Social inequity in health among patients with severe obesity and multimorbidity.

IF 1 4区医学 Q3 MEDICINE, GENERAL & INTERNAL

Danish medical journal Pub Date : 2024-06-12 DOI:10.61409/A01240059

Mads Fiil Hjort, Arne Astrup

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引用次数: 0

Abstract

Introduction: Obesity adversely affects the health of the individual and impacts society through increased healthcare costs and lost workdays. Individuals in lower socioeconomic groups are more severely affected. Here, we examined people living with severe obesity and comorbidities across educational levels.

Methods: Individuals with a BMI ≥ 35 kg/m2 and aged ≥ 16 years from the Danish National Health Survey 2021 were categorised into five educational levels and according to their number of obesity-related comorbidities (0, 1, 2 and ≥ 3).

Results: A total of 5.8% had a BMI ≥ 35 kg/m2, ranging from 2.2% to 10.7% in the 98 municipalities, and from 2.6% to 8.8% according to education level. Among individuals with a BMI ≥ 35 kg/m2 and the shortest education, 13.4% had no comorbidities, and 45.6% had ≥ 3 comorbidities. In contrast, among individuals with a BMI ≥ 35 kg/m2 and the longest education, 47.4% had no comorbidities, and 14.6% had ≥ 3 comorbidities. Among those with a BMI ≥ 35 kg/m2 and ≥ 3 comorbidities, 73.6% had elementary or vocational school as their highest education level, and 3.4% had a long higher education.

Conclusions: The prevalence of individuals living with a BMI ≥ 35 kg/m2 differs by 3-5-fold depending on municipality and between the lowest and highest educational level. Additionally, the less educated group living with a BMI ≥ 35 kg/m2 was three times more likely to have ≥ 3 comorbidities than the most educated group. Hence, more research is warranted to understand the underlying causes and reduce social inequity in health.

Funding: Novo Nordisk Fonden.

Trial registration: Not relevant.

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严重肥胖和多病患者在健康方面的社会不平等。

导言：肥胖症会对个人健康产生不利影响，并通过增加医疗费用和损失工作日来影响社会。社会经济地位较低的群体受到的影响更为严重。在此，我们对不同教育水平的重度肥胖症患者和合并症患者进行了研究：方法：将 2021 年丹麦全国健康调查中体重指数（BMI）≥ 35 kg/m2、年龄≥ 16 岁的人分为五个教育水平，并根据其肥胖相关合并症的数量（0、1、2 和≥ 3）进行分类：在 98 个城市中，共有 5.8%的人体重指数≥ 35 kg/m2，从 2.2%到 10.7%不等，而根据教育水平的不同，从 2.6%到 8.8%不等。在体重指数≥35 kg/m2且受教育时间最短的人群中，13.4%的人没有合并症，45.6%的人合并症≥3种。相比之下，在体重指数≥35 kg/m2、受教育时间最长的人群中，47.4%的人没有合并症，14.6%的人合并症≥3种。在体重指数≥35 kg/m2且合并症≥3种的人群中，73.6%的人最高学历为小学或职业学校，3.4%的人受过长期高等教育：结论：体重指数≥35 kg/m2 的人群中，不同城市、最低和最高教育水平人群的患病率相差 3-5 倍。此外，与受教育程度最高的人群相比，受教育程度较低且体重指数≥ 35 kg/m2 的人群患有≥ 3 种并发症的可能性要高出三倍。因此，有必要开展更多研究，以了解其根本原因，减少健康方面的社会不平等：诺和诺德基金会：不相关。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Danish medical journal MEDICINE, GENERAL & INTERNAL-

CiteScore

2.30

自引率

6.20%

发文量

审稿时长

3-8 weeks

期刊介绍： The Danish Medical Journal (DMJ) is a general medical journal. The journal publish original research in English – conducted in or in relation to the Danish health-care system. When writing for the Danish Medical Journal please remember target audience which is the general reader. This means that the research area should be relevant to many readers and the paper should be presented in a way that most readers will understand the content. DMJ will publish the following articles: • Original articles • Protocol articles from large randomized clinical trials • Systematic reviews and meta-analyses • PhD theses from Danish faculties of health sciences • DMSc theses from Danish faculties of health sciences.