434 articles – 313 references  [version française]
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Prevalence of educational inequalities in obesity between 1970 and 2003 in France.
Singh-Manoux A., Gourmelen J., Lajnef M., Sabia S., Sitta R., Menvielle G., Melchior M., Nabi H., Lanoe J.-L., Guéguen A. et al
Obesity Reviews 10, 5 (2009) 511-8 - http://www.hal.inserm.fr/inserm-00390627
(19460112)
Prevalence of educational inequalities in obesity between 1970 and 2003 in France.
Archana Singh-Manoux () 1, 2, 3, Julie Gourmelen3, Mohamed Lajnef3, Séverine Sabia3, Rémi Sitta3, Gwenn Menvielle3, Maria Melchior3, Hermann Nabi3, Jean-Louis Lanoe3, Alice Guéguen3, France Lert3
1:  Centre de Gérontologie
Assistance publique - Hôpitaux de Paris (AP-HP) – Sainte-Périne - Rossini - Chardon-Lagache : Hôpitaux Universitaires Paris Ile-de-France Ouest
11, rue Chardon-Lagache 75016 Paris 16ème
France
2:  Department of Epidemiology and Public Health
http://www.ucl.ac.uk/epidemiology/staff/singh-manoux.htm
University College of London (UCL)
1-19 Torrington Place London WC1E 6BT
United Kingdom
3:  Santé publique et épidémiologie des déterminants professionnels et sociaux de la santé
http://www.u687.idf.inserm.fr/
INSERM : U687 – IFR69 – Université Paris XI - Paris Sud – Université de Versailles Saint-Quentin-en-Yvelines
Hôpital Paul Brousse 16, av Paul Vaillant Couturier 94807 VILLEJUIF
France
This paper examines trends in obesity rates and education-related absolute and relative inequalities in obesity over the last 40 years in France. Data are drawn from the French Decennial Health Surveys of 1970, 1980, 1991 and 2003. The difference in obesity rates between the least- and most-educated, the Slope Index of Inequality, is used to estimate absolute inequalities in obesity. The ratio of the corresponding rates, the Relative Index of Inequality, reveals the relative inequalities in obesity. Obesity rates were similar in men and women, but educational inequalities were greater in women. Obesity rates were similar over the first three surveys but increased for all in the 2003 survey. This increase was accompanied by increases in absolute inequalities in men (P = 0.04) from a Slope Index of Inequality of 4.80% (95% confidence interval [CI] = 2.27, 7.32) to 8.64% (95% CI = 5.97, 11.32) and women (P = 0.004) from 8.90% (95% CI = 6.18, 11.63) to 14.57% (95% CI = 11.83, 17.32). Relative inequalities in obesity remained stable over the 40 years. Recent increase in obesity rates in France is accompanied by increases in absolute education-related inequalities, while relative inequalities have remained stable; this suggests that obesity rates have increased at a much faster rate in the low-education groups.
Life Sciences/Health Care Sciences and Epidemiology
English
1467-7881

Article in peer-reviewed journal
10.1111/j.1467-789X.2009.00596.x
Obesity Reviews (Obes Rev)
Publisher Wiley-Blackwell
ISSN 1467-7881 (eISSN : 1467-789X)
international
2009-09
2009-05-12
10
5
511-8

Adult – Educational Status – Employment – Female – France – Humans – Male – Middle Aged – Obesity
ASM is supported by a “European Young Investigator Award” from the European Science Foundation and a grant from Drees – MiRe, Convention n°07/997. GM is financed by a grant from InCA (Convention n°0607-3D1514-06).