ArticleBMC public health2017
Obesity and socioeconomic disadvantage in midlife female public sector employees: a cohort study.
Article in BMC public health, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 3 of them syntheses that pooled it.
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Who cites it
15 citing papers in PubMed, 3 syntheses or guidelines pooled it, 28 citations in OpenAlex.
- Obesity, Employment, and Economic Productivity in Europe: A Systematic Literature Review.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2026Pooled it
- Inequalities in Exclusively Mobile Interventions Targeting Weight-Related Behaviors: Systematic Review of Observational Studies.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2026Pooled it
- Pollution, stress response, and obesity: A systematic review.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2025Pooled it
- Mixed Methods to Assess Sex Differences in Weight Bias Internalization Among Patients With Obesity.Obesity science & practice · 2025Article
- Joint trajectories of physical activity, health, and income before and after statutory retirement: A 22-year follow-up.PloS one · 2025Article
- The Relationship between Certain Parental/Household Socio-Economic Characteristics and Female Adolescent Obesity in Montenegro.Children (Basel, Switzerland) · 2023Article
- Associations of childhood and adult socioeconomic circumstances with recommended food habits among young and midlife Finnish employees.BMC nutrition · 2022Article
- Investigating the associations between intimate partner violence and nutritional status of women in Zimbabwe.PloS one · 2022Article
- Intergenerational social mobility and body mass index trajectories - A follow-up study from Finland.SSM - population health · 2021Article
- Health and Social Inequalities in Women Living in Disadvantaged Conditions: A Focus on Gynecologic and Obstetric Health and Intimate Partner Violence.Health equity · 2021Article
- Socioeconomics of Obesity.Current obesity reports · 2020Review
- Body Mass Index Trajectory-Specific Changes in Economic Circumstances: A Person-Oriented Approach Among Midlife and Ageing Finns.International journal of environmental research and public health · 2020Article
- Social Determinants of Placental Health and Future Disease Risks for Babies.Obstetrics and gynecology clinics of North America · 2020Review
- Associations between Childhood Disadvantage and Adult Body Mass Index Trajectories: A Follow-Up Study among Midlife Finnish Municipal Employees.Obesity facts · 2019Article
- Trends and projections of overweight and obesity among midlife women in the United States, 1990-2050: A sub‑study of the Global Burden of Disease 2021.Women's health (London, England)Article
Corrections and comments
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Authors and funding
4 authors at 2 institutions in 1 country.
Funding
Abstract
backgroundThe two-way relationship between obesity and socioeconomic disadvantage is well established but previous studies on social and economic consequences of obesity have primarily focused on relatively young study populations. We examined whether obesity is associated with socioeconomic disadvantage through the 10-12-year follow-up, and how obesity-related socioeconomic inequalities develop during midlife among women.
methodsBaseline data were derived from the female population of the Helsinki Health Study cohort, comprising 40-60 -year-old employees of the City of Helsinki, Finland in 2000-2002 (n = 6913, response rate 69%). The follow-up surveys were carried out in 2007 (n = 5810) and 2012 (n = 5400). Socioeconomic disadvantage was measured by five dichotomous measures. Repeated logistic regression analyses utilising generalized estimating equations (GEE) were used to test the association between baseline self-reported obesity and the likelihood of socioeconomic disadvantage through all phases. The effect of time on the development of inequalities was examined by time interaction terms in random effect logistic regression models.
resultsAfter adjustment for educational level, baseline obesity was associated with repeated poverty (OR = 1.23; 95% CI; 1.05-1.44), frequent economic difficulties (OR = 1.74; 95% CI; 1.52-1.99), low household net income (OR = 1.23; 95% CI; 1.07-1.41), low household wealth (OR = 1.90; 95% CI; 1.59-2.26) and low personal income (OR = 1.22; 95% CI; 1.03-1.44). The differences in poverty rate and low personal income between the participants with obesity and participants with normal weight widened during the follow-up. Living without a partner and early exit from paid employment explained the widening of inequalities.
conclusionsWeight status inequalities in socioeconomic disadvantage persisted or widened during the late adulthood.
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