ArticleInternational journal for equity in health2014
Socioeconomic inequalities and body mass index in Västerbotten County, Sweden: a longitudinal study of life course influences over two decades.
Article in International journal for equity in health, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.
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14 citing papers in PubMed.
- Life-course socioeconomic status and obesity: scoping review.Population health metrics · 2025Article
- Urban mental health: a position paper of the European psychiatric association.European psychiatry : the journal of the Association of European Psychiatrists · 2025Review
- A Review of the Relationship between Socioeconomic Status Change and Health.International journal of environmental research and public health · 2023Review
- Intergenerational social mobility and body mass index trajectories - A follow-up study from Finland.SSM - population health · 2021Article
- Widespread and widely widening? Examining absolute socioeconomic health inequalities in northern Sweden across twelve health indicators.International journal for equity in health · 2019Article
- Socioeconomic inequalities in obesity among Korean women aged 19-79 years: the 2016 Korean Study of Women's Health-Related Issues.Epidemiology and health · 2019Article
- Intergenerational Mobility in Relative Educational Attainment and Health-Related Behaviours.Social indicators research · 2019Article
- A Bayesian approach to investigate life course hypotheses involving continuous exposures.International journal of epidemiology · 2018Article
- Disparities in self-rated health across generations and through the life course.Social science & medicine (1982) · 2017Article
- Information and communication technology demands at work: the association with job strain, effort-reward imbalance and self-rated health in different socio-economic strata.International archives of occupational and environmental health · 2016Article
- Commentary: The use and misuse of life course models.International journal of epidemiology · 2016Article
- Lifetime Socioeconomic Status, Historical Context, and Genetic Inheritance in Shaping Body Mass in Middle and Late Adulthood.American sociological review · 2015Article
- Has it become increasingly expensive to follow a nutritious diet? Insights from a new price index for nutritious diets in Sweden 1980-2012.Food & nutrition research · 2015Article
- Diet inequality prevails among consumers interested and knowledgeable in nutrition.Food & nutrition research · 2015Article
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Abstract
introductionLife course socioeconomic inequalities in heart disease, stroke and all-cause mortality are well studied in Sweden. However, few studies have sought to explain the mechanism for such associations mainly due to lack of longitudinal data with multiple measures of socioeconomic status (SES) across the life course. Given the population health concern about how socioeconomic inequality is related to poorer health, we aim to tackle obesity as one of the prime suspects that could explain the association between SES inequality and cardiovascular disease and consequently premature death. The aim of this study is to test which life course model best describes the association between socioeconomic disadvantage and obesity among 60 year old inhabitants of Västerbotten County in Northern Sweden.
methodsA birth cohort consisting of 3340 individuals born between 1930 and 1932 was studied. Body mass index (BMI) at the age of 60 and information on socioeconomic status at three stages of life (ages 40, 50, and 60 years) was collected. Independent samples t-test was used to compare BMI between advantaged and disadvantaged groups and one-way ANOVA was used to compare BMI among eight SES trajectories. We applied a structured modeling approach to examine three different hypothesized life course SES models (accumulation, critical period, and social mobility) in relation to BMI.
resultsWe found sex differences in the way that late adulthood socioeconomic disadvantage is associated with BMI among inhabitants of Northern Sweden. Our study suggests that social adversity in all stages of late adulthood is a particularly important indicator for addressing the social gradients in BMI among women in Northern Sweden and that unhealthy behaviors in terms of smoking and physical inactivity are insufficient to explain the relationships between social and lifestyle inequalities and BMI.
conclusionIn order for local authorities to develop informed preventive efforts, we suggest further research to identify modifiable risk factors across the life course which could explain this health inequality.
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