Mendez, Michelle A.; Cooper, Richard S. ; Luke, Amy ; Wilks, Rainford J. ; Bennett, Franklyn I. ; Forrester, Terrence E.
Author Affiliation, Ana.
Tropical Medicine Research Institute; Department of Pathology
Higher income is more strongly associated with obesity than with obesity-related metabolic disorders in Jamaican adults
International Journal of Obesity
Date of Publication
Objective: This study compares how income is related to obesity vs two obesity-related cardiovascular disease (CVD) risk factors-diabetes and hypertension-in adults from Jamaica. Design: A cross-sectional population-based survey was used. In total, 847 men and 1249 women aged 25-74 years were randomly recruited from a periurban area in 1993-1998. Measurement: Trained interviewers measured anthropometry and blood pressure, obtained fasting blood and collected self-reported data on income and disease history. Results: Income was strongly and positively associated with obesity in men. In women, obesity levels were high even among the very poor, and the income gradient was more moderate. Although obesity-and particularly central fatness-was strongly associated with diabetes and hypertension prevalence, income was not significantly related to these disorders. Conclusions: Future research in developing countries should independently explore associations between income and obesity versus obesity-related disorders, and identify factors that explain any disparities.....