社会不平等通过经济困难和生活方式因素对体重指数的影响:瑞典人口的交叉调解分析

IF 4.9 2区 医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
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引用次数: 0

摘要

在瑞典,身体质量指数(BMI)有所上升,女性、低学历者和移民等社会弱势群体的身体质量指数不成比例地上升,他们还可能面临经济限制、缺乏运动和劣质饮食等问题。交叉性公共卫生研究旨在揭示这种复杂的社会不平等现象,但不平等现象与体重指数之间的交叉传递仍未得到探讨。我们旨在研究瑞典人口中由经济压力和与健康相关的生活方式介导的 BMI 交叉不平等。通过使用 2016 年、2018 年、2020 年和 2021 年的 "平等条件下的健康 "横断面调查(n = 44,177 名 25 岁及以上居民),我们进行了交叉中介分析,以分析社会交叉阶层(按性别、教育程度和移民身份)之间的不平等如何通过经济压力和不健康的生活方式(缺乏运动或水果/蔬菜摄入不足)传递到 BMI。我们的研究结果表明,社会弱势阶层(与受过高等教育的本地男性相比)经历了更多的经济压力,这反过来又导致了与健康相关的生活方式较差,最终导致了较高的体重指数。我们还发现,某些交叉阶层,如受过高等教育的女性,更容易受到经济压力的影响,尽管她们的体重指数低于受过高等教育的本地男性。此外,中低学历男性的体重指数和不健康生活方式风险最高。总之,不仅是体重指数的不平等,而且还有支撑不平等的经济和行为途径,这些都是通过交叉模式发生作用的。公共卫生干预措施应提供经济保障,尤其是为妇女和流动人口提供经济保障,并在受教育程度较低的阶层(尤其是男性)中推广健康的生活方式,以达到健康的体重指数水平。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The transmission of social inequalities through economic difficulties and lifestyle factors on body mass index: An intersectional mediation analysis in the Swedish population

Body mass index (BMI) has increased in Sweden, disproportionally for socially disadvantaged groups, including women, low-educated, and immigrants, who may also face economic constraints, physical inactivity, and poor-quality diets. Intersectional public health research aims to unravel such complex social inequalities, but the intersectional transmission of inequalities to BMI remains unexplored. We aimed to examine intersectional inequalities in BMI mediated by economic strain and health-related lifestyle in the Swedish population. By using the Health on Equal Terms cross-sectional surveys in 2016, 2018, 2020, and 2021 (n = 44,177 inhabitants aged 25 and over), we performed an intersectional mediation analysis to analyze how inequalities across social intersectional strata (by gender, education, and migration status) may be transmitted through economic strain and unhealthy lifestyle (physical inactivity or inadequate fruit/vegetables consumption) to BMI. Our findings showed a sequential transmission that indicates the fact that socially disadvantaged strata (compared with high-educated native men) experienced more economic strain, which in turn led to poorer health-related lifestyles and ultimately to a higher BMI. We also found that certain intersectional strata, such as high-educated women, were more vulnerable to economic strain, despite having lower BMI than high-educated native men. Additionally, the highest BMI and unhealthy lifestyle risk was observed among low- and middle-educated men. In conclusion, not only inequalities in BMI, but also the economic and behavioral pathways underpinning the inequalities, act by intersectional patterns. Public health interventions should provide economic security, particularly for women and migrant population as well as promoting a healthy lifestyle in lower-educated strata, especially among men, to achieve healthy BMI levels.

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来源期刊
Social Science & Medicine
Social Science & Medicine PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-
CiteScore
9.10
自引率
5.60%
发文量
762
审稿时长
38 days
期刊介绍: Social Science & Medicine provides an international and interdisciplinary forum for the dissemination of social science research on health. We publish original research articles (both empirical and theoretical), reviews, position papers and commentaries on health issues, to inform current research, policy and practice in all areas of common interest to social scientists, health practitioners, and policy makers. The journal publishes material relevant to any aspect of health from a wide range of social science disciplines (anthropology, economics, epidemiology, geography, policy, psychology, and sociology), and material relevant to the social sciences from any of the professions concerned with physical and mental health, health care, clinical practice, and health policy and organization. We encourage material which is of general interest to an international readership.
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