Centre for Lifestyle Medicine and Behaviour, School of Sport, Exercise and Health Sciences, Loughborough University, Loughborough, LE11 3TU, UK.
Department of Health Policy and Management, Harvard T.H. Chan School of Public Health, Boston, MA, USA.
Int J Obes (Lond). 2024 Oct;48(10):1430-1437. doi: 10.1038/s41366-024-01569-5. Epub 2024 Jun 26.
Limited evidence from the United States suggests that county/state rates of people with obesity are positively associated with voting for the Republican Party presidential candidate, although this question has not yet been studied at the individual level, and/or outside of the United States, where the health and political systems are very different in other countries.
Using individual level data, assess differences in rates of people with obesity according to political voting in the United Kingdom 2019 general election, and examine whether people living in constituencies won by Members of Parliament (MPs) from the Conservative Party were more likely to be living with obesity than those living in constituencies won by MPs from other parties.
Data was obtained by the Ipsos KnowledgePanel where panellists are recruited via a random probability unclustered address-based sampling method. 4000/14,016 panellists were randomly invited to provide data on socio-demographics, health outcomes, voting behaviour and height/weight.
2668/4000 (67%) of invitees provided data, 95/2668 (3.5%) were not eligible to vote, with the remaining 2573 (96.5%) included. Conservative Party voters were more likely to be living with obesity than those who voted Labour (OR:1.42 95% CI (1.01-1.99)) or Liberal Democrats (1.54 95% CI (1.00-2.37)). Conservative Party voters on average had significantly higher BMI scores than those voting Labour and Liberal Democrats; BMI mean difference 0.88 points (95% CI: 0.16-1.61) between Conservative and Labour voters, and 1.04 points (95% CI: 0.07-2.02) between Conservatives and Liberal Democrats voters. There was no evidence participants living in constituencies won by Conservative MPs were more likely to be living with obesity than constituencies won by other party MPs.
Governments and public health agencies may need to focus on the political affiliation of the public when developing strategies to reduce the number of people with obesity.
来自美国的有限证据表明，肥胖人群的县/州比例与投票给共和党总统候选人呈正相关，尽管这一问题尚未在个人层面上进行研究，而且/或者在美国以外的国家也没有进行研究，因为其他国家的医疗和政治体系大不相同。
使用个人层面的数据，评估英国 2019 年大选投票中肥胖人群的比例差异，并检验生活在保守党议员获胜选区的人比生活在其他党派议员获胜选区的人更有可能肥胖。
数据来自 Ipsos KnowledgePanel，该面板通过随机概率非聚类基于地址的抽样方法招募参与者。4000/14016 名参与者被随机邀请提供社会人口统计学、健康结果、投票行为和身高/体重的数据。
2668/4000（67%）名受邀者提供了数据，95/2668（3.5%）名不符合投票资格，其余 2573（96.5%）名参与者被纳入分析。保守党选民比工党选民更有可能肥胖（OR：1.42，95%CI（1.01-1.99））或自由民主党选民（1.54，95%CI（1.00-2.37））。与投票给工党的选民和自由民主党的选民相比，保守党选民的 BMI 评分明显更高；保守党和工党的选民之间 BMI 平均差异为 0.88 分（95%CI：0.16-1.61），保守党和自由民主党的选民之间 BMI 平均差异为 1.04 分（95%CI：0.07-2.02）。没有证据表明生活在保守党议员获胜选区的参与者比其他党派议员获胜选区的参与者更有可能肥胖。
政府和公共卫生机构在制定减少肥胖人群数量的策略时，可能需要关注公众的政治倾向。
