Syed Afroz Keramat1,2,3, Khorshed Alam1,3, Bright Opoku Ahinkorah4, Md Sariful Islam2, Md Irteja Islam1,3, Md Zobayer Hossain5, Sazia Ahmed2, Jeff Gow1,6, Stuart J H Biddle3. 1. School of Business, University of Southern Queensland, Toowoomba, QLD, 4350, Australia. 2. Economics Discipline, Social Science School, Khulna University, Khulna, 9208, Bangladesh. 3. Centre for Health Research, University of Southern Queensland, Toowoomba, QLD, 4350, Australia. 4. School of Public Health, University of Technology Sydney, Sydney, Australia. 5. Development Studies Discipline, Social Science School, Khulna University, Khulna, 9208, Bangladesh. 6. School of Accounting, Economics, and Finance, University of KwaZulu-Natal, Durban, 4000, South Africa.
Abstract
BACKGROUND: Both obesity and disability have been widely recognised as major public health challenges because they play significant roles in determining self-perceived general and mental health. Longitudinal studies of the relationship between obesity and disability with self-reported health outcomes are scarce. Therefore, the objective of the present study is to examine the relationship between obesity and disability with self-perceived general and mental health among Australian adults aged 15 years and above. METHODS: Data were extracted from the most recent 14 waves (waves 6 through 19) of the annual individual person dataset of the Household, Income and Labour Dynamics in Australia (HILDA) survey. The longitudinal random-effects logistic regression model was adopted to investigate the relationships between obesity and disability with self-reported health outcomes. RESULTS: The results revealed that obese individuals and adults with some form of disability are more likely to report poor or fair general and mental health. The odds of self-reporting poor or fair general health were 2.40 and 6.07 times higher among obese (aOR: 2.40, 95% CI: 2.22-2.58) and adults with some form of disability (aOR: 6.07, 95% CI: 5.77-6.39), respectively, relative to adults with healthy weight and those without disability . The results also showed that self-rated poor or fair mental health were 1.22 and 2.40 times higher among obese adults (aOR: 1.22, 95% CI: 1.15-1.30) and adults with disability (aOR: 2.40, 95% CI: 2.30-2.51), respectively, compared to their healthy weight peers and peers without disability. CONCLUSION: As governmental and non-governmental organisations seek to improve the community's physical and mental well-being, these organisations need to pay particular attention to routine health care prevention, specific interventions, and treatment practices, especially for obese and/or people with disabilities.
BACKGROUND: Both obesity and disability have been widely recognised as major public health challenges because they play significant roles in determining self-perceived general and mental health. Longitudinal studies of the relationship between obesity and disability with self-reported health outcomes are scarce. Therefore, the objective of the present study is to examine the relationship between obesity and disability with self-perceived general and mental health among Australian adults aged 15 years and above. METHODS: Data were extracted from the most recent 14 waves (waves 6 through 19) of the annual individual person dataset of the Household, Income and Labour Dynamics in Australia (HILDA) survey. The longitudinal random-effects logistic regression model was adopted to investigate the relationships between obesity and disability with self-reported health outcomes. RESULTS: The results revealed that obese individuals and adults with some form of disability are more likely to report poor or fair general and mental health. The odds of self-reporting poor or fair general health were 2.40 and 6.07 times higher among obese (aOR: 2.40, 95% CI: 2.22-2.58) and adults with some form of disability (aOR: 6.07, 95% CI: 5.77-6.39), respectively, relative to adults with healthy weight and those without disability . The results also showed that self-rated poor or fair mental health were 1.22 and 2.40 times higher among obese adults (aOR: 1.22, 95% CI: 1.15-1.30) and adults with disability (aOR: 2.40, 95% CI: 2.30-2.51), respectively, compared to their healthy weight peers and peers without disability. CONCLUSION: As governmental and non-governmental organisations seek to improve the community's physical and mental well-being, these organisations need to pay particular attention to routine health care prevention, specific interventions, and treatment practices, especially for obese and/or people with disabilities.
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Authors: Jordi Alonso; Gemma Vilagut; Núria D Adroher; Somnath Chatterji; Yanling He; Laura Helena Andrade; Evelyn Bromet; Ronny Bruffaerts; John Fayyad; Silvia Florescu; Giovanni de Girolamo; Oye Gureje; Josep Maria Haro; Hristo Hinkov; Chiyi Hu; Noboru Iwata; Sing Lee; Daphna Levinson; Jean Pierre Lépine; Herbert Matschinger; Maria Elena Medina-Mora; Siobhan O'Neill; J Hans Ormel; J Hormel; Jose A Posada-Villa; Nezar Ismet Taib; Miguel Xavier; Ronald C Kessler Journal: PLoS One Date: 2013-06-06 Impact factor: 3.240