Association between weight perception and socioeconomic status among adults in the SeychellesReport as inadecuate




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BMC Public Health

, 10:467

First Online: 09 August 2010Received: 08 January 2010Accepted: 09 August 2010DOI: 10.1186-1471-2458-10-467

Cite this article as: Alwan, H., Viswanathan, B., Williams, J. et al. BMC Public Health 2010 10: 467. doi:10.1186-1471-2458-10-467

Abstract

BackgroundFew studies have examined the association between weight perception and socioeconomic status SES in sub-Saharan Africa, and none made this association based on education, occupation and income simultaneously.

MethodsBased on a population-based survey n = 1255 in the Seychelles, weight and height were measured and self-perception of one-s own body weight, education, occupation, and income were assessed by a questionnaire. Individuals were considered to have appropriate weight perception when their self-perceived weight matched their actual body weight.

ResultsThe prevalence of overweight and obesity was 35% and 28%, respectively. Multivariate analysis among overweight-obese persons showed that appropriate weight perception was directly associated with actual weight, education, occupation and income, and that it was more frequent among women than among men. In a model using all three SES indicators together, only education OR = 2.5; 95% CI: 1.3-4.8 and occupation OR = 2.3; 95% CI: 1.2-4.5 were independently associated with appropriate perception of being overweight. The OR reached 6.9 95% CI: 3.4-14.1 when comparing the highest vs. lowest categories of SES based on a score including all SES indicators and 6.1 95% CI: 3.0-12.1 for a score based on education and occupation.

ConclusionsAppropriately perceiving one-s weight as too high was associated with different SES indicators, female sex and being actually overweight. These findings suggest means and targets for clinical and population-based interventions for weight control. Further studies should examine whether these differences in weight perception underlie differences in cognitive skills, healthy weight norms, or body size ideals.

Electronic supplementary materialThe online version of this article doi:10.1186-1471-2458-10-467 contains supplementary material, which is available to authorized users.

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Author: Heba Alwan - Bharathi Viswanathan - Julita Williams - Fred Paccaud - Pascal Bovet

Source: https://link.springer.com/







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