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 - Funding Information:
KN is on the advisory board of Amgen Inc. and Novartis International AG, and his research is partly supported by the Jerold B. Katz Academy of Translational Research. The other authors declared no conflict of interest.
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.
KW - Adolescent
KW - Adult
KW - Humans
KW - Middle Aged
KW - Obesity/epidemiology
KW - Overweight/epidemiology
KW - Social Determinants of Health
KW - United States/epidemiology
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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 -