|Title||The association between obesity, depression, and educational attainment in women: the mediating role of body image dissatisfaction.|
|Publication Type||Journal Article|
|Year of Publication||2010|
|Authors||Gavin AR, Simon GE, Ludman EJ|
|Journal||J Psychosom Res|
|Date Published||2010 Dec|
|Keywords||Adult, Aged, Body Image, Body Weight, Depression, Depressive Disorder, Educational Status, Female, Health Status, Health Surveys, Humans, Logistic Models, Middle Aged, Obesity, Prospective Studies, Psychiatric Status Rating Scales, Surveys and Questionnaires, Women|
OBJECTIVE: We examine the mediating role of body image dissatisfaction (BID) on the association between obesity and depression and the variation of this association as a function of years of education among a population-based sample of women aged 40-65 years.
METHODS: A series of sample-weighted logistic regression models were used to estimate the associations between obesity, BID, and depression, stratified by educational attainment. Data were obtained from a structured telephone interview of 4543 female health plan enrollees, including self-reported height and weight, the Patient Health Questionnaire assessment of depression, and a single-item measure of BID.
RESULTS: Among those with <16 years of education, in both the unadjusted and adjusted models, obesity and BID were significantly associated with depression. Similarly, among those with ≥ 16 years of education, obesity and BID were significantly associated with depression in the unadjusted models. However, in the adjusted model, only BID was associated with depression. A formal test for mediation suggests that the association between obesity and depression was mediated by BID regardless of level of education.
CONCLUSIONS: Our data suggest that BID-mediated the obesity-depression association. In addition, obesity and BID may be salient risk factors for depression among middle-aged women as a function of the level of education.
|Alternate Journal||J Psychosom Res|
|PubMed Central ID||PMC3062479|
|Grant List||1KL2RR025015-01 / RR / NCRR NIH HHS / United States |
KL2 RR025015 / RR / NCRR NIH HHS / United States
KL2 RR025015-04 / RR / NCRR NIH HHS / United States
R24 HD042828 / HD / NICHD NIH HHS / United States
R24 HD042828-10 / HD / NICHD NIH HHS / United States