Trends in educational inequalities in obesity in 15 European countries between 1990 and 2010

International Journal of Behavioral Nutrition and Physical Activity

Research

Paula Santana¹  Enrique Regidor²  Rianne De Gelder³  Johan P. Mackenbach³  Frank J. van Lenthe³  Yannan Hu³  Kristina Hoffmann⁴  Eero Lahelma⁵  Matthias Bopp⁶  Jozsef Vitrai⁷  Ola Ekholm⁸  Gwenn Menvielle⁹ 

[1] Departamento de Geografia, Centro de Estudos de Geografia e de Ordenamento do Territorio (CEGOT), Colégio de S. Jerónimo, Universidade de Coimbra, Coimbra, Portugal;Department of Preventive Medicine and Public Health, Universidad Complutense de Madrid, Madrid, Spain;Department of Public Health, Erasmus MC, University Medical Center Rotterdam, P.O. Box 2040, 3000 CA, Rotterdam, Netherlands;Department of Public Health, Erasmus MC, University Medical Center Rotterdam, P.O. Box 2040, 3000 CA, Rotterdam, Netherlands;Mannheim Institute of Public Health, Social and Preventive Medicine, Medical Faculty Mannheim, Heidelberg University, Mannheim, Germany;Department of Public Health, University of Helsinki, Helsinki, Finland;Epidemiology, Biostatistics and Prevention Institute, University of Zürich, Zürich, Switzerland;National Institute for Health Development, Budapest, Hungary;National Institute of Public Health, University of Southern Denmark, Copenhagen, Denmark;Sorbonne Universités, INSERM, Institut Pierre Louis d’Epidémiologie et de Santé Publique (IPLESP UMRS 1136), Paris, France;

关键词: Health inequalities;    Obesity;    Time trends;   

DOI  :  10.1186/s12966-017-0517-8

 received in 2016-10-01, accepted in 2017-04-22,  发布年份 2017

来源: Springer

【 摘 要 】

BackgroundThe prevalence of obesity increased dramatically in many European countries in the past decades. Whether the increase occurred to the same extent in all socioeconomic groups is less known. We systematically assessed and compared the trends in educational inequalities in obesity in 15 different European countries between 1990 and 2010.MethodsNationally representative survey data from 15 European countries were harmonized and used in a meta-regression of trends in prevalence and educational inequalities in obesity between 1990 and 2010. Educational inequalities were estimated by means of absolute rate differences and relative rate ratios in men and women aged 30–64 years.ResultsA statistically significant increase in the prevalence of obesity was found for all countries, except for Ireland (among men) and for France, Hungary, Italy and Poland (among women). Meta-regressions showed a statistically significant overall increase in absolute inequalities of 0.11% points [95% CI 0.03, 0.20] per year among men and 0.12% points [95% CI 0.04, 0.20] per year among women. Relative inequalities did not significantly change over time in most countries. A significant reduction of relative inequalities was found among Austrian and Italian women.ConclusionThe increase in the overall prevalence aligned with a widening of absolute but not of relative inequalities in obesity in many European countries over the past two decades. Our findings urge for a further understanding of the drivers of the increase in obesity in lower education groups particularly, and an equity perspective in population-based obesity prevention strategies.

【 授权许可】

CC BY   
© The Author(s). 2017