title: The influence of socioeconomic factors on health parameters in overweight and obese adults.
abstract: The prevalence of being overweight and of obesity is increasing worldwide, and is associated with a high risk to health. Therefore, the aim of our study was to investigate whether normal weight, overweight and obese subjects of low, middle or high socioeconomic status (SES) differ with regard to their health behavior, health, quality of life, and the use of medical care. Data from the Austrian Health Interview Survey (ATHIS) 2006/07, comprising 3 groups of 1,077 individuals, each of whom were normal weight, overweight, or obese, respectively, and matched according to their age, sex and SES, were analyzed concerning health outcomes. The results show that subjects with a low SES differ significantly from those of high SES in terms of their health behavior, self-perceived health, levels of impairment, chronic conditions, quality of life, and health care. Additionally, obesity in adults is associated with sub-optimal dietary practices and worse health, poorer quality of life and medical care than normal weight and overweight individuals. A significant interaction between the weight class and SES was found concerning physical exercise, impairment due to health problems and chronic diseases. A low SES has a strong negative impact on health, especially in obese individuals. Therefore a continuous target group-oriented, non-discriminatory public health program is required, prioritizing obese subjects with low SES.
authors.affiliation: Institute of Social Medicine and Epidemiology, Medical University Graz, Graz, Styria, Austria. nathalie.burkert@medunigraz.at
authors.forename: Nathalie T
authors.initials: NT
authors.lastname: Burkert
authors.forename: Éva
authors.initials: É
authors.lastname: Rásky
authors.forename: Franziska
authors.initials: F
authors.lastname: Großschädl
authors.forename: Johanna
authors.initials: J
authors.lastname: Muckenhuber
authors.forename: Wolfgang
authors.initials: W
authors.lastname: Freidl
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001294:Attitude to Health; D001317:Austria / Q000453:epidemiology; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D015999:Multivariate Analysis; D009765:Obesity / Q000453:epidemiology*; D050177:Overweight / Q000453:epidemiology; D011788:Quality of Life; D012309:Risk-Taking; D012923:Social Class; D055815:Young Adult