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2019-06-05Zeitschriftenartikel DOI: 10.25646/6257
Socioeconomic Inequalities in the Rise of Adult Obesity: A Time-Trend Analysis of National Examination Data from Germany, 1990–2011
dc.contributor.authorHoebel, J.
dc.contributor.authorKuntz, B.
dc.contributor.authorKroll, L. E.
dc.contributor.authorSchienkiewitz, A.
dc.contributor.authorFinger, J. D.
dc.contributor.authorLange, C.
dc.contributor.authorLampert, T.
dc.date.accessioned2019-09-10T12:29:19Z
dc.date.available2019-09-10T12:29:19Z
dc.date.issued2019-06-05none
dc.identifier.other10.1159/000499718
dc.identifier.urihttp://edoc.rki.de/176904/6274
dc.description.abstractObjective: Despite extensive study of the obesity epidemic, research on whether obesity has risen faster in lower or in higher socioeconomic groups is inconsistent. This study examined secular trends in obesity prevalence by socioeconomic position and the resulting obesity inequalities in the German adult population. Methods: Data were drawn from three national examination surveys conducted in 1990–1992, 1997–1999 and 2008–2011 (n = 18,541; age range: 25–69 years). Obesity was defined by a body mass index ≥30 kg/m2 using standardised measurements of body height and weight. Education and equivalised household disposable income were used as indicators of socioeconomic position. Time trends in socioeconomic inequalities in obesity were examined using linear probability and log-binomial regression models. Results: In each survey period, the highest socioeconomic groups had the lowest prevalence of obesity. The low and medium socioeconomic groups showed increases in obesity prevalence, whereas no such trend was observed in the high socioeconomic groups. Absolute inequalities in obesity by income increased by an average of 0.53 percentage points per year (95% confidence interval [CI] 0.01–1.05, p = 0.047) among men and 0.47 percentage points per year (95% CI 0.05–0.90, p = 0.029) among women. Absolute inequalities in obesity by education increased on average by 0.64 percentage points per year (95% CI 0.19–1.08, p = 0.005) among women but not among men (0.33 percentage points, 95% CI –0.27 to 0.92, p = 0.283). Conclusions: These findings suggest a widening obesity gap between the top and the bottom of the socioeconomic spectrum. This has the potential to have adverse consequences for population health and health inequalities in coming decades. Interventions that are effective in preventing and reducing obesity in socially disadvantaged groups are needed.eng
dc.language.isoengnone
dc.publisherRobert Koch-Institut
dc.rights(CC BY 3.0 DE) Namensnennung 3.0 Deutschlandger
dc.rights.urihttp://creativecommons.org/licenses/by/3.0/de/
dc.subjectObesityeng
dc.subjectOverweighteng
dc.subjectSocial epidemiologyeng
dc.subjectSocial determinantseng
dc.subjectSocioeconomic factorseng
dc.subjectSocioeconomic positioneng
dc.subject.ddc610 Medizin und Gesundheitnone
dc.titleSocioeconomic Inequalities in the Rise of Adult Obesity: A Time-Trend Analysis of National Examination Data from Germany, 1990–2011none
dc.typearticle
dc.identifier.urnurn:nbn:de:kobv:0257-176904/6274-3
dc.identifier.doihttp://dx.doi.org/10.25646/6257
dc.type.versionpublishedVersionnone
local.edoc.container-titleObesity Factsnone
local.edoc.type-nameZeitschriftenartikel
local.edoc.container-typeperiodical
local.edoc.container-type-nameZeitschrift
local.edoc.container-urlhttps://www.karger.com/Article/Abstract/499718none
local.edoc.container-publisher-nameKargernone
local.edoc.container-volume12none
local.edoc.container-issue3none
local.edoc.container-reportyear2019none
local.edoc.container-year2019none
local.edoc.container-firstpage344none
local.edoc.container-lastpage356none
local.edoc.rki-departmentEpidemiologie und Gesundheitsmonitoringnone
dc.description.versionPeer Reviewednone

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