Full Citation
Title: Social determinants of health and obesity: Findings from a national study of US adults
Citation Type: Journal Article
Publication Year: 2022
ISBN:
ISSN: 1930-739X
DOI: 10.1002/OBY.23336
NSFID:
PMCID:
PMID: 35088551
Abstract: Objective: This study examined the association between social determinants of health (SDOH) burden and overweight/obesity in a nationally representative sample of adults in the United States. Methods: Data for 161,795 adults aged ≥18 years from the 2013 to 2017 National Health Interview Survey were used. A total of 38 SDOH were aggregated to create a cumulative SDOH score, which was divided into quartiles (Q1-Q4) to denote levels of SDOH burden. Prevalence of overweight and obesity was examined across SDOH quartiles in the total population and by age, sex, and race/ethnicity. Multinomial logistic regression models were used to analyze the association between SDOH quartiles and overweight/obesity, adjusting for relevant covariates. Results: There was a graded increase in obesity prevalence with increasing SDOH burden. At nearly each quartile, overweight and obesity rates were higher for middle-aged and non-Hispanic Black adults compared with their counterparts; additional differences were observed by sex. In fully adjusted models, SDOH-Q4 was associated with 15%, 50%, and 70% higher relative prevalence of overweight, obesity class 1 and 2, and obesity class 3, respectively, relative to SDOH-Q1. Conclusions: Cumulative social disadvantage, denoted by higher SDOH burden, was associated with increased odds of obesity, independent of clinical and demographic factors.
Url: https://onlinelibrary.wiley.com/doi/abs/10.1002/oby.23336
User Submitted?: No
Authors: Javed, Zulqarnain; Valero-Elizondo, Javier; Maqsood, Muhammad Haisum; Mahajan, Shiwani; Taha, Mohamad B.; Patel, Kershaw V.; Sharma, Garima; Hagan, Kobina; Blaha, Michael J.; Blankstein, Ron; Mossialos, Elias; Virani, Salim S.; Cainzos-Achirica, Miguel; Nasir, Khurram
Periodical (Full): Obesity
Issue: 2
Volume: 30
Pages: 491-502
Data Collections: IPUMS Health Surveys - NHIS
Topics: Health
Countries: