The Relationship Between Income and Weight Control Strategies Among Canadian Adults

Objective:The goal of this study was to examine use of weight control strategies in Canadian adults and the role of income as a barrier to using these strategies. Methods:Data from the Canadian Community Health Survey cycle 4.1 on health behaviour change was used for this study. Analysis was restric...

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Veröffentlicht in:Canadian journal of public health 2012-11, Vol.103 (6), p.e438-e442
Hauptverfasser: Tu, Andrew W., Mâsse, Louise C.
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description Objective:The goal of this study was to examine use of weight control strategies in Canadian adults and the role of income as a barrier to using these strategies. Methods:Data from the Canadian Community Health Survey cycle 4.1 on health behaviour change was used for this study. Analysis was restricted to adults (18+ years) residing in the 10 provinces of Canada. Respondents were categorized as having used weight control strategies in their lifestyle if they responded that they increased exercise, improved/modified their eating habits, or lost weight in the previous 12 months, as the primary means of health improvement. An adjusted household income ratio divided into deciles was used as a measure of income. Multivariable logistic regression was used to examine the relationship between income and weight control strategies adjusting for known confounders. Results:Of the 103,990 respondents analyzed, 60% were overweight or obese and 45% reported using weight control strategies in the previous 12 months. Age, sex, ethnicity, having a regular doctor, education, and income were all significantly associated with using weight control strategies in the multivariable model. Results that included all two- and three-way interactions between sex, weight category, and income found that lower income was significantly associated with using fewer weight control strategies – more so for obese men and normal weight women. Conclusion:Efforts must be made to create equal access to services and food products that promote weight reduction or control strategies given the rising prevalence of adult obesity in Canada.
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Methods:Data from the Canadian Community Health Survey cycle 4.1 on health behaviour change was used for this study. Analysis was restricted to adults (18+ years) residing in the 10 provinces of Canada. Respondents were categorized as having used weight control strategies in their lifestyle if they responded that they increased exercise, improved/modified their eating habits, or lost weight in the previous 12 months, as the primary means of health improvement. An adjusted household income ratio divided into deciles was used as a measure of income. Multivariable logistic regression was used to examine the relationship between income and weight control strategies adjusting for known confounders. Results:Of the 103,990 respondents analyzed, 60% were overweight or obese and 45% reported using weight control strategies in the previous 12 months. Age, sex, ethnicity, having a regular doctor, education, and income were all significantly associated with using weight control strategies in the multivariable model. Results that included all two- and three-way interactions between sex, weight category, and income found that lower income was significantly associated with using fewer weight control strategies – more so for obese men and normal weight women. 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Age, sex, ethnicity, having a regular doctor, education, and income were all significantly associated with using weight control strategies in the multivariable model. Results that included all two- and three-way interactions between sex, weight category, and income found that lower income was significantly associated with using fewer weight control strategies – more so for obese men and normal weight women. 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Age, sex, ethnicity, having a regular doctor, education, and income were all significantly associated with using weight control strategies in the multivariable model. Results that included all two- and three-way interactions between sex, weight category, and income found that lower income was significantly associated with using fewer weight control strategies – more so for obese men and normal weight women. Conclusion:Efforts must be made to create equal access to services and food products that promote weight reduction or control strategies given the rising prevalence of adult obesity in Canada.</abstract><cop>Cham</cop><pub>Canadian Public Health Association / Association canadienne de santé publique</pub><pmid>23618024</pmid><doi>10.1007/BF03405634</doi><tpages>5</tpages><oa>free_for_read</oa></addata></record>
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subjects Adolescent
Adult
Aged
Analysis
Behavior
Body mass index
Canada - epidemiology
Chronic illnesses
Community health
Costs
Economic aspects
Family income
Female
Health aspects
Health Behavior
Health Status Disparities
Health Surveys
Households
Humans
Income
Income - statistics & numerical data
Lifestyle
Lifestyles
Low income
Low income groups
Male
Medicine
Medicine & Public Health
Methods
Middle Aged
Nutrition research
Obesity
Obesity - epidemiology
Obesity - prevention & control
Overweight
Overweight - epidemiology
Overweight - prevention & control
Polls & surveys
Population
Public Health
Quantitative Research
Studies
Weight control
Weight loss
Weight loss maintenance
Young Adult
title The Relationship Between Income and Weight Control Strategies Among Canadian Adults
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