Brazilian Longitudinal Study of Adult Health (ELSA-Brasil): socio-occupational class as an effect modifier for the relationship between adiposity measures and self-rated health.

Autor: Lopes de Oliveira T; National School of Public Health, Oswaldo Cruz Foundation, Rua Leopoldo Bulhões, 1480, Manguinhos, Rio de Janeiro, RJ, 21041-210, Brazil., Griep RH; Laboratory of Health and Environment Education, Oswaldo Cruz Institute, Oswaldo Cruz Foundation, Avenida Brasil, 4365, Manguinhos, Rio de Janeiro, RJ, 21040-360, Brazil., Guimarães JN; National School of Public Health, Oswaldo Cruz Foundation, Rua Leopoldo Bulhões, 1480, Manguinhos, Rio de Janeiro, RJ, 21041-210, Brazil., Giatti L; Faculty of Medicine, Federal University of Minas Gerais, Belo Horizonte, 30310-100, Brazil., Chor D; National School of Public Health, Oswaldo Cruz Foundation, Rua Leopoldo Bulhões, 1480, Manguinhos, Rio de Janeiro, RJ, 21041-210, Brazil., Mendes da Fonseca MJ; National School of Public Health, Oswaldo Cruz Foundation, Rua Leopoldo Bulhões, 1480, Manguinhos, Rio de Janeiro, RJ, 21041-210, Brazil. mariafonseca818@gmail.com.
Jazyk: angličtina
Zdroj: BMC public health [BMC Public Health] 2019 Jun 11; Vol. 19 (1), pp. 734. Date of Electronic Publication: 2019 Jun 11.
DOI: 10.1186/s12889-019-7072-y
Abstrakt: Background: Little is known about the role of social class in the association between adiposity measures and self-rated health, and several studies have evaluated its influence as a confounder. The aim of the study is to investigate whether social class is an effect modifier in the association between adiposity measures and self-rated health in participants in the Brazilian Longitudinal Study of Adult Health (ELSA-Brasil).
Method: Cross-sectional design, including 6453 men and 7686 women. Body mass index (kg/m 2 ) and waist circumference (cms) were assessed. Self-rated health was categorized as good, fair and poor. Socio-occupational class was based on the participants' occupation, education and per capita income. Multicovariate ordinal logistic model was used to evaluate the association between adiposity measures and self-rated health.
Results: For women, the low and medium socio-occupational class effects were higher for those with waist circumference between 80 and 88 cm or overweight. For men, the low and medium socio-occupational class effects were higher for those with adequate waist circumference or normal body mass index.
Conclusions: Social class is an effect modifier in the association between body mass index or waist circumference and self-rated health.
Databáze: MEDLINE
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