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The role of intergenerational educational mobility and household wealth in adult obesity: Evidence from Wave 2 of the World Health Organization’s Study on global AGEing and adult health

BACKGROUND: Obesity has emerged as a major risk factor for non-communicable diseases in low and middle-income countries but may not follow typical socioeconomic status (SES)-related gradients seen in higher income countries. This study examines the associations between current and lifetime markers o...

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Autores principales: Lartey, Stella T., Magnussen, Costan G., Si, Lei, de Graaff, Barbara, Biritwum, Richard Berko, Mensah, George, Yawson, Alfred, Minicuci, Nadia, Kowal, Paul, Boateng, Godfred O., Palmer, Andrew J.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6326547/
https://www.ncbi.nlm.nih.gov/pubmed/30625141
http://dx.doi.org/10.1371/journal.pone.0208491
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author Lartey, Stella T.
Magnussen, Costan G.
Si, Lei
de Graaff, Barbara
Biritwum, Richard Berko
Mensah, George
Yawson, Alfred
Minicuci, Nadia
Kowal, Paul
Boateng, Godfred O.
Palmer, Andrew J.
author_facet Lartey, Stella T.
Magnussen, Costan G.
Si, Lei
de Graaff, Barbara
Biritwum, Richard Berko
Mensah, George
Yawson, Alfred
Minicuci, Nadia
Kowal, Paul
Boateng, Godfred O.
Palmer, Andrew J.
author_sort Lartey, Stella T.
collection PubMed
description BACKGROUND: Obesity has emerged as a major risk factor for non-communicable diseases in low and middle-income countries but may not follow typical socioeconomic status (SES)-related gradients seen in higher income countries. This study examines the associations between current and lifetime markers of SES and BMI categories (underweight, normal weight, overweight, obese) and central adiposity in Ghanaian adults. METHODS: Data from 4,464 adults (2,610 women) who participated in the World Health Organization’s Study on global AGEing and adult health (SAGE) Wave 2 were examined. Multilevel multinomial and binomial logistic regression models were used to examine associations. SES markers included parental education, individual education, intergenerational educational mobility and household wealth. Intergenerational educational mobility was classified: stable-low (low parental and low individual education), stable-high (high parental and high individual education), upwardly (low parental and high individual education), or downwardly mobile (high parental and low individual education). RESULTS: The prevalence of obesity (12.9%) exceeded the prevalence of underweight (7.2%) in the population. High parental and individual education were significantly associated with higher odds of obesity and central adiposity in women. Compared to the stable low pattern, stable high (obesity: OR = 3.15; 95% CI: 1.96, 5.05; central adiposity: OR = 1.75; 95% CI: 1.03, 2.98) and upwardly (obesity: OR = 1.71; 95% CI: 11.13, 2.60; central adiposity: OR = 1.60; 95% CI: 1.08, 2.37) mobile education patterns were associated with higher odds of obesity and central adiposity in women, while stable high pattern was associated with higher odds of overweight (OR = 1.88; 95% CI: 1.11, 3.19) in men. Additionally, high compared to the lowest household wealth was associated with high odds of obesity and central adiposity in both sexes. CONCLUSION: Stable high and upwardly mobile education patterns are associated with higher odds of obesity and central adiposity in women while the stable high pattern was associated with higher odds of overweight in men.
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spelling pubmed-63265472019-01-18 The role of intergenerational educational mobility and household wealth in adult obesity: Evidence from Wave 2 of the World Health Organization’s Study on global AGEing and adult health Lartey, Stella T. Magnussen, Costan G. Si, Lei de Graaff, Barbara Biritwum, Richard Berko Mensah, George Yawson, Alfred Minicuci, Nadia Kowal, Paul Boateng, Godfred O. Palmer, Andrew J. PLoS One Research Article BACKGROUND: Obesity has emerged as a major risk factor for non-communicable diseases in low and middle-income countries but may not follow typical socioeconomic status (SES)-related gradients seen in higher income countries. This study examines the associations between current and lifetime markers of SES and BMI categories (underweight, normal weight, overweight, obese) and central adiposity in Ghanaian adults. METHODS: Data from 4,464 adults (2,610 women) who participated in the World Health Organization’s Study on global AGEing and adult health (SAGE) Wave 2 were examined. Multilevel multinomial and binomial logistic regression models were used to examine associations. SES markers included parental education, individual education, intergenerational educational mobility and household wealth. Intergenerational educational mobility was classified: stable-low (low parental and low individual education), stable-high (high parental and high individual education), upwardly (low parental and high individual education), or downwardly mobile (high parental and low individual education). RESULTS: The prevalence of obesity (12.9%) exceeded the prevalence of underweight (7.2%) in the population. High parental and individual education were significantly associated with higher odds of obesity and central adiposity in women. Compared to the stable low pattern, stable high (obesity: OR = 3.15; 95% CI: 1.96, 5.05; central adiposity: OR = 1.75; 95% CI: 1.03, 2.98) and upwardly (obesity: OR = 1.71; 95% CI: 11.13, 2.60; central adiposity: OR = 1.60; 95% CI: 1.08, 2.37) mobile education patterns were associated with higher odds of obesity and central adiposity in women, while stable high pattern was associated with higher odds of overweight (OR = 1.88; 95% CI: 1.11, 3.19) in men. Additionally, high compared to the lowest household wealth was associated with high odds of obesity and central adiposity in both sexes. CONCLUSION: Stable high and upwardly mobile education patterns are associated with higher odds of obesity and central adiposity in women while the stable high pattern was associated with higher odds of overweight in men. Public Library of Science 2019-01-09 /pmc/articles/PMC6326547/ /pubmed/30625141 http://dx.doi.org/10.1371/journal.pone.0208491 Text en © 2019 Lartey et al http://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Research Article
Lartey, Stella T.
Magnussen, Costan G.
Si, Lei
de Graaff, Barbara
Biritwum, Richard Berko
Mensah, George
Yawson, Alfred
Minicuci, Nadia
Kowal, Paul
Boateng, Godfred O.
Palmer, Andrew J.
The role of intergenerational educational mobility and household wealth in adult obesity: Evidence from Wave 2 of the World Health Organization’s Study on global AGEing and adult health
title The role of intergenerational educational mobility and household wealth in adult obesity: Evidence from Wave 2 of the World Health Organization’s Study on global AGEing and adult health
title_full The role of intergenerational educational mobility and household wealth in adult obesity: Evidence from Wave 2 of the World Health Organization’s Study on global AGEing and adult health
title_fullStr The role of intergenerational educational mobility and household wealth in adult obesity: Evidence from Wave 2 of the World Health Organization’s Study on global AGEing and adult health
title_full_unstemmed The role of intergenerational educational mobility and household wealth in adult obesity: Evidence from Wave 2 of the World Health Organization’s Study on global AGEing and adult health
title_short The role of intergenerational educational mobility and household wealth in adult obesity: Evidence from Wave 2 of the World Health Organization’s Study on global AGEing and adult health
title_sort role of intergenerational educational mobility and household wealth in adult obesity: evidence from wave 2 of the world health organization’s study on global ageing and adult health
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6326547/
https://www.ncbi.nlm.nih.gov/pubmed/30625141
http://dx.doi.org/10.1371/journal.pone.0208491
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