Kinge Jonas Minet, Steingrímsdóttir Ólöf Anna, Strand Bjørn Heine, Kravdal Øystein
Norwegian Institute of Public Health (NIPH), Oslo 0170, Norway.
University of Oslo, Oslo, Norway.
SSM Popul Health. 2016 May 10;2:333-340. doi: 10.1016/j.ssmph.2016.04.010. eCollection 2016 Dec.
We explore if the geographic variation in excess body-mass in Norway can be explained by socioeconomic status, as this has consequences for public policy. The analysis was based on individual height and weight for 198,311 Norwegian youth in 2011, 2012 and 2013, stemming from a compulsory screening for military service, which covers the whole population aged seventeen. These data were merged with municipality-level socioeconomic status (SES) variables and we estimated both ecological models and two-level models with a random term at the municipality level. Overweight was negatively associated with income, education and occupation at municipality level. Furthermore, the municipality-level variance in overweight was reduced by 57% in females and 40% in males, when SES factors were taken into account. This suggests that successful interventions aimed at reducing socioeconomic variation in overweight will also contribute to reducing the geographic variation in overweight, especially in females.
我们探究挪威超重现象的地理差异是否可以由社会经济地位来解释，因为这会对公共政策产生影响。该分析基于2011年、2012年和2013年198,311名挪威青年的身高和体重数据，这些数据源自义务兵役筛查，涵盖了所有17岁的人口。这些数据与市级社会经济地位（SES）变量相结合，我们估计了生态模型以及市级层面带有随机项的两级模型。在市级层面，超重与收入、教育和职业呈负相关。此外，考虑到SES因素后，女性超重的市级层面差异减少了57%，男性减少了40%。这表明旨在减少超重方面社会经济差异的成功干预措施也将有助于减少超重的地理差异，尤其是在女性中。
