ArticleJournal of epidemiology2010
Socioeconomic status, sex, and obesity in a large national cohort of 15-87-year-old open university students in Thailand.
Article in Journal of epidemiology, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 41 papers, 1 of them a synthesis that pooled it.
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Who cites it
41 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Obesity in South and Southeast Asia-A new consensus on care and management.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2023Guideline
- Associations of Socioeconomic Status and Physical Activity With Obesity Measures in Rural Chinese Adults.Frontiers in public health · 2020Trial
- How Filipinos View Obesity: Findings From the ACTION APAC Study.Journal of the ASEAN Federation of Endocrine Societies · 2026Article
- Impact of socioeconomic status on obesity in older adults: the suppressive effect of social support and sleep quality.BMC geriatrics · 2025Article
- The Association between Marital Status and Obesity: A Systematic Review and Meta-Analysis.Diseases (Basel, Switzerland) · 2024Review
- Article
- Association between socio-economic factors and the risk of overweight and obesity among Chinese adults: a retrospective cross-sectional study from the China Health and Nutrition Survey.Global health research and policy · 2022Article
- Significantly different roles of economic affluence in sex-specific obesity prevalence rates: understanding more modifications within female body weight management.Scientific reports · 2022Article
- How Relevant Is the Place Where First-Year College Students Live in Relation to the Increase in Body Mass Index?Healthcare (Basel, Switzerland) · 2021Article
- Long-term air pollution exposure and self-reported morbidity: A longitudinal analysis from the Thai cohort study (TCS).Environmental research · 2021Article
- Factors contributing to educational differences in obesity among women: evidence from South Korea.BMC public health · 2020Article
- The Intersectionality of Gender and Wealth in Adolescent Health and Behavioral Outcomes in Brazil: The 1993 Pelotas Birth Cohort.The Journal of adolescent health : official publication of the Society for Adolescent Medicine · 2020Article
- Prevalence of childhood and adolescent overweight and obesity in Asian countries: a systematic review and meta-analysis.Archives of medical science : AMS · 2018Review
- Socioeconomic Inequalities in Gastroesophageal Reflux Disorder: Results from an Iranian Cohort Study.Middle East journal of digestive diseases · 2018Article
- Article
- Educational Inequality in Obesity-Related Mortality in Korea.Journal of Korean medical science · 2017Article
- The Association of Dietary Behaviors and Physical Activity Levels with General and Central Obesity among ASEAN University Students.AIMS public health · 2017Article
- Incidence and risk factors for type 2 diabetes mellitus in transitional Thailand: results from the Thai cohort study.BMJ open · 2016Article
- Urban-rural disparity of overweight/obesity distribution and its potential trend with breast cancer among Chinese women.Oncotarget · 2016Article
- Health-Risk Factors and the Prevalence of Chronic Kidney Disease: Cross-Sectional Findings from a National Cohort of 87,143 Thai Open University Students.Global journal of health science · 2015Article
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Authors and funding
7 authors.
Funding
Abstract
backgroundAs obesity increases, middle-income countries are undergoing a health-risk transition. We examine the association between socioeconomic status (SES) and emerging obesity in Thailand, and ascertain if an inverse relationship between SES and obesity has appeared.
methodsThe data derived from 87 134 individuals (54% female; median age, 29 years) in a national cohort of distance-learning Open University students aged 15-87 years and living throughout Thailand. We calculated adjusted odds ratios for associations of SES with obesity (body mass index, >or=25) across 3 age groups by sex, after controlling for marital status, age, and urbanization.
resultsObesity increased with age and was more prevalent among males than females (22.7% vs 9.9%); more females were underweight (21.8% vs 6.2%). Annual income was 2000 to 3000 US dollars for most participants. High SES, defined by education, income, household assets, and housing type, associated strongly with obesity-positively for males and inversely for females-especially for participants younger than 40 years. The OR for obesity associated with income was as high as 1.54 for males and as low as 0.68 for females (P for trend <0.001).
conclusionsOur national Thai cohort has passed a tipping point and assumed a pattern seen in developed countries, ie, an inverse association between SES and obesity in females. We expect the overall population of Thailand to follow this pattern, as education spreads and incomes rise. A public health problem of underweight females could emerge. Recognition of these patterns is important for programs combating obesity. Many middle income countries are undergoing similar transitions.
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