ArticlePloS one2019
The role of intergenerational educational mobility and household wealth in adult obesity: Evidence from Wave 2 of the World Health Organization's Study on global AGEing and adult health.
Article in PloS one, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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11 citing papers in PubMed, 22 citations in OpenAlex.
- Intergenerational educational mobility and intrinsic capacity in later life: a harmonised analysis of individuals from five countries.Journal of global health · 2026Article
- Article
- Prevalence and determinants of obesity among women aged 15-49 years in the Ashanti region, Ghana: Analysis of the 2022 Ghana demographic and health survey.SAGE open medicine · 2026Article
- Assessing the Influence of Redlining on Intergenerational Wealth and Body Mass Index Through a Quasi-experimental Framework.Journal of racial and ethnic health disparities · 2025Article
- 10-year level, trends and socio-demographic disparities of obesity among Ghanaian adults-A systematic review and meta-analysis of observational studies.PLOS global public health · 2024Article
- Life-course social disparities in body mass index trajectories across adulthood: cohort study evidence from China health and nutrition survey.BMC public health · 2023Article
- Changes in asset-based wealth across the life course in birth cohorts from five low- and middle-income countries.SSM - population health · 2021Article
- Socioeconomic Status, Institutional Power, and Body Mass Index among Chinese Adults.International journal of environmental research and public health · 2021Article
- Relative and absolute wealth mobility since birth in relation to health and human capital in middle adulthood: An analysis of a Guatemalan birth cohort.SSM - population health · 2021Article
- Measuring Hypertension Progression With Transition Probabilities: Estimates From the WHO SAGE Longitudinal Study.Frontiers in public health · 2021Article
- Rapidly increasing prevalence of overweight and obesity in older Ghanaian adults from 2007-2015: Evidence from WHO-SAGE Waves 1 & 2.PloS one · 2019Article
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Authors and funding
11 authors at 5 institutions in 6 countries.
Funding
Abstract
backgroundObesity has emerged as a major risk factor for non-communicable diseases in low and middle-income countries but may not follow typical socioeconomic status (SES)-related gradients seen in higher income countries. This study examines the associations between current and lifetime markers of SES and BMI categories (underweight, normal weight, overweight, obese) and central adiposity in Ghanaian adults.
methodsData from 4,464 adults (2,610 women) who participated in the World Health Organization's Study on global AGEing and adult health (SAGE) Wave 2 were examined. Multilevel multinomial and binomial logistic regression models were used to examine associations. SES markers included parental education, individual education, intergenerational educational mobility and household wealth. Intergenerational educational mobility was classified: stable-low (low parental and low individual education), stable-high (high parental and high individual education), upwardly (low parental and high individual education), or downwardly mobile (high parental and low individual education).
resultsThe prevalence of obesity (12.9%) exceeded the prevalence of underweight (7.2%) in the population. High parental and individual education were significantly associated with higher odds of obesity and central adiposity in women. Compared to the stable low pattern, stable high (obesity: OR = 3.15; 95% CI: 1.96, 5.05; central adiposity: OR = 1.75; 95% CI: 1.03, 2.98) and upwardly (obesity: OR = 1.71; 95% CI: 11.13, 2.60; central adiposity: OR = 1.60; 95% CI: 1.08, 2.37) mobile education patterns were associated with higher odds of obesity and central adiposity in women, while stable high pattern was associated with higher odds of overweight (OR = 1.88; 95% CI: 1.11, 3.19) in men. Additionally, high compared to the lowest household wealth was associated with high odds of obesity and central adiposity in both sexes.
conclusionStable high and upwardly mobile education patterns are associated with higher odds of obesity and central adiposity in women while the stable high pattern was associated with higher odds of overweight in men.
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