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. 2010 Jan;107(1-2):1-7.
doi: 10.3238/arztebl.2010.0001. Epub 2010 Jan 7.

Smoking, physical inactivity, and obesity: associations with social status

Thomas Lampert  1
Affiliations

Smoking, physical inactivity, and obesity: associations with social status

Thomas Lampert. Dtsch Arztebl Int. 2010 Jan.

Abstract

Background: The author analyzed social-status-specific differences in tobacco smoking, physical inactivity, and obesity among men and women aged 18 years and above in Germany.

Methods: The 2003 Telephone Health Survey carried out by the Robert Koch Institute from September 2002 to May 2003 (n = 8318) provided the data for this study. The subjects' current smoking status, physical inactivity, and obesity were assessed. Their social status was judged on the basis of the information they gave about their education and professional training, occupational position, and net household income.

Results: Men of low social status were found to be more likely to smoke (OR = 1.89, 95% CI = 1.53-2.34), to be physically inactive (OR = 2.30, 95% CI = 1.87-2.84), and to be obese (OR = 1.34, 95% CI = 1.02-1.77) than men of high social status. For women, social status had just as large an effect on smoking and physical inactivity as it did in men (OR = 1.63, 95% CI = 1.30-2.09; and OR = 1.91, 95% CI = 1.58-2.33, respectively), while its effect on obesity was even greater than in men (OR = 3.20, 95% CI = 2.46-4.18).

Conclusion: These results imply that persons of low social status should be an important target group for preventive and health-promoting measures, both in health policy and in medical practice.

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Figures

Figure 1
Figure 1
Proportions of male and female smokers in different age groups by social status (n = 8174)
Figure 2
Figure 2
Proportions of physically inactive men and women in different age groups by social status (n = 8142)
Figure 3
Figure 3
Proportions of obese men and women in different age groups by social status (n = 8142)
See this image and copyright information in PMC

References

    1. Mackenbach JP, Stirbu I, Roskam AJR. Socioeconomic inequalities in health in 22 Euopean countries. New England Journal of Medicine. 2009;358:2468–2481. - PubMed
    1. Marmot M. Social determinants of health inequalities. Lancet. 2005;365:1099–1104. - PubMed
    1. Huisman M, Kunst A, Andersen O, et al. Socio-economic inequalities in mortality among elderly people in 11 European populations. Journal of Epidemiology and Community Health. 2004;58:468–475. - PMC - PubMed
    1. Klein T, Schneider S, Löwel H. Bildung und Mortalität. Die Bedeutung gesundheitsrelevanter Aspekte des Lebensstils. Zeitschrift für Soziologie. 2001;30:384–400.
    1. Smith Davey G, Gunnel D, Ben-Shlomo Y. Life-course approaches to socioeconomic differentials in cause-specific adult mortallity. In: Leon D, Poverty WG, editors. Inequality and health. Oxford: Oxford University Press; 2000. pp. 88–124.