Obesity and socioeconomic disadvantage in midlife female public sector employees: a cohort study

Aapo Hiilamo , Tea Lallukka , Minna Mänty , Anne Kouvonen


Abstract Background: The two-way relationship between obesity and socioeconomic disadvantage is well established but previous studies on social and economic consequences of obesity have primarily focused on relatively young study populations. We examined whether obesity is associated with socioeconomic disadvantage through the 10–12-year follow-up, and how obesity-related socioeconomic inequalities develop during midlife among women. Methods: Baseline data were derived from the female population of the Helsinki Health Study cohort, comprising 40–60 –year-old employees of the City of Helsinki, Finland in 2000–2002 (n = 6913, response rate 69%). The followup surveys were carried out in 2007 (n = 5810) and 2012 (n = 5400). Socioeconomic disadvantage was measured by five dichotomous measures. Repeated logistic regression analyses utilising generalized estimating equations (GEE) were used to test the association between baseline self-reported obesity and the likelihood of socioeconomic disadvantage through all phases. The effect of time on the development of inequalities was examined by time interaction terms in random effect logistic regression models. Results: After adjustment for educational level, baseline obesity was associated with repeated poverty (OR = 1.23; 95% CI; 1.05–1.44), frequent economic difficulties (OR = 1.74; 95% CI; 1.52–1.99), low household net income (OR = 1. 23; 95% CI; 1.07–1.41), low household wealth (OR = 1.90; 95% CI; 1.59–2.26) and low personal income (OR = 1.22; 95% CI; 1.03–1.44). The differences in poverty rate and low personal income between the participants with obesity and participants with normal weight widened during the follow-up. Living without a partner and early exit from paid employment explained the widening of inequalities. Conclusions: Weight status inequalities in socioeconomic disadvantage persisted or widened during the late adulthood.
Author Aapo Hiilamo
Aapo Hiilamo,,
, Tea Lallukka
Tea Lallukka,,
, Minna Mänty
Minna Mänty,,
, Anne Kouvonen (Filia we Wrocławiu / II Wydział Psychologii we Wrocławiu)
Anne Kouvonen,,
- II Wydział Psychologii we Wrocławiu
Journal seriesBMC Public Health, ISSN 1471-2458, (A 35 pkt)
Issue year2017
Publication size in sheets0.5
Keywords in EnglishObesity, Social inequalities, Poverty, Midlife, Longitudinal studies, Socioeconomic disadvantage, Older workers
ASJC Classification2739 Public Health, Environmental and Occupational Health
URL https://bmcpublichealth.biomedcentral.com/articles/10.1186/s12889-017-4865-8
Languageen angielski
59. Kouvonen_Hiilamo et al 2017 BMC Public Health.pdf 477.75 KB
Additional file
59a. Oświadczenie_publ_BMC PH_2017.pdf 273.29 KB
Score (nominal)35
Score sourcejournalList
Publication indicators Scopus SNIP (Source Normalised Impact per Paper): 2016 = 1.259; WoS Impact Factor: 2017 = 2.42 (2) - 2017=3.039 (5)
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