Over-indebtedness as a marker of socioeconomic status and its association with obesity: a cross-sectional study

Münster, Eva; Rüger, Heiko; Ochsmann, Elke; Letzel, Stephan; Toschke, André M.
January 2009
BMC Public Health;2009, Vol. 9 Issue 1, p286
Academic Journal
Background: The recent credit crunch will have implications for private households. Low socioeconomic status is associated to various diseases. While income, education and occupational status is frequently used in definitions of socioeconomic status, over-indebtedness of private households is usually not considered. Over-indebtedness is currently increasing in high-income countries. However, its association with health - particularly with obesity - remains unknown. Therefore, the aim of this study was to assess an association between over-indebtedness and overweight or obesity. Methods: A cross-sectional study on over-indebtedness and health including 949 over-indebted subjects from 2006 and 2007 in Rhineland-Palatinate and Mecklenburg-Western Pomerania (Germany) and the telephonic health survey 2003 of the Robert Koch-Institute including 8318 subjects, who are representative for the German population, were analysed with adjusted logistic regression considering overweight (BMI ≥25.0 kg/m²) and obesity (BMI ≥30 kg/m²) as response variable. Results: After adjusting for socio-economic (age, sex, education, income) and health factors (depression, smoking habits) an independent effect of the over-indebt situation on the probability of overweight (aOR 1.97 95%-CI 1.65-2.35) and obesity (aOR 2.56 95%-CI 2.07-3.16) could be identified. Conclusion: Over-indebtedness was associated with an increased prevalence of overweight and obesity that was not explained by traditional definitions of socioeconomic status. Over-indebtedness should be additionally considered when assessing health effects of socioeconomic status.


Related Articles

  • Breakfast patterns among low-income, ethnicallydiverse 4th-6th grade children in an urban area. Lawman, Hannah G.; Polonsky, Heather M.; Vander Veur, Stephanie S.; Abel, Michelle L.; Sherman, Sandy; Bauer, Katherine W.; Sanders, Tim; Fisher, Jennifer O.; Bailey-Davis, Lisa; Ng, Janet; Van Wye, Gretchen; Foster, Gary D. // BMC Public Health;2014, Vol. 14 Issue 1, p782 

    Background Increasing school breakfast participation has been advocated as a method to prevent childhood obesity. However, little is known about children's breakfast patterns outside of school (e.g., home, corner store). Policies that increase school breakfast participation without an...

  • Effect of Media Use on HIV-Related Stigma in Sub-Saharan Africa: A Cross-Sectional Study. Bekalu, Mesfin Awoke; Eggermont, Steven; Ramanadhan, Shoba; Viswanath, Kasisomayajula // PLoS ONE;Jun2014, Vol. 9 Issue 6, p1 

    It is known that HIV-related stigma hinders prevention efforts. Previous studies have documented that HIV-related stigma may be associated with socioeconomic and socioecological factors. Mass media use may moderate this association, but there is limited research addressing that possibility. In...

  • Obesity and related factors in 7-12 year-old elementary school students during 2009-2010 in Sari, Iran. Behzadnia, Salar; Vahidshahi, Koorosh; Hosseini, Seyyed Hamzeh; Anvari, Shideh; Ehteshami, Sara // Medicinski Glasnik;Feb2012, Vol. 9 Issue 1, p86 

    Aim To define the prevalence of obesity and its related factors in 2-7 year-old elementary school students in Sari city (Mazandaran, Iran). Methods In this descriptive cross sectional study, which was conducted in the 2009-2010 period, the study population included 7-12 year-old first to fifth...

  • Obesity epidemic has emerged among Nigerians. Akarolo-Anthony, Sally N.; Willett, Walter C.; Spiegelman, Donna; Adebamowo, Clement A. // BMC Public Health;2014, Vol. 14 Issue 1, p1 

    Background Data from the WHO shows that the prevalence of overweight and obesity increased by ∼20% between 2002 and 2010 in Nigeria. We conducted this study to examine the correlates of this fast growing epidemic. Methods We conducted a cross-sectional study among a random sample of 1058...

  • Plateau in obesity and overweight in a cross sectional study of low, middle and high socioeconomic status schoolchildren between 2004 and 2009. O'Dea, Jennifer; Nguyen Hoang, Trang; Dibley, Michael // International Journal of Public Health;Dec2011, Vol. 56 Issue 6, p663 

    Objective: To examine cross-sectional trends in obesity and overweight by gender, age and school socioeconomic status (SES) in 1,239 children aged 9-12 years from the same 10 primary schools in 2004 and 2009. Methods: Self report questionnaire with measured height and weight. BMI and...

  • Global Burden of Double Malnutrition: Has Anyone Seen It? Corsi, Daniel J.; Finlay, Jocelyn E.; Subramanian, S. V. // PLoS ONE;2011, Vol. 6 Issue 9, p1 

    Background: Low- to middle-income countries (LMICs) are believed to be characterized by the coexistence of underweight and overweight. It has also been posited that such coexistence is appearing among the low socioeconomic status (SES) groups. Methods: We conducted a cross-sectional analysis of...

  • How Do People Attribute Income-Related Inequalities in Health? A Cross-Sectional Study in Ontario, Canada. Lofters, Aisha; Slater, Morgan; Kirst, Maritt; Shankardass, Ketan; Quiñonez, Carlos // PLoS ONE;Jan2014, Vol. 9 Issue 1, p1 

    Context: Substantive equity-focused policy changes in Ontario, Canada have yet to be realized and may be limited by a lack of widespread public support. An understanding of how the public attributes inequalities can be informative for developing widespread support. Therefore, the objectives of...

  • Associations between psychological stress, eating, physical activity, sedentary behaviours and body weight among women: a longitudinal study. Mouchacca, Jennifer; Abbott, Gavin R.; Ball, Kylie // BMC Public Health;2013, Vol. 13 Issue 1, p1 

    Background: There is an increased risk of obesity amongst socioeconomically disadvantaged populations and emerging evidence suggests that psychological stress may be a key factor in this relationship. This paper reports the results of cross-sectional and longitudinal analyses of relationships...

  • The obesity prevalence among students between the ages of 5 and 19 in Kütahya. KAYA, Mehmet; SAYAN, Aylin; BİRİNCİ, Mustafa; YILDIZ, Mevlüt; TÜRKMEN, Kamil // Turkish Journal of Medical Sciences;Feb2014, Vol. 44 Issue 1, p10 

    Aim: To determine the prevalence of obesity among students between the ages of 5 and 19 in Kütahya, and to determine the factors associated with obesity prevalence. Materials and methods: The population in the survey was formed of students between the ages of 5 and 19 in the schools of...


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics