在英格兰、威尔士、芬兰和意大利,教育不平等导致肥胖死亡率的趋势。

IF 4.7 2区 医学 Q1 ENDOCRINOLOGY & METABOLISM
Obesity Pub Date : 2025-02-18 DOI:10.1002/oby.24225
Fanny Janssen, Rolando Gonzales Martinez, Nicolás Zengarini, Pekka Martikainen, Anton Kunst
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引用次数: 0

摘要

目的:我们评估了英格兰和威尔士(1991-2017年)、芬兰(1978-2017年)和意大利(1990-2018年)30岁及以上人群中肥胖归因死亡率(OAM)的教育不平等趋势及其对全因死亡率教育不平等的贡献。方法:在我们的人口水平研究中,我们通过将人口归因分数公式应用于按教育水平统一的肥胖患病率数据,以及性别和年龄特定的肥胖死亡相对风险,估计由教育水平(即低、中、高)引起的OAM全因死亡率的份额。我们通过将各相关全因死亡率数据与教育水平相乘得到OAM率。我们用不平等的斜率指数来衡量OAM和全因死亡率的绝对不平等。结果:2010 - 2015年,不同性别和受教育程度人群的OAM显著增加,低受教育程度人群的OAM增加最为强烈。OAM的教育不平等最初有所增加,但至少从2008年开始稳定或下降。从1991年到2017年,肥胖对全因死亡率绝对教育不平等的平均贡献率为15%。结论:受教育程度对肥胖流行死亡率的影响随时间而变化。虽然观察到的教育不平等从增加到减少或稳定的变化令人鼓舞,但减少所有社会经济群体的OAM仍然是一项挑战。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Trends in educational inequalities in obesity-attributable mortality in England and Wales, Finland, and Italy

Trends in educational inequalities in obesity-attributable mortality in England and Wales, Finland, and Italy

Objective

We assessed trends in educational inequalities in obesity-attributable mortality (OAM) and their contribution to educational inequalities in all-cause mortality for people aged 30 years and older, in England and Wales (1991–2017), Finland (1978–2017), and Italy (1990–2018).

Methods

In our population-level study, we estimated the shares of all-cause mortality due to OAM by educational level (i.e., low, middle, and high) by applying the population-attributable fraction formula to harmonized obesity prevalence data by educational level, along with sex- and age-specific relative risks of dying from obesity. We obtained OAM rates by multiplying the shares with individually linked all-cause mortality data by educational level. We measured absolute inequalities in OAM and all-cause mortality by the slope index of inequality.

Results

OAM largely increased for the different sex- and education-specific populations and increased most strongly for those with low educational level up to 2010 to 2015. Educational inequalities in OAM initially increased but stabilized or declined from at least 2008 onward. Obesity contributed, on average, 15% to absolute educational inequalities in all-cause mortality in 1991 through 2017.

Conclusions

The mortality impact of the obesity epidemic by educational level changed over time. Although the observed change from increasing to declining or stable educational inequalities is encouraging, reducing OAM in all socioeconomic groups remains a challenge.

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来源期刊
Obesity
Obesity 医学-内分泌学与代谢
CiteScore
11.70
自引率
1.40%
发文量
261
审稿时长
2-4 weeks
期刊介绍: Obesity is the official journal of The Obesity Society and is the premier source of information for increasing knowledge, fostering translational research from basic to population science, and promoting better treatment for people with obesity. Obesity publishes important peer-reviewed research and cutting-edge reviews, commentaries, and public health and medical developments.
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