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Global Educational Disparities in the Associations Between Body Mass Index and Diabetes Mellitus in 49 Low- and Middle-Income Countries (Journal Epidemiology and Community Health)

Publication Topics

Obesity/Overweight; Diabetes; Health Status and Conditions; Health Promotion/Disease Prevention Issues

Publication Type

Journal Article

Publication Date


Author 1

<a onclick="OpenPopUpPage('{7AAD61FA-4BCB-48C0-B0B7-87AFDC3673EF}&ID=1336&RootFolder=*', RefreshPage); return false;" href="{7AAD61FA-4BCB-48C0-B0B7-87AFDC3673EF}&ID=1336&RootFolder=*">Aolin Wang</a>

Author 2

<a onclick="OpenPopUpPage('{7AAD61FA-4BCB-48C0-B0B7-87AFDC3673EF}&ID=1341&RootFolder=*', RefreshPage); return false;" href="{7AAD61FA-4BCB-48C0-B0B7-87AFDC3673EF}&ID=1341&RootFolder=*">Karien Stronks</a>

Author 3

<a onclick="OpenPopUpPage('{7AAD61FA-4BCB-48C0-B0B7-87AFDC3673EF}&ID=79&RootFolder=*', RefreshPage); return false;" href="{7AAD61FA-4BCB-48C0-B0B7-87AFDC3673EF}&ID=79&RootFolder=*">Onyebuchi A. Arah, MD, PhD, MPH</a>

Author 4

<a onclick="OpenPopUpPage('{7AAD61FA-4BCB-48C0-B0B7-87AFDC3673EF}&ID=151&RootFolder=*', RefreshPage); return false;" href="{7AAD61FA-4BCB-48C0-B0B7-87AFDC3673EF}&ID=151&RootFolder=*">et al</a>

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​Despite the well-established link between body mass index (BMI) and diabetes mellitus (DM), it remains unclear whether this association is more pronounced at certain levels of education. This study assessed the modifying effect of educational attainment on the associations between BMI and DM—as well as the joint associations of BMI and education with DM—in low-income countries (LICs) and middle-income countries (MICs).

The authors used cross-sectional data from 160,381 participants among 49 LICs and MICs in the World Health Survey. Overweight and obesity levels were defined using WHO's classification.
Authors found positive associations between excessive BMI and DM at each education level in both LICs and MICs. The study found that the joint associations of BMI and education with DM were larger than the product of their separate single associations among females in LICs. With joint increases in BMI and education, males and females in LICs had similar increased odds of DM, but males had higher such odds than females in MICs.
BMI and education are associated with the DM, but the associations seem to differ in complex ways between LICs and MICs and by gender.



Article 1

Journal Article: Global Educational Disparities in the Associations Between Body Mass Index and Diabetes Mellitus in 49 Low- and Middle-Income Countries

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Version: 1.0
Created at 6/20/2016 2:38 PM by i:0#.f|uclachissqlmembershipprovider|celeste
Last modified at 6/20/2016 2:40 PM by i:0#.f|uclachissqlmembershipprovider|celeste