The independent role of deprivation in abdominal obesity beyond income poverty. A population-based household survey in Chinese adults

被引:18
作者
Chung, Gary Ka-Ki [1 ]
Chung, Roger Yat-Nork [1 ]
Chan, Dicken Cheong-Chun [1 ]
Lai, Francisco Tsz-Tsun [1 ]
Wong, Hung [2 ]
Lau, Maggie Ka-Wai [3 ]
Wong, Samuel Yeung-Shan [1 ]
Yeoh, Eng-Kiong [1 ]
机构
[1] Chinese Univ Hong Kong, Fac Med, Jockey Club Sch Publ Hlth & Primary Care, Hong Kong, Peoples R China
[2] Chinese Univ Hong Kong, Dept Social Work, Hong Kong, Peoples R China
[3] Lingnan Univ, Asia Pacific Inst Ageing Studies, Hong Kong, Peoples R China
关键词
abdominal obesity; deprivation; general obesity; Hong Kong; inequality; poverty; BODY-MASS INDEX; TO-HEIGHT RATIO; WAIST CIRCUMFERENCE; SOCIOECONOMIC-STATUS; SCREENING TOOL; RISK-FACTORS; STRESS; FAT; INEQUALITIES; EPIDEMIC;
D O I
10.1093/pubmed/fdy161
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Background Individual-level deprivation takes into account the non-monetary aspects of poverty that neither income poverty nor socio-economic factors could fully capture; however, it has rarely been considered in existing studies on social inequality in obesity. Therefore, we examined the associations of deprivation, beyond income poverty, with both general and abdominal obesity. Methods A territory-wide two-stage stratified random sample of 2282 community-dwelling Hong Kong adults was surveyed via face-to-face household interviews between 2014 and 2015. Deprivation was assessed by a Deprivation Index specific to the Hong Kong population. General obesity was defined as body mass index (BMI) >= 25 kg/m(2), while abdominal obesity was defined as waist circumference (WC) >= 90 cm/80 cm for male/female. Multivariable binary logistic regressions were performed. Results Deprivation was independently associated with abdominal obesity (odds ratios (OR) = 1.68; 95% confidence intervals (CI): 1.27-2.22); however, no significant association was found with general obesity (OR = 1.03; CI: 0.77-1.38). After additional adjustment for BMI, deprivation remained strongly associated with abdominal obesity (OR = 2.00; CI: 1.41-2.83); and after further adjustment for WC, deprivation had a marginal inverse association with general obesity (OR = 0.72; CI: 0.51-1.01). Conclusions Deprivation is an important risk factor of abdominal obesity and plays a critical role in capturing the preferential abdominal fat deposition beyond income poverty.
引用
收藏
页码:476 / 486
页数:11
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