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- Title
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.
- Authors
Lopes de Oliveira, Thaís; Griep, Rosane Harter; Guimarães, Joanna Nery; Giatti, Luana; Chor, Dóra; Mendes da Fonseca, Maria de Jesus
- Abstract
<bold>Background: </bold>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).<bold>Method: </bold>Cross-sectional design, including 6453 men and 7686 women. Body mass index (kg/m2) 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.<bold>Results: </bold>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.<bold>Conclusions: </bold>Social class is an effect modifier in the association between body mass index or waist circumference and self-rated health.
- Publication
BMC Public Health, 2019, Vol 19, Issue 1, p734
- ISSN
1471-2458
- Publication type
journal article
- DOI
10.1186/s12889-019-7072-y