Low socioeconomic status may increase the risk of central obesity in incoming university students in Taiwan.
BACKGROUND
Obesity is related to social disparity. The objective of the study was to evaluate different indicators of parental SES with the association of central obesity in young adult Taiwanese students.


METHODS
This study was cross-sectionally designed and a total of 4552 subjects were recruited. Each subject completed a self-administrated questionnaire and received anthropometric and laboratory measurements. The indicators of SES in study subjects included parental education, occupation, household incomes, childhood and current index of social position (ISP), measured according to the modified Hollingshead's ISP. Central obesity was defined as waist circumference ≥90 cm in men and ≥80 cm in women.


RESULTS
The prevalence of central obesity was 10.7% in this study. When compared to subjects with normal waist circumferences, subjects with central obesity were older, had a higher BMI, both systolic and diastolic blood pressure, a higher proportion of male gender, family history of diabetes and hypertension, alcohol consumption habit, and a higher proportion of low current household income, current parental blue collar occupational level, and lower current and childhood parental ISP level. Multivariate analysis showed the current parental household income and ISP were significantly higher indicators of risk of central obesity after adjustment for possible confounding factors. The odds ratios were 1.26 and 1.30, respectively.


CONCLUSIONS
Our results showed that low household income and current ISP were independently associated with the risk of central obesity. Therefore, young adults with low SES should be an important target group for prevention and management of central obesity in school health promotion programs.
Department of Family Medicine, Min-Sheng General Hospital, Ching-Kuo Campus, Taoyuan, Taiwan.
Chi-Yuan
CY
Chao
Department of Family Medicine, National Cheng Kung University Hospital, Tainan, Taiwan.
Chi-Chen
CC
Shih
Department of Nursing, College of Medicine, National Cheng Kung University, Tainan, Taiwan.
Chi-Jen
CJ
Wang
Department of Family Medicine, College of Medicine, National Cheng Kung University, Tainan, Taiwan.
Jin-Shang
JS
Wu
Department of Family Medicine, College of Medicine, National Cheng Kung University, Tainan, Taiwan.
Feng-Hwa
FH
Lu
Department of Family Medicine, College of Medicine, National Cheng Kung University, Tainan, Taiwan.
Chih-Jen
CJ
Chang
Department of Family Medicine, College of Medicine, National Cheng Kung University, Tainan, Taiwan. Electronic address:yiching@mail.ncku.edu.tw.
Yi-Ching
YC
Yang
D001794:Blood Pressure; D015992:Body Mass Index; D003430:Cross-Sectional Studies; D004522:Educational Status; D005260:Female; D006801:Humans; D006973:Hypertension / Q000453:epidemiology* / Q000517:prevention & control; D007182:Income; D008297:Male; D056128:Obesity, Abdominal / Q000150:complications / Q000453:epidemiology*; D015995:Prevalence; D012307:Risk Factors; D012572:School Health Services; D012907:Smoking / Q000453:epidemiology; D012959:Socioeconomic Factors; D013334:Students / Q000706:statistics & numerical data*; D011795:Surveys and Questionnaires; D013624:Taiwan / Q000453:epidemiology; D014495:Universities; D055105:Waist Circumference; D055815:Young Adult