Interaction between education and household wealth on the risk of obesity in women in Egypt.

<h4>Background</h4>Obesity is a growing problem in lower income countries particularly among women. There are few studies exploring individual socioeconomic status indicators in depth. This study examines the interaction of education and wealth in relation to obesity, hypothesising that...

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Autores principales:	Amina Aitsi-Selmi, Tarani Chandola, Sharon Friel, Reza Nouraei, Martin J Shipley, Michael G Marmot
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2012
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/8a5bb116a5e14ce6bfc5ce270f82c0bc
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spelling	oai:doaj.org-article:8a5bb116a5e14ce6bfc5ce270f82c0bc2021-11-18T07:14:15ZInteraction between education and household wealth on the risk of obesity in women in Egypt.1932-620310.1371/journal.pone.0039507https://doaj.org/article/8a5bb116a5e14ce6bfc5ce270f82c0bc2012-01-01T00:00:00Zhttps://www.ncbi.nlm.nih.gov/pmc/articles/pmid/22761807/pdf/?tool=EBIhttps://doaj.org/toc/1932-6203<h4>Background</h4>Obesity is a growing problem in lower income countries particularly among women. There are few studies exploring individual socioeconomic status indicators in depth. This study examines the interaction of education and wealth in relation to obesity, hypothesising that education protects against the obesogenic effect of wealth.<h4>Methods</h4>Four datasets of women of reproductive age from the Egyptian Demographic and Health Surveys spanning the period 1992-2008 are used to examine two distinct time periods: 1992/95 (N = 11097) and 2005/08 (N = 23178). The association in the two time periods between education level and household wealth in relation to the odds of being obese is examined, and the interaction between the two socioeconomic indicators investigated. Estimates are adjusted for age group and area of residence.<h4>Results</h4>An interaction was found between the association of education and wealth with obesity in both time periods (P-value for interaction <0.001). For women with the lowest education level, moving up one wealth quintile was associated with a 78% increase in the odds of obesity in 1992/95 (OR; 95%CI: 1.78; 1.65,1.91) and a 33% increase in 2005/08 (OR; 95%CI: 1.33; 1.26,1.39). For women with the highest level of education, there was little evidence of an association between wealth and obesity (OR; 95%CI: 0.82; 0.57,1.16 in 1992/95 and 0.95; 0.84,1.08 in 2005/08). Obesity levels increased most in women who were in the no/primary education, poorest wealth quintile and rural groups (absolute difference in prevalence percentage points between the two time periods: 20.2, 20.1, and 21.3 respectively).<h4>Conclusion</h4>In the present study, wealth appears to be a risk factor for obesity in women with lower education levels, while women with higher education are protected. The findings also suggest that a reversal in the social distribution of obesity risk is occurring which can be explained by the large increase in obesity levels in lower socioeconomic groups between the two time periods.Amina Aitsi-SelmiTarani ChandolaSharon FrielReza NouraeiMartin J ShipleyMichael G MarmotPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 7, Iss 6, p e39507 (2012)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Amina Aitsi-Selmi Tarani Chandola Sharon Friel Reza Nouraei Martin J Shipley Michael G Marmot Interaction between education and household wealth on the risk of obesity in women in Egypt.
description	<h4>Background</h4>Obesity is a growing problem in lower income countries particularly among women. There are few studies exploring individual socioeconomic status indicators in depth. This study examines the interaction of education and wealth in relation to obesity, hypothesising that education protects against the obesogenic effect of wealth.<h4>Methods</h4>Four datasets of women of reproductive age from the Egyptian Demographic and Health Surveys spanning the period 1992-2008 are used to examine two distinct time periods: 1992/95 (N = 11097) and 2005/08 (N = 23178). The association in the two time periods between education level and household wealth in relation to the odds of being obese is examined, and the interaction between the two socioeconomic indicators investigated. Estimates are adjusted for age group and area of residence.<h4>Results</h4>An interaction was found between the association of education and wealth with obesity in both time periods (P-value for interaction <0.001). For women with the lowest education level, moving up one wealth quintile was associated with a 78% increase in the odds of obesity in 1992/95 (OR; 95%CI: 1.78; 1.65,1.91) and a 33% increase in 2005/08 (OR; 95%CI: 1.33; 1.26,1.39). For women with the highest level of education, there was little evidence of an association between wealth and obesity (OR; 95%CI: 0.82; 0.57,1.16 in 1992/95 and 0.95; 0.84,1.08 in 2005/08). Obesity levels increased most in women who were in the no/primary education, poorest wealth quintile and rural groups (absolute difference in prevalence percentage points between the two time periods: 20.2, 20.1, and 21.3 respectively).<h4>Conclusion</h4>In the present study, wealth appears to be a risk factor for obesity in women with lower education levels, while women with higher education are protected. The findings also suggest that a reversal in the social distribution of obesity risk is occurring which can be explained by the large increase in obesity levels in lower socioeconomic groups between the two time periods.
format	article
author	Amina Aitsi-Selmi Tarani Chandola Sharon Friel Reza Nouraei Martin J Shipley Michael G Marmot
author_facet	Amina Aitsi-Selmi Tarani Chandola Sharon Friel Reza Nouraei Martin J Shipley Michael G Marmot
author_sort	Amina Aitsi-Selmi
title	Interaction between education and household wealth on the risk of obesity in women in Egypt.
title_short	Interaction between education and household wealth on the risk of obesity in women in Egypt.
title_full	Interaction between education and household wealth on the risk of obesity in women in Egypt.
title_fullStr	Interaction between education and household wealth on the risk of obesity in women in Egypt.
title_full_unstemmed	Interaction between education and household wealth on the risk of obesity in women in Egypt.
title_sort	interaction between education and household wealth on the risk of obesity in women in egypt.
publisher	Public Library of Science (PLoS)
publishDate	2012
url	https://doaj.org/article/8a5bb116a5e14ce6bfc5ce270f82c0bc
work_keys_str_mv	AT aminaaitsiselmi interactionbetweeneducationandhouseholdwealthontheriskofobesityinwomeninegypt AT taranichandola interactionbetweeneducationandhouseholdwealthontheriskofobesityinwomeninegypt AT sharonfriel interactionbetweeneducationandhouseholdwealthontheriskofobesityinwomeninegypt AT rezanouraei interactionbetweeneducationandhouseholdwealthontheriskofobesityinwomeninegypt AT martinjshipley interactionbetweeneducationandhouseholdwealthontheriskofobesityinwomeninegypt AT michaelgmarmot interactionbetweeneducationandhouseholdwealthontheriskofobesityinwomeninegypt
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Interaction between education and household wealth on the risk of obesity in women in Egypt.

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