Evidence map›Paper›PMID 39962991›Full record

ArticleObesity (Silver Spring, Md.)2025

Trends in educational inequalities in obesity-attributable mortality in England and Wales, Finland, and Italy.

Fanny Janssen, Rolando Gonzales Martinez, Nicolás Zengarini, Pekka Martikainen, Anton Kunst

Abstract read
In one paragraph

Article in Obesity (Silver Spring, Md.), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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0cells of the map it votes in
1citing papers in PubMed
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1 · What the graph read from it

What it found

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2 · The registry

The trial behind it

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3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

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5 · Who and what money

Authors and funding

5 authors.

Fanny JanssenNetherlands Interdisciplinary Demographic Institute-Royal Netherlands Academy of Arts and Sciences/University of Groningen, The Hague, the Netherlands.ORCID https://orcid.org/0000-0002-3110-238X
Rolando Gonzales MartinezNetherlands Interdisciplinary Demographic Institute-Royal Netherlands Academy of Arts and Sciences/University of Groningen, The Hague, the Netherlands.ORCID https://orcid.org/0000-0001-5401-780X
Nicolás ZengariniEpidemiology Unit, ASL TO3, Piedmont Region, Grugliasco, Italy.ORCID https://orcid.org/0000-0003-1707-9942
Pekka MartikainenHelsinki Institute for Demography and Population Health, Faculty of Social Sciences, University of Helsinki, Helsinki, Finland.ORCID https://orcid.org/0000-0001-9374-1438
Anton KunstDepartment of Public and Occupational Health, Amsterdam University Medical Centre, University of Amsterdam, Amsterdam, the Netherlands.ORCID https://orcid.org/0000-0002-3313-5273

Funding

Netherlands Organization for Scientific Research (NWO) VI.C.191.019
6 · The paper itself

Abstract

objectiveWe assessed trends in educational inequalities in obesity-attributable mortality (OAM) and their contribution to educational inequalities in all-cause mortality for people aged 30 years and older, in England and Wales (1991-2017), Finland (1978-2017), and Italy (1990-2018).

methodsIn our population-level study, we estimated the shares of all-cause mortality due to OAM by educational level (i.e., low, middle, and high) by applying the population-attributable fraction formula to harmonized obesity prevalence data by educational level, along with sex- and age-specific relative risks of dying from obesity. We obtained OAM rates by multiplying the shares with individually linked all-cause mortality data by educational level. We measured absolute inequalities in OAM and all-cause mortality by the slope index of inequality.

resultsOAM largely increased for the different sex- and education-specific populations and increased most strongly for those with low educational level up to 2010 to 2015. Educational inequalities in OAM initially increased but stabilized or declined from at least 2008 onward. Obesity contributed, on average, 15% to absolute educational inequalities in all-cause mortality in 1991 through 2017.

conclusionsThe mortality impact of the obesity epidemic by educational level changed over time. Although the observed change from increasing to declining or stable educational inequalities is encouraging, reducing OAM in all socioeconomic groups remains a challenge.

Indexed as

Educational StatusObesityAdultAgedAged, 80 and overCause of DeathEnglandFemaleFinlandHumansItalyMaleMiddle AgedMortalityPrevalenceSocioeconomic Factors

Identifiers

PMID39962991
PMCPMC11897850

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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.