Sabanayagam Charumathi, Shankar Anoop, Saw Seang Mei, Tai E Shyong, Wong Tien Yin
Department of Community, Occupational, and Family Medicine, Yong Loo Lin School of Medicine, National University of Singapore, Singapore.
Asia Pac J Public Health. 2009 Oct;21(4):487-96. doi: 10.1177/1010539509343957. Epub 2009 Aug 5.
In developed countries in the West, lower socioeconomic status (SES) is associated with a higher prevalence of overweight/obesity. The authors examined the association between SES defined by education and income and overweight/obesity in a population-based cohort of 2807 individuals of Malay ethnicity (age 40-80 years, 51% women) in Singapore. The prevalence of overweight/ obesity (body mass index > or =25 kg/m(2)) in men and women was 50.4% and 65.1%, respectively. In women, the prevalence of overweight/obesity increased with lower levels of education and income. Compared with the higher categories of SES, the odds ratio (95% confidence interval) of overweight/obesity in women was 1.42 (1.06-1.89) for education and 2.08 (1.33-3.26) for income. In contrast, in men, the prevalence of overweight/obesity decreased with lower levels of education and income (P interaction by gender <.05 for all SES variables). Lower SES was positively associated with overweight/obesity in Malay women, and the association was in the opposite direction in Malay men.
在西方发达国家，较低的社会经济地位（SES）与超重/肥胖的较高患病率相关。作者在新加坡一个以人群为基础的队列中，研究了由教育程度和收入定义的社会经济地位与2807名马来族个体（年龄40 - 80岁，51%为女性）超重/肥胖之间的关联。男性和女性超重/肥胖（体重指数≥25 kg/m²）的患病率分别为50.4%和65.1%。在女性中，超重/肥胖的患病率随着教育程度和收入水平的降低而增加。与较高社会经济地位类别相比，女性超重/肥胖的优势比（95%置信区间）在教育程度方面为1.42（1.06 - 1.89），在收入方面为2.08（1.33 - 3.26）。相比之下，在男性中，超重/肥胖的患病率随着教育程度和收入水平的降低而下降（所有社会经济地位变量的性别交互作用P值<.05）。较低的社会经济地位与马来族女性的超重/肥胖呈正相关，而在马来族男性中这种关联方向相反。
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