Associations between obesity and neighborhood socioeconomic status: Variations by gender and family income status

Fan, Jessie X.; Wen, Ming; Li, Kelin

doi:10.1016/j.ssmph.2019.100529

Cited by 31 publications

(29 citation statements)

References 32 publications

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“…It is also possible that socioeconomic inequalities in comorbidity might manifest differently at older ages in the two cohorts which can be examined in the future. Socioeconomically disadvantaged women are more vulnerable to obesity and depression compared to men, yet our study found no sex differences in socioeconomic inequalities in comorbidity(33-36).…”

Section: Discussioncontrasting

confidence: 74%

Socioeconomic inequalities in co-morbidity of overweight, obesity and mental ill-health from adolescence to mid-adulthood in two national birth cohort studies

Khanolkar

Patalay

2020

Preprint

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Aim To examine socioeconomic inequalities in risk of comorbidity between overweight (including obesity) and mental ill-health in two national cohorts. We investigated independent effects of childhood and adulthood socioeconomic disadvantage on comorbidity from childhood to mid-adulthood, and differences by sex and cohort. Methods Data were from 1958 National Child Development Study (NCDS58) and 1970 British Cohort Study (BCS70) [total N=30,868, 51% males] assessed at ages 10, 16, 23, 34 and 42 years. Socioeconomic indicators included childhood and adulthood social class and educational level. Risk for i. having healthy BMI and mental ill-health, ii. overweight and good mental health, and iii. overweight and mental ill-health was analysed using multinomial logistic regression. Results Socioeconomic disadvantage was consistently associated with greater risk for overweight-mental ill-health comorbidity at all ages (RRR 1.43, 2.04, 2.38, 1.64 and 1.71 at ages 10, 16, 23, 34 and 42 respectively for unskilled/skilled vs. professional/managerial class). The observed inequalities in co-morbidity were greater than that observed for either condition alone (overweight; RRR 1.39 and 1.25, mental ill-health; 1.36 and 1.22 at ages 16 and 42 respectively, for unskilled/skilled vs. professional/managerial class). In adulthood, childhood and adulthood socioeconomic disadvantage were independently associated with comorbid overweight-mental ill-health, with a clear inverse gradient between educational level and risk for comorbidity; no education, RRR 6.11 (95% CI 4.31-8.65) at age 34 and 4.42 (3.28-5.96) at age 42 compared to university education. There were no differences observed in the extent of inequalities by sex and differences between cohorts were limited. Conclusions Socioeconomic disadvantage in childhood and adulthood are consistently and independently associated with greater risk for mental ill-health and overweight separately, and even greater inequalities in the risk for comorbidity between both conditions through the lifecourse. These findings are significant given the increasing global prevalence of obesity and mental ill-health, and their implications for lifelong health and mortality.

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Section: Discussioncontrasting

confidence: 74%

Socioeconomic inequalities in co-morbidity of overweight, obesity and mental ill-health from adolescence to mid-adulthood in two national birth cohort studies

Khanolkar

Patalay

2020

Preprint

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“…9 For example, a recent analysis of the National Health and Nutrition Examination Survey found that neighborhood SES was positively associated with healthy body weight in women but not in men. 15 Other factors such as psychosocial stress may also play a significant role. 16 To the authors' knowledge, this is the first study to examine the joint influence of obesity and neighborhood characteristics on urinary stone risk parameters among stone formers.…”

Section: Discussionmentioning

confidence: 99%

Associations of Obesity and Neighborhood Factors With Urinary Stone Parameters

Crivelli

Redden

Johnson

et al. 2022

American Journal of Preventive Medicine

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“…These gender inequities in obesity and diabetes status also vary by income. Gender inequities in obesity prevalence are greater in lower-income communities than higherincome communities, with females having a higher prevalence of obesity than males [19,20]. Higher levels of the liver enzymes, ALT, AST, and GGT, have been found among Blacks compared to Whites, indicating that Black adults are at a higher risk of having diabetes than White adults [21], which supports substantial previous evidence of Black-White inequities in obesity [22][23][24][25] and diabetes [26].…”

Section: Introductionmentioning

confidence: 99%

Moderation of the Association between Primary Language and Health by Race and Gender: An Intersectional Approach

Ahmed

Greaney

Cohen

2022

IJERPH

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In the United States (US), limited English proficiency is associated with a higher risk of obesity and diabetes. “Intersectionality”, or the interconnected nature of social categorizations, such as race/ethnicity and gender, creates interdependent systems of disadvantage, which impact health and create complex health inequities. How these patterns are associated with language-based health inequities is not well understood. The study objective was to assess the potential for race/ethnicity, gender, and socioeconomic status to jointly moderate the association between primary language (English/Spanish) and having obesity and diabetes. Using the 2018 Behavioral Risk Factor Surveillance System (n = 431,045), weighted generalized linear models with a logistic link were used to estimate the associations between primary language (English/Spanish) and obesity and diabetes status, adjusting for confounders using stratification for the intersections of gender and race/ethnicity (White, Black, Other). Respondents whose primary language was Spanish were 11.6% more likely to have obesity (95% CI 7.4%, 15.9%) and 15.1% more likely to have diabetes (95% CI 10.1%, 20.3%) compared to English speakers. Compared to English speakers, Spanish speakers were more likely to have both obesity (p < 0.001) and diabetes (p < 0.001) among White females. Spanish speakers were also more likely to have obesity among males and females of other races/ethnicities (p < 0.001 for both), and White females (p = 0.042). Among males of other racial/ethnic classifications, Spanish speakers were less likely to have both obesity (p = 0.011) and diabetes (p = 0.005) than English speakers. Health promotion efforts need to recognize these differences and critical systems–change efforts designed to fundamentally transform underlying conditions that lead to health inequities should also consider these critical sociodemographic factors to maximize their effectiveness.

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Associations between obesity and neighborhood socioeconomic status: Variations by gender and family income status

Cited by 31 publications

References 32 publications

Socioeconomic inequalities in co-morbidity of overweight, obesity and mental ill-health from adolescence to mid-adulthood in two national birth cohort studies

Socioeconomic inequalities in co-morbidity of overweight, obesity and mental ill-health from adolescence to mid-adulthood in two national birth cohort studies

Associations of Obesity and Neighborhood Factors With Urinary Stone Parameters

Moderation of the Association between Primary Language and Health by Race and Gender: An Intersectional Approach

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