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. 2013 Sep;37(5):587-98.
doi: 10.5993/AJHB.37.5.2.

Mechanisms linking socioeconomic disadvantage and BMI in smokers

Darla E Kendzor  1 , Michael S Businelle, Ludmila M Cofta-Woerpel, Lorraine R Reitzel, Yessenia Castro, Jennifer I Vidrine, Carlos A Mazas, Paul M Cinciripini, David W Wetter
Affiliations

Mechanisms linking socioeconomic disadvantage and BMI in smokers

Darla E Kendzor et al. Am J Health Behav. 2013 Sep.

Abstract

Objectives: To evaluate a conceptual model of the psychosocial pathways linking socioeconomic status and body mass index (BMI) among smokers.

Methods: A latent variable modeling approach was used to evaluate the interrelationships among socioeconomic status, perceived neighborhood disadvantage, social support, negative affect, and BMI among smokers recruited from the Houston metropolitan area (N = 424).

Results: A total of 42.4% of participants were obese, with the highest prevalence of obesity among Latinos followed by African Americans. Across all racial/ethnic groups, perceived neighborhood disadvantage, social support, and negative affect functioned as pathways linking socioeconomic status and BMI.

Conclusions: Findings indicate the need for interventions that target obesity among socioeconomically disadvantaged smokers and provide potential intervention targets for the prevention and treatment of obesity.

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Conflict of interest statement

Conflict of Interest Statement

The authors have no conflict of interests to disclose.

Figures

Figure 1
Figure 1
Model of the relationship between socioeconomic status and body mass index in smokers. Most standardized path coefficients in the model are statistically significant (p ≤ .05) with the exceptions of the following: (1) SES → Negative Affect, (2) Perceived Neighborhood Disadvantage → BMI. Note: PHQ-MDD = Patient Health Questionnaire, Major Depressive Disorder; CES-D = Center for Epidemiologic Studies – Depression; PANAS NA = Positive and Negative Affect Schedule, Negative Affect Scale
See this image and copyright information in PMC

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