Evidence map›Paper›PMID 29349213›Full record

ArticleSSM - population health2017

Socioeconomic inequality in morbid obesity with body mass index more than 40 kg/m

Helen P Booth, Judith Charlton, Martin C Gulliford

Abstract read
In one paragraph

Article in SSM - population health, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 1 pooled it
–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

19 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Review
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Rising prevalence of BMI ≥40 kg/mObesity reviews : an official journal of the International Association for the Study of Obesity · 2020
    Review
  13. Review
  14. Article
  15. Article
  16. Article
  17. Measuring Socioeconomic Inequalities in Obesity among Korean Adults, 1998⁻2015.International journal of environmental research and public health · 2019
    Article
  18. Article
  19. 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

3 authors.

Helen P BoothDepartment of Primary Care and Public Health Sciences, King's College London, UK.
Judith CharltonDepartment of Primary Care and Public Health Sciences, King's College London, UK.
Martin C GullifordDepartment of Primary Care and Public Health Sciences, King's College London, UK.

Funding

Department of Health 12/5005/12
6 · The paper itself

Abstract

introductionThis study evaluated socioeconomic inequality in morbid obesity (body mass index, BMI ≥40 kg/m

methodsWe analysed data for the National Health and Nutrition Examination Survey and the Health Survey for England for 2011 to 2014. Age-adjusted odds ratios (AOR) were used to evaluate income- and education-inequality.

resultsThere were 26,898 eligible UK and 10,628 US participants. Morbid obesity was more frequent in women than men, and higher in the US than the UK (men: US, 4.8%; UK, 1.7%; women US, 9.6%; UK, 3.7%). In the UK, morbid obesity showed graded income-inequality in both genders (AOR, for lowest income quintile: men, 1.83, 95% confidence interval 1.16 to 2.88; women, 2.18, 1.55 to 3.07), as well as education-inequality (AOR for no school qualifications, men 2.57, 1.64 to 4.02; women, 2.18, 1.55 to 3.07). In the US, morbid obesity showed a consistent gradient only for income in women (AOR for lowest income quintile 1.97, 1.19 to 3.25). When compared with all other US groups, having college education (AOR, men, 0.56, 0.29 to 1.08; women, 0.36, 0.22 to 0.60) or household income ≥$75 000 (AOR, men 0.52, 0.27 to 0.98; women, 0.51, 0.33 to 0.80) appeared to protect against morbid obesity.

conclusionsMorbid obesity is associated with lower socioeconomic status in men and women in the UK. In the US, morbid obesity was twice as prevalent, but less strongly associated with socioeconomic status, suggesting that morbid obesity may now have spread to all but the highest socioeconomic groups.

Indexed as

(AOR), age-adjusted odds ratio(CSE), certificate of secondary educationEducationHealth surveys(HSE), Health Survey for EnglandIncomeMorbidNCD, Non-communicable disease(NHANES), National Health and Nutrition SurveyObesitySocioeconomic position

Identifiers

PMID29349213
PMCPMC5769007

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

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.