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 
ORCID: 0000-0001-8664-9297, 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
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: | 17 Apr 2024 19:21 |
| URI: | http://eprints.lse.ac.uk/id/eprint/113701 |
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