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. 2010 Dec;69(6):573-81.
doi: 10.1016/j.jpsychores.2010.05.001. Epub 2010 Jul 3.

The association between obesity, depression, and educational attainment in women: the mediating role of body image dissatisfaction

Amelia R Gavin  1 , Greg E Simon, Evette J Ludman
Affiliations

The association between obesity, depression, and educational attainment in women: the mediating role of body image dissatisfaction

Amelia R Gavin et al. J Psychosom Res. 2010 Dec.

Abstract

Objective: We examine the mediating role of body image dissatisfaction (BID) on the association between obesity and depression and the variation of this association as a function of years of education among a population-based sample of women aged 40-65 years.

Methods: A series of sample-weighted logistic regression models were used to estimate the associations between obesity, BID, and depression, stratified by educational attainment. Data were obtained from a structured telephone interview of 4543 female health plan enrollees, including self-reported height and weight, the Patient Health Questionnaire assessment of depression, and a single-item measure of BID.

Results: Among those with <16 years of education, in both the unadjusted and adjusted models, obesity and BID were significantly associated with depression. Similarly, among those with ≥ 16 years of education, obesity and BID were significantly associated with depression in the unadjusted models. However, in the adjusted model, only BID was associated with depression. A formal test for mediation suggests that the association between obesity and depression was mediated by BID regardless of level of education.

Conclusions: Our data suggest that BID-mediated the obesity-depression association. In addition, obesity and BID may be salient risk factors for depression among middle-aged women as a function of the level of education.

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Figures

Fig. 1
Fig. 1
Results of testing the body image dissatisfaction mediation model among women with <16 years of education (values outlined in red) and women with ≥16 years (values outlined in blue). *P<.05, **P<.01, ***P<.001. Age, race, marital status, and smoking status were controlled in all equations in the designs.
See this image and copyright information in PMC

References

    1. Ogden C, Carroll M, Curtin L, McDowell M, Tabak C, Flegal K. Prevalence of overweight and obesity in the United States, 1999-2004. Am J Public Health. 2006;295:1549–55. - PubMed
    1. John U, Meyer C, Hans-Jurgen R, Hapke U. Relationships of psychiatric disorders with overweight and obesity in an adult general population. Obes Res. 2005;13:101–9. - PubMed
    1. Jorm A, Korten A, Christensen H, Jacomb P, Rodgers B, Parslow R. Association of obesity with anxiety, depression and emotional well-being: a community survey. Aust N Z J Public Health. 2003;27:434–40. - PubMed
    1. Mather A, Cox B, Enns M, Sareen J. Associations of obesity with psychiatric disorders and suicidal behaviors in a nationally representative sample. J Psychosom Res. 2009;66:277–85. - PubMed
    1. Simon G, Ludman E, Linde J, Operskalski B, et al. Association between obesity and depression in middle-aged women. Gen Hosp Psychiatry. 2008;30:32–9. - PMC - PubMed

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