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Int. J. Environ. Res. Public Health 2015, 12(2), 2262-2276; doi:10.3390/ijerph120202262

Relation between Overweight/Obesity and Self-Rated Health Among Adolescents in Germany. Do Socio-Economic Status and Type of School Have an Impact on That Relation?

Department of Epidemiology and Health Monitoring, Robert Koch Institute, General-Pape-Straße 62-64, Berlin 12101, Germany
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Author to whom correspondence should be addressed.
Academic Editor: Paul B. Tchounwou
Received: 24 November 2014 / Revised: 9 February 2015 / Accepted: 12 February 2015 / Published: 16 February 2015
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Abstract

This study investigates the relation between overweight/obesity and self-rated health (SRH), and whether this relation varies by social factors. Data was taken from the German Health Interview and Examination Survey for Children and Adolescents (KiGGS, baseline 2003‒2006). For the definition of overweight and obesity, body mass index was calculated based on standardized height and weight measurements. SRH of adolescents (n = 6813, 11‒17 years) was raised with the question: “How would you describe your health in general?” The response categories were “very good”, “good”, “fair”, “poor”, and “very poor”. We dichotomized these responses into: “very good/good” vs. “fair/poor/very poor”. Socio-economic status (SES) in the family of origin and adolescents’ school type were analyzed as modifying factors. Prevalence and age-adjusted odds ratios with 95% confidence intervals were calculated by binary logistic regression models. We found that overweight and obese boys and obese girls reported fair to very poor SRH more often than their normal weight peers, and that these differences were more apparent in early than late adolescence. In addition, the relation between obesity and SRH was similarly strong in all sub-groups, but there was seldom a relation between overweight and SRH. In summary, the results show that obesity is linked to poor SRH regardless of SES and school type, while the relation between overweight and SRH varies by social factors among adolescents. View Full-Text
Keywords: overweight and obesity; self-rated health (SRH); socio-economic status (SES); type of school; social inequalities; adolescence; KiGGS; health survey; Germany overweight and obesity; self-rated health (SRH); socio-economic status (SES); type of school; social inequalities; adolescence; KiGGS; health survey; Germany
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. (CC BY 4.0).

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MDPI and ACS Style

Krause, L.; Lampert, T. Relation between Overweight/Obesity and Self-Rated Health Among Adolescents in Germany. Do Socio-Economic Status and Type of School Have an Impact on That Relation? Int. J. Environ. Res. Public Health 2015, 12, 2262-2276.

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Int. J. Environ. Res. Public Health EISSN 1660-4601 Published by MDPI AG, Basel, Switzerland RSS E-Mail Table of Contents Alert
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