Journal article
Socioeconomic position and markers of adiposity among female teachers in Mexico
Journal of epidemiology and community health (1979), v 71(10), pp 999-1004
09 Aug 2017
PMID: 28794061
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Occupation is often used as an indicator of socioeconomic position (SEP) in epidemiological studies, although it is unclear whether variation in SEP within a single occupational group is associated with health outcomes, including adiposity measures.
We created a multidimensional SEP index using principal component analysis based on self-reported data from 36 704 female teachers in Mexico from 2008 to 2011. Multivariable Poisson regression models with robust variance were used to evaluate cross-sectional associations of SEP and markers of adiposity, including obesity (body mass index (BMI) ≥30 kg/m
), elevated waist-to-hip ratio (WHR >85) and high waist circumference (WC >88 cm).
The most relevant indicators of SEP in this study were internet access and private health insurance. We observed significant inverse trends in obesity, WHR and WC in relation to SEP (all p
<0.001). Compared with women with low SEP, women in the middle (prevalence ratio (PR) 0.97, 95% CI 0.93 to 1.02) and high (PR 0.85, 95% CI 0.81 to 0.90) SEP tertiles were less likely to be obese in multivariable models. Results were similar in models of WHR and WC adjusting for BMI. For example, women with high versus low SEP were 14% less likely to have an elevated WHR (PR 0.86, 95% CI 0.83 to 0.89) and 7% less likely to have a high WC (PR 0.93, 95% CI 0.89 to 0.97).
Our findings suggest that SEP remains relevant for adiposity within a single occupational setting and indicate that a stronger conceptualisation of SEP in epidemiological studies may be warranted.
Metrics
Details
- Title
- Socioeconomic position and markers of adiposity among female teachers in Mexico
- Creators
- Kelly A Hirko - Michigan State UniversityMartin Lajous - National Institute of Public HealthEduardo Ortiz-Panozo - National Institute of Public HealthRuy Lopez-Ridaura - National Institute of Public HealthPaul J Christine - University of Michigan–Ann ArborFelice Lȇ-Scherban - Drexel UniversityMegan S Rice - Massachusetts General HospitalTonatiuh Barrientos-Gutierrez - National Institute of Public Health
- Publication Details
- Journal of epidemiology and community health (1979), v 71(10), pp 999-1004
- Publisher
- British Medical Journal (BMJ)
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Urban Health Collaborative; Epidemiology and Biostatistics
- Web of Science ID
- WOS:000411146100009
- Scopus ID
- 2-s2.0-85032590520
- Other Identifier
- 991019167921904721
UN Sustainable Development Goals (SDGs)
This publication has contributed to the advancement of the following goals:
InCites Highlights
Data related to this publication, from InCites Benchmarking & Analytics tool:
- Collaboration types
- Domestic collaboration
- International collaboration
- Web of Science research areas
- Public, Environmental & Occupational Health