 1999, 53:757-764.
  • [35]de Saint Pol T: L’obésité en France : les écarts entre catégories sociales s’accroissent. Insee Première 2007, 1123:4.
  • [36]Padez C: Trends in overweight and obesity in Portuguese conscripts from 1986 to 2000 in relation to place of residence and educational level. Public Health 2006, 120(10):946-52. Epub 2006 Aug 8
  • [37]Brown A, Siahpush M: Risk factors for overweight and obesity: results from the 2001 National Health Survey. Public Health 2007, 121(8):603-13.
  • [38]Lahmann PH, Lissner L, Gullberg B, al : Sociodemographic factors associated with long-term weight gain, current body fatness and central adiposity in Swedish women. Int J Obes 2000, 24(6):685-94.
  • [39]Lissner L, Heitmann BL: Dietary fat and obesity: evidence from epidemiology. Eur J Clin Nutr 1995, 49(2):79-90.
  • [40]Seidell JC: Dietary fat and obesity: an epidemiologic perspective. Am J Clin Nutr 1998, 67(3):546-550.
  • [41]Turrell G, Kavanagh AM: Socio-economic pathways to diet: modeling the association between socio-economic position and food purchasing behaviour. Public Health Nutrition 2005, 9(3):375-383.
  • [42]Grossman , Inas R: The economics of obesity. Public Interest 2004, 156:104-112.
  文献评价指标  
  下载次数:13次 浏览次数:23次