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肥胖与教育:芬兰65至84岁男性和女性的近期趋势及差异

Obesity and education: recent trends and disparities among 65- to 84-year-old men and women in Finland.

作者信息

Sulander Tommi T, Uutela Antti K

机构信息

Department of Health Promotion and Chronic Diseases Prevention, National Public Health Institute (KTL), Mannerheimintie 166, FIN-00300 Helsinki, Finland.

出版信息

Prev Med. 2007 Aug-Sep;45(2-3):153-6. doi: 10.1016/j.ypmed.2007.02.008. Epub 2007 Feb 15.

Abstract

OBJECTIVES

The purpose of this study was to analyze trends and disparities in obesity by education among Finnish men and women aged 65-84 years from 1993 to 2003. METHOD.: Data were derived from nationally representative monitoring surveys conducted biennially from 1993 to 2003 by the National Public Health Institute (KTL). In total, 5740 men and 5746 women were included in the study (response rate 80%). Obesity was set as body mass index (BMI) >or=30, based on self-reported measurements. Age adjusted trends were examined by education and gender. A logistic regression model was used to study educational disparities in obesity.

RESULTS

Obesity trends were similar among men and women. The prevalence of obesity increased in both educational groups over the ten-year period. Throughout the period, those with lower education had higher risk of obesity, and educational disparities persisted at about the same level.

CONCLUSIONS

Obesity is increasing among older people. Information on continuing socioeconomic disparities in obesity is important for those targeting health promotion activities.

摘要

目的

本研究旨在分析1993年至2003年间芬兰65至84岁男性和女性中肥胖情况随教育程度变化的趋势及差异。方法:数据来源于国家公共卫生研究所(KTL)在1993年至2003年期间每两年进行一次的具有全国代表性的监测调查。本研究共纳入5740名男性和5746名女性(应答率80%)。根据自我报告的测量结果,将肥胖定义为体重指数(BMI)≥30。按教育程度和性别对年龄调整后的趋势进行了研究。采用逻辑回归模型研究肥胖方面的教育差异。

结果

男性和女性的肥胖趋势相似。在这十年间,两个教育程度组的肥胖患病率均有所上升。在整个时期内,受教育程度较低者肥胖风险更高,且教育差异维持在大致相同的水平。

结论

老年人中的肥胖现象正在增加。肥胖方面持续存在的社会经济差异信息对于那些以健康促进活动为目标的人来说很重要。

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