OBJECTIVES:Obesity prevalence is increasing worldwide and associated with a high health risk. Unfavourable psychological factors, lower self-ratings of health and worse health-related behaviour can be found in individuals with a low socioeconomic status (SES). Therefore, the aim of our study was to investigate whether normal weight vs. obese subjects with a high vs. low socioeconomic status (SES) differ with regard to self-perceived health, quality of life and health-related behaviour. METHODS:Data of the Austrian Health Interview Survey (ATHIS) 2006/07, precisely of 8015 subjects were analysed stratified by sex and adjusted by age concerning these outcomes. RESULTS:The results have shown that men and women with a low SES differ significantly from those with a high SES in terms of self-perceived health, quality of life, intensity of physical activities, alcohol consumption, and eating behaviour (men: p <0.001; women: p<0.001). A significant interaction between the body mass index (BMI) and SES occurred in men concerning quality of life in the domains physical (p<0.05) and psychological health (p<0.01), in women as to self-perceived health (p<0.01), quality of life in the domains physical health (p<0.01) and environment (p<0.05), as well as physical activities (p<0.01). CONCLUSION:The SES has a strong negative impact on health-related variables, especially in obese subjects, and therefore risk assessment in the primary health-care setting should include socioeconomic factors. Furthermore, a continued strong public health programme is required with an absolute priority placed on obese subjects of low SES.

译文

目的:肥胖症的患病率在全球范围内呈上升趋势,并具有很高的健康风险。社会经济地位低下(SES)的人会发现不利的心理因素,健康的自我评价较低以及与健康相关的行为较差。因此,我们研究的目的是调查在社会自我状态,生活质量和健康相关行为方面,正常体重与肥胖者之间社会经济地位高低的关系是否存在差异。
方法:根据2006/07年奥地利健康访问调查(ATHIS)的数据,精确地对8015名受试者进行了分层分析,并根据年龄对这些结果进行了调整。
结果:结果表明,SES较低的男女与SES较高的男女在自我感知的健康,生活质量,体育活动强度,饮酒和饮食行为方面存在显着差异(男性:p < 0.001;女性:p <0.001)。男性的身体质量指数(BMI)与SES之间存在显着的相互作用,涉及身体(p <0.05)和心理健康(p <0.01)领域的生活质量,女性在自我感觉健康方面(p <0.01) ),身体健康(p <0.01)和环境(p <0.05)以及身体活动(p <0.01)等领域的生活质量。
结论:SES对与健康相关的变量具有强烈的负面影响,尤其是在肥胖受试者中,因此,初级保健环境中的风险评估应包括社会经济因素。此外,需要持续不断的强有力的公共卫生计划,绝对优先考虑低SES的肥胖受试者。

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