Occupational Class Differences in Body Mass Index and Weight Gain in Japan and Finland
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概要
- 論文の詳細を見る
Background: Occupational class differences in body mass index (BMI) have been systematically reported in developed countries, but the studies have mainly focused on white populations consuming a Westernized diet. We compared occupational class differences in BMI and BMI change in Japan and Finland.<BR>Methods: The baseline surveys were conducted during 1998–1999 among Japanese (n = 4080) and during 2000–2002 among Finnish (n = 8685) public-sector employees. Follow-up surveys were conducted among those still employed, in 2003 (n = 3213) and 2007 (n = 7086), respectively. Occupational class and various explanatory factors were surveyed in the baseline questionnaires. Linear regression models were used for data analysis.<BR>Results: BMI was higher at baseline and BMI gain was more rapid in Finland than in Japan. In Finland, baseline BMI was lowest among men and women in the highest occupational class and progressively increased to the lowest occupational class; no gradient was found in Japan (country interaction effect, P = 0.020 for men and P < 0.0001 for women). Adjustment for confounding factors reflecting work conditions and health behavior increased the occupational class gradient among Finnish men and women, whereas factors related to social life had no effect. No statistically significant difference in BMI gain was found between occupational classes.<BR>Conclusions: The occupational class gradient in BMI was strong among Finnish employees but absent among Japanese employees. This suggests that occupational class inequalities in obesity are not inevitable, even in high-income societies.
著者
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Sekine Michikazu
Department Of Welfare Promotion And Epidemiology Graduate School Of Medicine And Pharmaceutical Scie
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Tatsuse Takashi
Department Of Welfare Promotion And Epidemiology Graduate School Of Medicine And Pharmaceutical Scie
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Lallukka Tea
Hjelt Institute Department Of Public Health University Of Helsinki
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Sekine Michikazu
Department of Welfare Promotion and Epidemiology, University of Toyama
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Silventoinen Karri
Population Research Unit, Department of Social Research, University of Helsinki
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Martikainen Pekka
Population Research Unit, Department of Social Research, University of Helsinki
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Rahkonen Ossi
Hjelt Institute, Department of Public Health, University of Helsinki
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Lahelma Eero
Hjelt Institute, Department of Public Health, University of Helsinki
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