title: Alarmingly high prevalence of obesity in Curaçao: data from an interview survey stratified for socioeconomic status.
abstract: OBJECTIVE
  The aim of the article is to report the prevalence of obesity, abdominal fatness and waist circumference in different socioeconomic classes in Curaçao.
  
  
  METHODS
  In 1993/1994 a health interview survey (the Curaçao Health Study) was carried out among a random sample (n = 2248, response rate = 85%) of the adult non-institutionalized population of Curaçao.
  
  
  METHODS
  We analyzed the association between obesity (BMI > or = 30), abdominal fatness (waist hip ratio (WHR) > or = 0.95 for men, WHR > or = 0.80 for women) waist circumference (WC > or = 100 cm for men, WC > or = 91 cm for women) and socioeconomic status (SES) by age adjusted logistic regressions, for men and women separately.
  
  
  RESULTS
  The prevalence of obesity was about 27%: 36% of the women and 19% of the men were obese. An at risk WHR was reported among 62.2% of the women and among 20.4% of the men. A WC above the cut-off point was reported for 44.3% women and 25.3% men. Compared to women of higher SES, the lower SES women have a two to three times higher risk of a BMI, WHR or WC exceeding the cut-off points. Among men, no statistically significant difference between an increased BMI, WHR or WC and SES factors was found. The overlap between the three measures is large, about 56% of the women scored similarly on all three measurements. Among men the overlap is even greater (73%).
  
  
  CONCLUSIONS
  The prevalence of obesity in Curaçao is alarming. Low SES women are at the greatest risk of an increased BMI, WHR or WC. The obesity figures can be placed between industrialized societies and less modernized cultures. Action and additional research on the prevention of obesity in Curaçao are deemed necessary. The cut-off points in our study for WC in the non-white population are preliminary and need to be elucidated further.
authors.affiliation: Northern Centre for Health Care Research, University of Groningen, The Netherlands.
authors.forename: M E
authors.initials: ME
authors.lastname: Grol
authors.forename: J M
authors.initials: JM
authors.lastname: Eimers
authors.forename: J F
authors.initials: JF
authors.lastname: Alberts
authors.forename: L M
authors.initials: LM
authors.lastname: Bouter
authors.forename: I
authors.initials: I
authors.lastname: Gerstenbluth
authors.forename: Y
authors.initials: Y
authors.lastname: Halabi
authors.forename: E
authors.initials: E
authors.lastname: van Sonderen
authors.forename: W J
authors.initials: WJ
authors.lastname: van den Heuvel
mesh_terms: D000328:Adult; D000367:Age Factors; D000368:Aged; D001824:Body Constitution; D015992:Body Mass Index; D004522:Educational Status; D005260:Female; D006801:Humans; D007182:Income; D016015:Logistic Models; D008297:Male; D008875:Middle Aged; D009427:Netherlands Antilles / Q000453:epidemiology; D009765:Obesity / Q000453:epidemiology*; D009790:Occupations; D015995:Prevalence; D012737:Sex Factors; D012923:Social Class; D011795:Surveys and Questionnaires