Income Disparities in Body Mass Index and Obesity in the United States, 1971-2002

作者: Virginia W. Chang , Diane S. Lauderdale

DOI: 10.1001/ARCHINTE.165.18.2122

关键词: GerontologyBlack womenObesityPublic healthPer capita incomeChange over timeMedicineDemographyBody mass indexPovertySocioeconomic statusInternal medicine

摘要: Background Although obesity is frequently associated with poverty, recent increases in may not occur disproportionately among the poor. Furthermore, relationship between income and weight status be changing time. Methods We use nationally representative data from National Health Nutrition Examination Surveys (1971-2002) to examine (1) differentials body mass index (calculated as kilograms divided by square of height meters) (2) change over time prevalence (body index, ≥30) at different levels income. Results Over course 3 decades, has increased all Moreover, it typically poor who have experienced largest gains. For example, black women, absolute increase 27.0% (1.05% per year) for those middle incomes, but only 14.5% (0.54% Among men, 21.1% (0.77% highest level income, 4.5% (0.06% near 5.4% (0.50% race-sex groups show on patterns substantial variation consistency within white women consistently a strong inverse gradient, while positive gradient emerges later waves Mexican American men. Conclusion The persistence emergence gradients suggests that disparities are partially attributable poverty efforts aimed reducing need consider much broader array contributing factors.

参考文章(39)
Simone A French, Robert W Jeffery, J. L. Forster, V. M. Spry, Socioeconomic status differences in health behaviors related to obesity: the Healthy Worker Project. International Journal of Obesity. ,vol. 15, pp. 689- 696 ,(1991)
Allison A Hedley, Cynthia L Ogden, Clifford L Johnson, Margaret D Carroll, Lester R Curtin, Katherine M Flegal, Prevalence of Overweight and Obesity Among US Children, Adolescents, and Adults, 1999-2002 JAMA. ,vol. 291, pp. 2847- 2850 ,(2004) , 10.1001/JAMA.291.23.2847
Haq Nawaz, Wendy Chan, Mustapha Abdulrahman, David Larson, David L Katz, Self-reported weight and height: implications for obesity research American Journal of Preventive Medicine. ,vol. 20, pp. 294- 298 ,(2001) , 10.1016/S0749-3797(01)00293-8
J P Leigh, J F Fries, H B Hubert, Gender and race differences in the correlation between body mass and education in the 1971-1975 NHANES I. Journal of Epidemiology and Community Health. ,vol. 46, pp. 191- 196 ,(1992) , 10.1136/JECH.46.3.191
James O Hill, John C Peters, Environmental Contributions to the Obesity Epidemic Science. ,vol. 280, pp. 1371- 1374 ,(1998) , 10.1126/SCIENCE.280.5368.1371
LK Khan, J Sobal, R Martorell, Acculturation, socioeconomic status, and obesity in Mexican Americans, Cuban Americans, and Puerto Ricans International Journal of Obesity. ,vol. 21, pp. 91- 96 ,(1997) , 10.1038/SJ.IJO.0800367
Jane Wardle, Jo Waller, Martin J. Jarvis, Sex Differences in the Association of Socioeconomic Status With Obesity American Journal of Public Health. ,vol. 92, pp. 1299- 1304 ,(2002) , 10.2105/AJPH.92.8.1299
David S Freedman, Laura Kettel Khan, Mary K Serdula, Deborah A Galuska, William H Dietz, Trends and Correlates of Class 3 Obesity in the United States From 1990 Through 2000 JAMA. ,vol. 288, pp. 1758- 1761 ,(2002) , 10.1001/JAMA.288.14.1758