TY - JOUR
T1 - Social determinants of health and obesity
T2 - Findings from a national study of US adults
AU - Javed, Zulqarnain
AU - Valero-Elizondo, Javier
AU - Maqsood, Muhammad Haisum
AU - Mahajan, Shiwani
AU - Taha, Mohamad B.
AU - Patel, Kershaw V.
AU - Sharma, Garima
AU - Hagan, Kobina
AU - Blaha, Michael J.
AU - Blankstein, Ron
AU - Mossialos, Elias
AU - Virani, Salim S.
AU - Cainzos-Achirica, Miguel
AU - Nasir, Khurram
N1 - Publisher Copyright:
© 2022 The Obesity Society
PY - 2022/2
Y1 - 2022/2
N2 - Objective: This study examined the association between social determinants of health (SDOH) burden and overweight/obesity in a nationally representative sample of adults in the United States. Methods: Data for 161,795 adults aged ≥18 years from the 2013 to 2017 National Health Interview Survey were used. A total of 38 SDOH were aggregated to create a cumulative SDOH score, which was divided into quartiles (Q1-Q4) to denote levels of SDOH burden. Prevalence of overweight and obesity was examined across SDOH quartiles in the total population and by age, sex, and race/ethnicity. Multinomial logistic regression models were used to analyze the association between SDOH quartiles and overweight/obesity, adjusting for relevant covariates. Results: There was a graded increase in obesity prevalence with increasing SDOH burden. At nearly each quartile, overweight and obesity rates were higher for middle-aged and non-Hispanic Black adults compared with their counterparts; additional differences were observed by sex. In fully adjusted models, SDOH-Q4 was associated with 15%, 50%, and 70% higher relative prevalence of overweight, obesity class 1 and 2, and obesity class 3, respectively, relative to SDOH-Q1. Conclusions: Cumulative social disadvantage, denoted by higher SDOH burden, was associated with increased odds of obesity, independent of clinical and demographic factors.
AB - Objective: This study examined the association between social determinants of health (SDOH) burden and overweight/obesity in a nationally representative sample of adults in the United States. Methods: Data for 161,795 adults aged ≥18 years from the 2013 to 2017 National Health Interview Survey were used. A total of 38 SDOH were aggregated to create a cumulative SDOH score, which was divided into quartiles (Q1-Q4) to denote levels of SDOH burden. Prevalence of overweight and obesity was examined across SDOH quartiles in the total population and by age, sex, and race/ethnicity. Multinomial logistic regression models were used to analyze the association between SDOH quartiles and overweight/obesity, adjusting for relevant covariates. Results: There was a graded increase in obesity prevalence with increasing SDOH burden. At nearly each quartile, overweight and obesity rates were higher for middle-aged and non-Hispanic Black adults compared with their counterparts; additional differences were observed by sex. In fully adjusted models, SDOH-Q4 was associated with 15%, 50%, and 70% higher relative prevalence of overweight, obesity class 1 and 2, and obesity class 3, respectively, relative to SDOH-Q1. Conclusions: Cumulative social disadvantage, denoted by higher SDOH burden, was associated with increased odds of obesity, independent of clinical and demographic factors.
UR - http://www.scopus.com/inward/record.url?scp=85123710326&partnerID=8YFLogxK
U2 - 10.1002/oby.23336
DO - 10.1002/oby.23336
M3 - Article
C2 - 35088551
AN - SCOPUS:85123710326
SN - 1930-7381
VL - 30
SP - 491
EP - 502
JO - Obesity
JF - Obesity
IS - 2
ER -
