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Overweight according to geographical origin and time spent in France: a cross sectional study in the Paris metropolitan area.
Martin-Fernandez J., Grillo F., Tichit C., Parizot I., Chauvin P.
BMC Public Health 12, 1 (2012) 937 - http://www.hal.inserm.fr/inserm-00768698
 (23113925) 
Overweight according to geographical origin and time spent in France: a cross sectional study in the Paris metropolitan area.
Judith Martin-Fernandez () 1, Francesca Grillo1, Christine Tichit2, Isabelle Parizot3, Pierre Chauvin1, 4
1 :  DS3 - ESIM - Déterminants Sociaux de la Santé et du Recours aux Soins
INSERM : U707 – Université Pierre et Marie Curie (UPMC) - Paris VI
Faculté de Médecine Saint-Antoine, 27 rue Chaligny, 75571 Paris Cedex 12
France
2 :  ALISS - Alimentation et sciences sociales
Institut national de la recherche agronomique (INRA) : UR1303
65 boulevard de Brandebourg 94205 Ivry sur Seine
France
3 :  ERIS-CMH - Equipe de recherches sur les inégalités sociales (ERIS)/Equipe CMH
École des Hautes Études en Sciences Sociales (EHESS) – CNRS : UMR8097
48 Bd. Jourdan 75014 Paris
France
4 :  Pôle de Pharmacie - Santé Publique - Information médicale [Saint-Antoine]
Hôpital Saint-Antoine – Assistance publique - Hôpitaux de Paris (AP-HP) – Université Pierre et Marie Curie (UPMC) - Paris VI
184, rue du Faubourg Saint-Antoine 75012 Paris
France
BACKGROUND: For the first time in France in a population-based survey, this study sought to investigate the potential impact of migration origin and the proportion of lifetime spent in mainland France on body mass index (BMI) and overweight in adults living in the Paris metropolitan area. METHODS: A representative, population-based, random sample of the adult, French speaking population of the Paris metropolitan area was interviewed in 2005. Self-reported BMI (BMI = weight/height²) and overweight (BMI ≥ 25) were our 2 outcomes of interest. Two variables were constructed to estimate individuals' migration origin: parental nationality and the proportion of lifetime spent in mainland France, as declared by the participants. We performed multilevel regression models among different gender and age groups, adjusted for demographics and socioeconomic status. RESULTS: In women, a parental origin in the Middle East or North Africa (MENA) was associated with a higher risk of being overweight (especially before the age of 55) and a higher BMI (between 35 and 54 years of age), and so were women of Sub-Sahara African parental origin in the middle age category. Only in the youngest men (< 35 years of age) did we observe any association with parental nationality, with a higher BMI when having a MENA parentage. Regarding the association between the proportion of lifetime spent in France and overweight, we observed that, in women, a proportion of 50% to 99% appeared to be associated with overweight, especially after the age of 35. In men, having spent more than half of one's lifetime in France was associated with a higher risk of overweight among oldest men. CONCLUSIONS: Our results plea for potential cultural determinants of overweight in the migrant and migrants-born populations in the French context of the capital region. Taking into account the people' family and personal migration histories may be an important issue in public health research and policies on overweight and obesity prevention.
Sciences du Vivant/Santé publique et épidémiologie
Anglais
1471-2458

Articles dans des revues avec comité de lecture
10.1186/1471-2458-12-937
BMC Public Health (BMC Public Health)
Publisher BioMed Central
ISSN 1471-2458 
internationale
2012
31/10/2012
12
1
937

Acculturation – Adult – Africa South of the Sahara – Africa – Northern – Body Mass Index – Cross-Sectional Studies – Emigration and Immigration – Female – France – Humans – Male – Middle Aged – Middle East – Multilevel Analysis – Overweight – Paris – Risk Factors – Time Factors
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