Psycho-social factors related to obesity and their associations with socioeconomic characteristics: the RECORD study
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We aimed to describe the main psycho-social factors related to obesity in an adult population and to develop a unified construct (psycho-social profiles), to explore the associations between socioeconomic characteristics and these psycho-social profiles.
In its second wave, the RECORD Study assessed 6460 participants aged 30–79 years living in the Paris region between 2011 and 2014. Factor analyses followed by cluster analysis were applied to identify psycho-social profiles related to obesity. The two psycho-social profiles were adverse profile—negative body image, underestimation of the impact of weight in quality of life, low weight-related self-efficacy, and weight-related external locus of control; and favorable profile—positive body image, high self-efficacy, and internal locus of control. The relationship between three socioeconomic dimensions—current socioeconomic status, childhood socioeconomic status, and neighborhood education status—and psycho-social profiles was assessed through binomial logistic regression adjusted for age, gender, depression, living alone, and weight status.
Contrary to hypotheses, there were no associations between socioeconomic characteristics and obesity-related psycho-social profiles after adjustment for body mass index. Depressive symptoms (OR 2.21, 95% CI 2.70, 4.04) and being female (3.31, 95% CI 2.70, 4.40) were associated with an adverse psycho-social profile.
Psycho-social profiles could help to understand the multifactorial nature of the determinants of obesity.
Level of evidence
Level V, cross-sectional descriptive study.
KeywordsObesity Socioeconomic status Childhood Residential neighborhood Psycho-social factors Depression
The RECORD Study was funded by the Institute for Public Health Research (IReSP); the National Institute for Prevention and Health Education (INPES); the National Institute of Public Health Surveillance (InVS); the French Ministries of Research and Health; the National Health Insurance Office for Salaried Workers (CNAM-TS); the Ile-de-France Regional Health Agency (ARS); the Ile-de-France Regional Council; the National Research Agency (ANR); the City of Paris; and the Ile-de-France Youth, Sports, and Social Cohesion Regional Direction (DRJSCS).
Compliance with ethical standards
Conflict of interest
On behalf of all the authors, the corresponding author states that there is no conflict of interest.
All procedures performed in the study were in accordance with the ethical standards of the French national research committee and with the 1964 Helsinki Declaration and its later amendments. Informed consent was obtained from all individual participants included in the study. The French Data Protection Authority has approved the study protocol.
Informed consent was obtained from all individual participants included in the study.
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