Trends in educational inequalities in obesity-attributable mortality in England and Wales, Finland, and Italy. in Obesity (Silver Spring, Md.) / Obesity (Silver Spring). 2025 Mar;33(3):578-588. doi: 10.1002/oby.24225. Epub 2025 Feb 18.

2025
ASL Città di Torino
ASL Torino 3

Tipo pubblicazione

Journal Article

Autori/Collaboratori (5)Vedi tutti...

Martikainen P
Epidemiology Unit, ASL TO3, Piedmont Region, Grugliasco, Italy.
Kunst A
Helsinki Institute for Demography and Population Health, Faculty of Social Sciences, University of Helsinki, Helsinki, Finland.
Zengarini N
Netherlands Interdisciplinary Demographic Institute-Royal Netherlands Academy of Arts and Sciences/University of Groningen, The Hague, the Netherlands.

et alii...

Abstract

OBJECTIVE: We 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). METHODS: In 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. RESULTS: OAM 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. CONCLUSIONS: The 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.

Accesso banca dati bibliografica

PMID : 39962991

DOI : 10.1002/oby.24225

Keywords

Mortality/trends; Finland/epidemiology; Italy/epidemiology; Aged; Adult; Middle Aged; Educational Status; England/epidemiology; Obesity/mortality/epidemiology; Wales/epidemiology; Female; Male; Humans; Socioeconomic Factors; Prevalence; Health Status Disparities; Aged, 80 and over; Cause of Death/trends;