Evidence map›Paper›PMID 22761807›Full record

ArticlePloS one2012

Interaction between education and household wealth on the risk of obesity in women in Egypt.

Amina Aitsi-Selmi, Tarani Chandola, Sharon Friel, Reza Nouraei, Martin J Shipley, Michael G Marmot

Abstract read
In one paragraph

Article in PloS one, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

32 citing papers in PubMed.

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  17. The obesity transition: stages of the global epidemic.The lancet. Diabetes & endocrinology · 2019
    Review
  18. Interaction between Parental Education and Household Wealth on Children's Obesity Risk.International journal of environmental research and public health · 2018
    Article
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Amina Aitsi-SelmiDepartment of Epidemiology and Public Health, University College London, London, United Kingdom. a.aitsi-selmi@ucl.ac.uk
Tarani Chandola
Sharon Friel
Reza Nouraei
Martin J Shipley
Michael G Marmot

Funding

British Heart Foundation RG/07/008/23674Medical Research Council G0100222Medical Research Council G0902037Medical Research Council G19/35Medical Research Council G8802774Wellcome TrustWellcome Trust 088536MA
6 · The paper itself

Abstract

backgroundObesity is a growing problem in lower income countries particularly among women. There are few studies exploring individual socioeconomic status indicators in depth. This study examines the interaction of education and wealth in relation to obesity, hypothesising that education protects against the obesogenic effect of wealth.

methodsFour datasets of women of reproductive age from the Egyptian Demographic and Health Surveys spanning the period 1992-2008 are used to examine two distinct time periods: 1992/95 (N = 11097) and 2005/08 (N = 23178). The association in the two time periods between education level and household wealth in relation to the odds of being obese is examined, and the interaction between the two socioeconomic indicators investigated. Estimates are adjusted for age group and area of residence.

resultsAn interaction was found between the association of education and wealth with obesity in both time periods (P-value for interaction <0.001). For women with the lowest education level, moving up one wealth quintile was associated with a 78% increase in the odds of obesity in 1992/95 (OR; 95%CI: 1.78; 1.65,1.91) and a 33% increase in 2005/08 (OR; 95%CI: 1.33; 1.26,1.39). For women with the highest level of education, there was little evidence of an association between wealth and obesity (OR; 95%CI: 0.82; 0.57,1.16 in 1992/95 and 0.95; 0.84,1.08 in 2005/08). Obesity levels increased most in women who were in the no/primary education, poorest wealth quintile and rural groups (absolute difference in prevalence percentage points between the two time periods: 20.2, 20.1, and 21.3 respectively).

conclusionIn the present study, wealth appears to be a risk factor for obesity in women with lower education levels, while women with higher education are protected. The findings also suggest that a reversal in the social distribution of obesity risk is occurring which can be explained by the large increase in obesity levels in lower socioeconomic groups between the two time periods.

Indexed as

Social ClassWomen's HealthAdultBody Mass IndexEducational StatusEgyptFamily CharacteristicsFemaleHealth SurveysHumansIncomeObesityPovertyPrevalenceRisk FactorsSocioeconomic Factors

Identifiers

PMID22761807
PMCPMC3384649

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.