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Asia-Pacific Journal of Public Health
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The Association Between Socioeconomic Status and Overweight/Obesity in a Malay Population in Singapore

Charumathi Sabanayagam, MD, MMed

Department of Community, Occupational, and Family Medicine, Yong Loo Lin School of Medicine, National University of Singapore, Singapore

Anoop Shankar, MD, PhD

Department of Community Medicine, West Virginia University School of Medicine, Morgantown, West Virginia, ashankar{at}hsc.wvu.edu

Seang Mei Saw, MPH, PhD

Department of Community, Occupational, and Family Medicine, Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore National Eye Centre and Singapore Eye Research Institute

E. Shyong Tai, MBChB, MRCP

Singapore General Hospital, Singapore

Tien Yin Wong, MPH, PhD

Centre for Eye Research Australia, University of Melbourne, Melbourne, Australia, Singapore National Eye Centre and Singapore Eye Research Institute

In developed countries in the West, lower socioeconomic status (SES) is associated with a higher prevalence of overweight/obesity. The authors examined the association between SES defined by education and income and overweight/obesity in a population-based cohort of 2807 individuals of Malay ethnicity (age 40-80 years, 51% women) in Singapore. The prevalence of overweight/ obesity (body mass index ≥25 kg/m2) in men and women was 50.4% and 65.1%, respectively. In women, the prevalence of overweight/obesity increased with lower levels of education and income. Compared with the higher categories of SES, the odds ratio (95% confidence interval) of overweight/obesity in women was 1.42 (1.06-1.89) for education and 2.08 (1.33-3.26) for income. In contrast, in men, the prevalence of overweight/obesity decreased with lower levels of education and income (P interaction by gender <.05 for all SES variables). Lower SES was positively associated with overweight/obesity in Malay women, and the association was in the opposite direction in Malay men.

Key Words: body mass index • prevalence • gender • education • income

This version was published on October 1, 2009

Asia-Pacific Journal of Public Health, Vol. 21, No. 4, 487-496 (2009)
DOI: 10.1177/1010539509343957
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Diversity in Public Health Issues
Asia Pac J Public Health, October 1, 2009; 21(4): 357 - 358.
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