A systematic review of psychosocial explanations for the relationship between socioeconomic status and body mass index

Claassen, Maria Almudena; Klein, Olivier; Bratanova, Boyka; Claes, Nerée; Corneille, Olivier

doi:10.1016/j.appet.2018.07.017

Cited by 60 publications

(41 citation statements)

References 120 publications

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“…Dietary patterns are shaped by cultural factors, environmental factors, and socioeconomic status (SES). A lower SES can predispose an individual to the purchase of food of low nutritional density, which can lead to an excess of calorie intake and, consequently, overweight and obese individuals [10]. It was found that adherence to the healthy Mediterranean diet was lower in uneducated individuals, those with a lower income, and those who were unemployed in countries with traditional Mediterranean eating patterns [11].…”

Section: Introductionmentioning

confidence: 99%

Dietary Habits and Dietary Antioxidant Intake Are Related to Socioeconomic Status in Polish Adults: A Nationwide Study

et al. 2020

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The aim of this study was to estimate dietary habits and dietary antioxidant intake in a Polish adult population in relation to socioeconomic status. The subjects (4774) were participants in the Polish National Multi-Centre Health Examination Survey (the WOBASZ II study) performed in 2013–2014. Socioeconomic status (SES) scores were calculated by multiplying ordinal numerical values assigned to consecutive categories of education level and monthly income per capita in a family. In the Polish adult population, a higher socioeconomic status was significantly associated with a better lifestyle (more physical activity and less smoking), a better health status (lower occurrence of overweight individuals and metabolic syndrome in both genders, and lower occurrence of central obesity, hypertension, and diabetes in women), and better dietary habits, including a higher intake of dietary antioxidants.

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Section: Introductionmentioning

confidence: 99%

Dietary Habits and Dietary Antioxidant Intake Are Related to Socioeconomic Status in Polish Adults: A Nationwide Study

et al. 2020

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“…The findings discussed in this chapter suggest explanations for why current interventions and policies aimed at decreasing social gradients in health may benefit from inclusion of a psychological perspective (Callan, Kim, & Matthews, 2015;Claassen, Klein, Bratanova, Claes, & Corneille, 2018). These interventions typically focus on reducing financial or educational inequalities.…”

Section: Resultsmentioning

confidence: 94%

Psychological Consequences of Inequality for Food Intake

Claassen

Corneille

Klein

et al. 2019

The Social Psychology of Inequality

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How is inequality associated to social gradients in health such as obesity? Inconclusive findings and misunderstanding regarding the association between inequality and obesity impair attempts to reduce social gradients in obesity. In this chapter we discuss various findings from research on food choices and consumption in situations broadly associated with inequality; that is, environmental scarcity and resource competition, relative deprivation and wealth, and social class distinctions. Based on a review of social and evolutionary psychology theories, we present a model that describes a diverse set of psychological mechanisms that may underlie the effect of experienced inequality on eating behaviors. In particular, we discuss how perceptions of environmental harshness increases motivation for calories, how relative status differences can trigger negative emotions that increase caloric intake, and how food consumption can be motivated by class distinctions that are heightened under conditions of inequality. We conclude with an integration of these different findings, and propose future directions that can address current limitations in interventions aimed at reducing social inequalities in health.

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“…Those living in poverty suffer a greater burden of oral diseases, such as dental caries and periodontitis [52,53], the main causes of tooth loss in adults. They also have a higher prevalence of systemic conditions, such as diabetes, cardiovascular disease, and obesity [54,55], that are related to tooth loss. Besides these biological explanations, the conceptual mediators of the effect of socioeconomic status on oral health include material deprivation, psychosocial distress, and behavioral factors [14,17,19].…”

Section: Discussionmentioning

confidence: 99%

Education and income-based inequality in tooth loss among Brazilian adults: does the place you live make a difference?

Ferreira

Senna

Rodrigues

et al. 2020

Preprint

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Background: Socioeconomic inequalities in tooth loss might be minimized or potentialized by the characteristics of the context where people live. We examined whether there is contextual variation in socioeconomic inequalities in tooth loss across Brazilian municipalities. Methods: Data from the 2010 National Oral Health Survey of 9,633 adults living in 157 Brazilian municipalities were used. The individual socioeconomic indicators were education and household income. At the municipal level, we used the Municipal Human Development Index (HDI) as our contextual indicator of socioeconomic status (low:<0.699 versus high: >0.70). The Relative (RII) and Slope (SII) Indexes of Inequality, Relative (RCI), and Absolute (ACI) Concentration Indexes were calculated to compare the magnitude of education and income-based inequalities among municipalities with low versus high HDI. Multilevel Poisson regression models with random intercepts and slopes were developed. Results: At the individual level, adults with lower education & income reported more tooth loss. The mean number of missing teeth was 9.52 (95%CI: 7.93-11.13) and 6.95 (95%CI: 6.43-7.49) in municipalities with low and high HDI, respectively. Municipalities with high HDI showed higher relative and absolute education-based inequality. For income-based inequalities, higher SII and RCI was observed in municipalities with lower HDI. A significant cross-level interaction indicated that high-education adults reported fewer missing teeth when they lived in municipalities with high HDI compared to adults with the same education level living in low HDI municipalities. For individuals with the lowest education level, there was no difference in the number of teeth between those from municipalities with high and low HDI.Conclusions: There was a social gradient in tooth loss by education and income. Living in disadvantaged municipalities cannot overcome the risk associated with low schooling. The protective effect of higher education can be reduced when people live in disadvantaged areas.

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A systematic review of psychosocial explanations for the relationship between socioeconomic status and body mass index

Cited by 60 publications

References 120 publications

Dietary Habits and Dietary Antioxidant Intake Are Related to Socioeconomic Status in Polish Adults: A Nationwide Study

Dietary Habits and Dietary Antioxidant Intake Are Related to Socioeconomic Status in Polish Adults: A Nationwide Study

Psychological Consequences of Inequality for Food Intake

Education and income-based inequality in tooth loss among Brazilian adults: does the place you live make a difference?

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