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Social determinants of health and obesity: findings from a national study of US adults

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 and Nasir, Khurram (2022) Social determinants of health and obesity: findings from a national study of US adults. Obesity, 30 (2). 491 - 502. ISSN 1930-7381

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Identification Number: 10.1002/oby.23336

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.

Item Type: Article
Official URL: https://onlinelibrary.wiley.com/journal/1930739x
Additional Information: © 2022 The Obesity Society
Divisions: Health Policy
Subjects: R Medicine > RA Public aspects of medicine
H Social Sciences > HM Sociology
Date Deposited: 09 Feb 2022 15:57
Last Modified: 11 Feb 2022 00:10
URI: http://eprints.lse.ac.uk/id/eprint/113701

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