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Relationship between socioeconomic and nutritional status in the Serbian adult population: a cross-sectional study.
Rakic, Jelena Gudelj; Maksimovic, Milos; Jankovic, Janko; Vlajinac, Hristina; Marinkovic, Jelena.
Afiliação
  • Rakic JG; MD, PhD. Medical Doctor, Institute of Public Health of Serbia "Dr Milan Jovanovic Batut", Belgrade, Serbia.
  • Maksimovic M; MD. Professor, Institute of Hygiene and Medical Ecology, Faculty of Medicine, University of Belgrade, Belgrade, Serbia.
  • Jankovic J; MD. Associate Professor, Institute of Social Medicine, Faculty of Medicine, University of Belgrade, Belgrade, Serbia.
  • Vlajinac H; MD. Professor, Institute of Epidemiology, Faculty of Medicine, University of Belgrade, Belgrade, Serbia.
  • Marinkovic J; PhD. Statistician and Professor, Institute of Medical Statistics and Informatics, Faculty of Medicine, University of Belgrade, Belgrade, Serbia.
Sao Paulo Med J ; 136(4): 310-318, 2018.
Article em En | MEDLINE | ID: mdl-30110075
BACKGROUND: Socioeconomic status is a well-known risk factor for obesity. The aim of this study was to assess the relationship between socioeconomic and nutritional status in the Serbian adult population. DESIGN AND SETTING: Cross-sectional study on data from the 2013 National Health Survey performed in Serbia. METHODS: The study population consisted of adults aged ≥ 20 years. Face-to-face interviews and anthropometric measurements were conducted by trained staff. Associations between body mass index and sociodemographic variables were analyzed using multivariable logistic regression analyses. RESULTS: Out of 12,461 subjects of both sexes, 36.4% were overweight and 22.4% were obese. The prevalences of overweight and obesity differed significantly between the sexes, regarding all sociodemographic characteristics. Among women, educational attainment was associated with lower risk of being overweight (odds ratio, OR = 0.82; 95% confidence interval, CI: 0.69-0.98 for medium-level and OR = 0.77; CI: 0.62-0.97 for higher education) or obese (OR = 0.68; CI: 0.57-0.82 for medium-level and OR = 0.41; CI: 0.31-0.54 for higher education). In contrast, medium-level (OR = 1.28; CI: 1.08-1.52) and highly educated men (OR = 1.39; CI: 1.11-1.74) were more frequently overweight than were those with low education. Among men, grade I obesity was positively related to the richest wealth index group (OR = 1.27), while the opposite was true for grade II obesity among women (OR = 0.61). CONCLUSION: This study showed significant socioeconomic inequalities in nutritional status between men and women. Continuous monitoring of socioeconomic patterns relating to weight is important, especially with further exploration of the link between education and obesity.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Fatores Socioeconômicos / Estado Nutricional / Obesidade Tipo de estudo: Observational_studies / Prevalence_studies / Qualitative_research / Risk_factors_studies Aspecto: Determinantes_sociais_saude Limite: Adult / Aged / Female / Humans / Male / Middle aged País/Região como assunto: Europa Idioma: En Revista: Sao Paulo Med J Assunto da revista: MEDICINA Ano de publicação: 2018 Tipo de documento: Article País de publicação: Brasil
Texto completo
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Fatores Socioeconômicos / Estado Nutricional / Obesidade Tipo de estudo: Observational_studies / Prevalence_studies / Qualitative_research / Risk_factors_studies Aspecto: Determinantes_sociais_saude Limite: Adult / Aged / Female / Humans / Male / Middle aged País/Região como assunto: Europa Idioma: En Revista: Sao Paulo Med J Assunto da revista: MEDICINA Ano de publicação: 2018 Tipo de documento: Article País de publicação: Brasil