Trends in educational inequalities in obesity in 15 European countries between 1990 and 2010

Kristina Hoffmann 1, 2 Rianne De Gelder 2 Yannan Hu 2 Matthias Bopp 3 Jozsef Vitrai 4 Eero Lahelma 5 Gwenn Menvielle 6 Paula Santana 7 Enrique Regidor 8 Ola Ekholm 9 Johan Mackenbach 2 Frank Van Lenthe 2, *
* Auteur correspondant
1 Social and Preventive Medicine - Mannheim Institute of Public Health - MIPH [Mannheim, Germany]
2 Erasmus MC - Department of Public Health [Rotterdam, Netherlands]
3 Epidemiology, Biostatistics and Prevention Institute [Zürich, Switzerland]
4 Health Information and Research [Budapest, Hungary]
5 Department of Public Health [Helsinki, Finland]
6 iPLESP - Institut Pierre Louis d'Epidémiologie et de Santé Publique
7 Departamento de Geografia [Coimbra, Portugal]
8 Department of Preventive Medicine and Public Health [Madrid, Spain]
9 National Institute of Public Health [Copenhagen, Denmark]
Abstract : AbstractBackgroundThe prevalence of obesity increased dramatically in many European countries in the past decades. Whether the increase occurred to the same extent in all socioeconomic groups is less known. We systematically assessed and compared the trends in educational inequalities in obesity in 15 different European countries between 1990 and 2010.MethodsNationally representative survey data from 15 European countries were harmonized and used in a meta-regression of trends in prevalence and educational inequalities in obesity between 1990 and 2010. Educational inequalities were estimated by means of absolute rate differences and relative rate ratios in men and women aged 30–64 years.ResultsA statistically significant increase in the prevalence of obesity was found for all countries, except for Ireland (among men) and for France, Hungary, Italy and Poland (among women). Meta-regressions showed a statistically significant overall increase in absolute inequalities of 0.11% points [95% CI 0.03, 0.20] per year among men and 0.12% points [95% CI 0.04, 0.20] per year among women. Relative inequalities did not significantly change over time in most countries. A significant reduction of relative inequalities was found among Austrian and Italian women.ConclusionThe increase in the overall prevalence aligned with a widening of absolute but not of relative inequalities in obesity in many European countries over the past two decades. Our findings urge for a further understanding of the drivers of the increase in obesity in lower education groups particularly, and an equity perspective in population-based obesity prevention strategies.
Keywords : Health inequalities Obesity Time trends
Type de document :
Article dans une revue
International Journal of Behavioral Nutrition and Physical Activity, BioMed Central, 2016, 14 (1), pp.63. 〈10.1186/s12966-017-0517-8〉
Liste complète des métadonnées
http://www.hal.inserm.fr/inserm-01519601
Contributeur : Bmc Bmc <>
Soumis le : lundi 8 mai 2017 - 18:05:03
Dernière modification le : vendredi 31 août 2018 - 08:58:01
Document(s) archivé(s) le : mercredi 9 août 2017 - 15:43:19

Fichiers

12966_2017_Article_517.pdf
Publication financée par une institution

Identifiants

Collections

UPMC | IPLESP

Citation

Kristina Hoffmann, Rianne De Gelder, Yannan Hu, Matthias Bopp, Jozsef Vitrai, et al.. Trends in educational inequalities in obesity in 15 European countries between 1990 and 2010. International Journal of Behavioral Nutrition and Physical Activity, BioMed Central, 2016, 14 (1), pp.63. 〈10.1186/s12966-017-0517-8〉. 〈inserm-01519601〉

Exporter

BibTeX TEI DC DCterms EndNote

Partager

Métriques

Consultations de la notice

51

Téléchargements de fichiers

158

Contact

support.ccsd.cnrs.fr
hal.support@ccsd.cnrs.fr
Logo CCSD