| Titre : | Widening of a social gradient in obesity risk ? German national health surveys 1990 and 1998. (2007) |
| Auteurs : | Andrea ICKS ; Astrid FEUERSENGER ; Guido GIANI ; Burkhard HAASTERT ; Karl-Heinz JOCKEL ; MIELCK (Andreas) : DEU. Institute of Health Economics and Health Care Management. Gsf National Research Centre for Environment and Health. Neuherberg. ; Susanne MOEBUS ; Institute of Biometrics and Epidemiology. German Diabetes Center. Leibniz Institute. Heinrich Heine University Düsseldorf. Dusseldorf. DEU ; Institute of Medical Informatics Biometry and Epidemiology. University Clinics Essen. Essen. DEU |
| Type de document : | Article |
| Dans : | European journal of epidemiology (vol. 22, n° 10, 2007) |
| Pagination : | 685-690 |
| Langues: | Anglais |
| Mots-clés : | Obésité ; Europe sociale ; Facteur risque ; Risque ; Allemagne ; Enquête épidémiologique ; Enquête ; Tendance séculaire ; Homme ; Epidémiologie ; Europe |
| Résumé : | [BDSP. Notice produite par INIST-CNRS WR0xSB7l. Diffusion soumise à autorisation]. Objective : Whether differences in obesity prevalences across social status levels have widened remains controversial. Methods : We used German national health surveys (1990-1992 and 1998, n=7,466 and 5,583, age 25-69 years) to estimate obesity prevalences and its associations with calendar year, age (25-39,40-60, and 61-69), and educational level (low, middle, and high), as well as an interaction term (year x educational level) in men and women. We used multiple regression models, considering the sample design. Results : Obesity prevalence in 1990 and 1998 was 18.1 (95% CI 16.5-19.7) and 19.9 (18.2-21.6) in men and 20.9 (19.2-22.6) and 21.6 (19.3-23.7) in women, with statistically significantly higher prevalences in higher age and lower education. A statistically significant increase of obesity prevalence was present only in men after adjustment for age and education. The increase seems to be highest in high-educated subjects. However, interaction was not statistically significant, except in middle compared to high-educated men (OR 0.67 ; 0.47-0.96). Conclusions : Obesity prevalence increased only moderately in Germany between 1990-1992 and 1998. There was a tendency of reduction of the social gradient in obesity instead of a widening. |
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