Elgar, Frank J., Xie, Annie ORCID: 0000-0001-5813-7403, Pfoertner, Timo-Kolja, White, James ORCID: 0000-0001-8371-8453 and Pickett, Kate E. (2016). Relative deprivation and risk factors for obesity in Canadian adolescents. Soc. Sci. Med., 152. S. 111 - 119. OXFORD: PERGAMON-ELSEVIER SCIENCE LTD. ISSN 0277-9536

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Abstract

Research on socioeconomic differences in overweight and obesity and on the ecological association between income inequality and obesity prevalence suggests that relative deprivation may contribute to lifestyle risk factors for obesity independently of absolute affluence. We tested this hypothesis using data on 25,980 adolescents (11-15 years) in the 2010 Canadian Health Behaviour in School-aged Children (HBSC) study. The Yitzhaki index of relative deprivation was applied to the HBSC Family Affluence Scale, an index of common material assets, with more affluent schoolmates representing the comparative reference group. Regression analysis tested the associations between relative deprivation and four obesity risk factors (skipping breakfasts, physical activity, and healthful and unhealthful food choices) plus dietary restraint. Relative deprivation uniquely related to skipping breakfasts, less physical activity, fewer healthful food choices (e.g., fruits, vegetables, whole grain breads), and a lower likelihood of dieting to lose weight. Consistent with Runciman's (1966) theory of relative deprivation and with psychosocial interpretations of the health consequences of income inequality, the results indicate that having mostly better off schoolmates can contribute to poorer health behaviours independently of school-level affluence and subjective social status. We discuss the implications of these findings for understanding the social origins of obesity and targeting health interventions. (C)2016 The Authors. Published by Elsevier Ltd. This is an open access article under the CC BY-NC-ND license (http://creativecommons.orgilicenses/by-nc-nd/4.0/).

Item Type: Journal Article
Creators:
CreatorsEmailORCIDORCID Put Code
Elgar, Frank J.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Xie, AnnieUNSPECIFIEDorcid.org/0000-0001-5813-7403UNSPECIFIED
Pfoertner, Timo-KoljaUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
White, JamesUNSPECIFIEDorcid.org/0000-0001-8371-8453UNSPECIFIED
Pickett, Kate E.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
URN: urn:nbn:de:hbz:38-284089
DOI: 10.1016/j.socscimed.2016.01.039
Journal or Publication Title: Soc. Sci. Med.
Volume: 152
Page Range: S. 111 - 119
Date: 2016
Publisher: PERGAMON-ELSEVIER SCIENCE LTD
Place of Publication: OXFORD
ISSN: 0277-9536
Language: English
Faculty: Unspecified
Divisions: Unspecified
Subjects: no entry
Uncontrolled Keywords:
KeywordsLanguage
SCHOOL-AGED CHILDREN; FOOD-FREQUENCY QUESTIONNAIRE; FAMILY AFFLUENCE SCALE; SOCIOECONOMIC-STATUS; PHYSICAL-ACTIVITY; HEALTH BEHAVIOR; SOCIAL POSITION; ADULT OBESITY; OVERWEIGHT; CHILDHOODMultiple languages
Public, Environmental & Occupational Health; Social Sciences, BiomedicalMultiple languages
Refereed: Yes
URI: http://kups.ub.uni-koeln.de/id/eprint/28408

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