Social position and anthropometric status among adults in the ELSA-Brasil study: a latent class analysis.

Autor: Matos SMA; Instituto de Saúde Coletiva, Universidade Federal da Bahia, Salvador, Brasil., Amorim LDAF; Instituto de Saúde Coletiva, Universidade Federal da Bahia, Salvador, Brasil., Pitanga FJG; Faculdade de Educação, Universidade Federal da Bahia, Salvador, Brasil., Patrão AL; Instituto de Saúde Coletiva, Universidade Federal da Bahia, Salvador, Brasil., Barreto SM; Universidade Federal de Minas Gerais, Belo Horizonte, Brasil., Chor D; Escola Nacional de Saúde Pública Sergio Arouca, Fundação Oswaldo Cruz, Rio de Janeiro, Brasil., Cardoso LO; Escola Nacional de Saúde Pública Sergio Arouca, Fundação Oswaldo Cruz, Rio de Janeiro, Brasil., Molina MDCB; Centro de Ciências da Saúde, Universidade Federal do Espírito Santo, Vitória, Brasil., Barreto ML; Instituto de Saúde Coletiva, Universidade Federal da Bahia, Salvador, Brasil., Aquino EML; Instituto de Saúde Coletiva, Universidade Federal da Bahia, Salvador, Brasil.
Jazyk: angličtina
Zdroj: Cadernos de saude publica [Cad Saude Publica] 2021 Oct 15; Vol. 37 (9), pp. e00168918. Date of Electronic Publication: 2021 Oct 15 (Print Publication: 2021).
DOI: 10.1590/0102-311X00168918
Abstrakt: The objective of the present study was to evaluate the association between social position and anthropometric status in women and men Brazilian adult. This was a cross-sectional study that used baseline data collected from 2008 to 2010 for the Brazilian Longitudinal Study of Adult Health (ELSA-Brasil, in Portuguese), in the six major Brazilian state capital cities. A total of 15,105 active and retired civil servants aged from 35 to 74 years. Two latent variables were defined by latent class analysis, social position and anthropometric status. Both constructs and the analyses were separately evaluated by sex. Associations were assessed using multivariate logistic regression analysis with adjustment for age, self-reported skin color/race, and marital status. Around 44% of the women and 26% of the men were classified as overweight or obese. Social position tended to be lower in women (43.2%) and higher among men (40.4%). Heavier women were more likely to be black and brown-skinned, whereas slimmer women were more likely to be white. After adjustment, women's weight increased as social position decreased (OR = 1.52; 95%CI: 1.36-1.70), whereas in men weight decreased as social position decreased (OR = 0.87; 95%CI: 0.76-0.99). Social position affected the anthropometric status of women and men differently, with body patterns also being affected by ethnicity/skin color, showing the potentiality of taking the intersectional perspective when investigating the possible social determinants of the phenomenon.
Databáze: MEDLINE