Trends in educational inequalities in obesity in 15 European countries between 1990 and 2010

Hoffmann, Kristina; Gelder, Rianne de; Hu, Yannan; Jp, Mackenbach; Lenthe, Frank van

doi:10.1093/eurpub/ckw172.020

Cited by 13 publications

(21 citation statements)

References 32 publications

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“…Socioeconomic status (SES) is among the strongest predictors of body weight, with strong inverse associations between indicators of SES and body mass index (BMI) found in numerous high income countries (Hoffmann et al . 2017). Recently, studies have started to investigate the importance of cultural capital for socioeconomic inequalities in BMI (Christensen and Carpiano 2014, De Clercq et al .…”

Section: Introductionmentioning

confidence: 99%

How does cultural capital keep you thin? Exploring unique aspects of cultural class that link social advantage to lower body mass index

Groeniger

Koster

Waal

et al. 2020

Sociology Health & Illness

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A widely used indicator for cultural class is strongly related to a lower body mass index (BMI): cultural capital measured as 'highbrow' taste. This study's objective was to theorise and measure aspects of cultural class that are more plausibly linked to low BMI, and subsequently explore their relevance. Building on Bourdieusian theory we derive four of those aspects: 'refinement' (valuing form and appearance over function and substance), 'asceticism' (self-imposed constraints), 'diversity' (appreciation of variety in and of itself) and 'reflexivity' (reflexive deliberation and internal dialogue). Using standardised interviews with 597 participants in the Dutch GLOBE study in 2016, we subsequently demonstrate: (i) newly developed survey items can reliably measure four aspects of cultural class: 'asceticism', 'general refinement', 'food refinement' and 'reflexivity' (Cronbach's alphas between 0.67-0.77); (ii) embodied/objectified cultural capital (i.e. 'highbrow' taste) was positively associated with general refinement, food refinement and reflexivity, whereas institutionalised cultural capital (i.e. education) was positively associated with asceticism and reflexivity; (iii) asceticism, general refinement, reflexivity, but not food refinement, were associated with a lower BMI; (iv) asceticism, general refinement and reflexivity together accounted for 52% of the association between embodied/objectified cultural capital and BMI, and 38% of the association between institutionalised cultural capital and BMI.

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Section: Introductionmentioning

confidence: 99%

How does cultural capital keep you thin? Exploring unique aspects of cultural class that link social advantage to lower body mass index

Groeniger

Koster

Waal

et al. 2020

Sociology Health & Illness

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show abstract

“…Moreover, it is not surprising that EIG for European/other women would start to decline earlier in time than those of other subpopulations. The negative relationship between BMI and educational attainment in high‐income countries is steeper for women than for men, suggesting a stronger influence of higher education on maintaining normal BMI .…”

Section: Discussionmentioning

confidence: 99%

Three Decades of New Zealand Adults Obesity Trends: An Estimation of Energy Imbalance Gaps Using System Dynamics Modeling

Fallah‐Fini

Vandevijvere

Rezaei

et al. 2019

Obesity

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Objective: The energy imbalance gap (EIG) captures the average daily excess energy intake and governs the speed of change in body mass. This study quantifies the dynamics of the EIG over time and across different ethnic, sex, and weight groups in New Zealand. Methods: A novel method in system dynamics was used to estimate the trends/dynamics of the EIG among Pacific, Māori, Asian, and European/other men and women over the past 3 decades in New Zealand. The model was calibrated using data from the national New Zealand Health Survey (1988-2014/15). Results: All ethnic/sex subpopulations except European/other women and Pacific men showed a drop in their EIGs starting in early to mid-2000. For European/other subpopulations, the EIG was positive in 2014/15 but lower than it was in previous years, meaning that the prevalence of obesity still increased but at a slower pace. For the Pacific subpopulation, increasing trends of the EIG across all BMI classes in 2014/15 implied that obesity prevalence for this subpopulation increased at a rate faster than before. Among Asian women, almost all BMI classes showed a negative EIG in 2012 to 2014/15, implying decreasing prevalence of obesity in this subpopulation. Māori populations with obesity showed a negative EIG in 2014/15. Conclusions: The detailed heterogeneous trends of the EIG explain the obesity patterns for different ethnic, sex, and BMI subgroups in New Zealand and suggest the need for customizing targets/policy interventions for different subpopulations.

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“…Nevertheless, the social distribution of cancer risk factors varies among countries and over time. [15][16][17] As a result, the association between SEP and cancer is not stable over time or across countries. Some studies have found a widening gap between SEP and all-cancer sites combined.…”

Section: Introductionmentioning

confidence: 99%

Socioeconomic inequalities in cancer mortality: Is Costa Rica an exception to the rule?

Fantin

Santamaría‐Ulloa

Solís

2020

Intl Journal of Cancer

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Socioeconomic inequalities in cancer mortality have been described for a range of cancers sites worldwide, using diverse measures of socioeconomic position (SEP). These studies have shown a negative social gradient where lower SEP was associated with greater odds of having cancer, particularly in men. However, there is a lack of information regarding low and middle-income countries. The objective of our study was to analyze the relationship between the socioeconomic characteristics of patients' residential districts and mortality due to cancer in Costa Rica between 2011 and 2017. An ecological study at the level of the district of residence was conducted using the multilevel mixed-effects Poisson regression. All cancer-caused deaths between January 1, 2011 and December 31, 2017 were included (n = 32,117). Eleven cancer sites were analyzed independently. The 477 Costa Rican districts were divided by area (urban/mixed/rural) and wealth using census data. Allcancer combined a significant association between cancer mortality and wealth was found. Cancer mortality was lower in the poorest as compared to the richest districts (IRR Q4 = 0.79 [0.73-0.86]). The majority of cancer sites followed a similar pattern, showing a positive social gradient. These results contradict the international literature mostly conducted in high-income countries. These findings confirmed the importance of conducting studies in middle-income countries, since the socioeconomic and cultural contexts are different from those in high-income countries, which influence the social distribution of lifestyles and risk behaviors.

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Trends in educational inequalities in obesity in 15 European countries between 1990 and 2010

Cited by 13 publications

References 32 publications

How does cultural capital keep you thin? Exploring unique aspects of cultural class that link social advantage to lower body mass index

How does cultural capital keep you thin? Exploring unique aspects of cultural class that link social advantage to lower body mass index

Three Decades of New Zealand Adults Obesity Trends: An Estimation of Energy Imbalance Gaps Using System Dynamics Modeling

Socioeconomic inequalities in cancer mortality: Is Costa Rica an exception to the rule?

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