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American participants living in Durham, North Carolina (NC). Studies have shown low income African Americans are disproportionately affected by chronic diseases, such as obesity, diabetes, hypertension, and high cholesterol, due to poor eating habits or diets. Some studies have also reported higher rates of obesity amongst high income earners. The purpose of this research is to address the inconsistency, as well as fill the gap in the literature on this topic.
Promotes the recognition, treatment, and prevention of conditions of overweight and obesity in the United States.
Much has been written about the economic causes of obesity, but this book offers a comprehensive and deep investigation of the causes and treatment of these issues in a single volume. In the second edition, the author expands upon the serious threat that obesity poses not only to our health, but also to our society. Obesity costs billions of dollars a year in lost productivity and medical expenses. The social distribution of obesity has changed over time. Obesity rates in the United States continue to worsen in parallel with income inequality. Socioeconomic groups with low personal capital, levels of education, and income have higher obesity rates. In fact, the rate of obesity has increased the fastest among low-income Americans. The disproportionate burden of obesity on the poor poses an economic challenge and an ethical imperative. The link between obesity, inactivity, and poverty may be too costly to ignore because obesity-associated chronic disease already accounts for 70% of US healthcare costs. Although economic and technological changes in the environment drove the obesity epidemic, the evidence for effective economic policies to prevent obesity remains limited. The new edition brings together a multitude of topics on obesity previously not discussed with a particular emphasis on the influence of poverty and income inequality on obesity including: Economic Analysis: Behavioral Patterns, Diet Choice, and the Role of Government Income and Wealth Inequality and Obesity Social Mobility and Health Food Policies, Government Interventions, and Reducing Poverty The Economics of Obesity is an essential text for readers interested in learning about the causes and consequences of obesity within a social context including students, academicians, and practitioners in public health, medicine, social sciences, and health economics, both in and outside of the United States. US and international policy-makers also will find the book a salient read in addressing the issues that contribute to the cycle of poverty, income inequality, and obesity.
This book provides a systematic exposition of a group-based statistical method for analyzing longitudinal data in the social and behavioral sciences and in medicine. The methods can be applied to a wide range of data, such as that describing the progression of delinquency and criminality over the life course, changes in income over time, the course of a disease or physiological condition, or the evolution of the socioeconomic status of communities. Using real-world research data from longitudinal studies, the book explains and applies this method for identifying distinctive time-based progressions called developmental trajectories. Rather than assuming the existence of developmental trajectories of a specific form before statistical data analysis begins, the method allows the trajectories to emerge from the data itself. Thus, in an analysis of data on Montreal school children, it teases apart four distinct trajectories of physical aggression over the ages 6 to 15, examines predictors of these trajectories, and identifies events that may alter the trajectories. Aimed at consumers of statistical methodology, including social scientists, criminologists, psychologists, and medical researchers, the book presents the statistical theory underlying the method with a mixture of intuition and technical development.
Introduction: the problem with obesity -- Defining obesity -- Obesity and human adaptation -- The distribution of risk -- Culture and body ideals -- Big-body symbolism, meanings, and norms -- Conclusion: the big picture.
The rising rate of obesity has reached epidemic proportions and is now one of the most serious public health challenges facing the US. However, the underlying causes for this increase are unclear. This paper examines the effect of family income changes on body mass index (BMI) and obesity using data from the National Longitudinal Survey of Youth 1979 cohort. It does so by using exogenous variation in family income in a sample of low-income women and men. This exogenous variation is obtained from the correlation of their family income with the generosity of state and federal Earned Income Tax Credit (EITC) program benefits. Income is found to significantly raise the BMI and probability of being obese for women with EITC-eligible earnings, and have no appreciable effect for men with EITC-eligible earnings. The results imply that the increase in real family income from 1990 to 2002 explains between 10 and 21 percent of the increase in sample women's BMI and between 23 and 29 percent of their increased obesity prevalence.
Providing a fascinating insight into the factors that influence individual choices regarding eating habits, diet and other behavioral patterns relevant to obesity, this book offers a new perspective about the relationship of obesity to poverty and inequality. The authors explore a unique socioeconomic model that helps build the framework to understand the causes of obesity and its relation to health, science, and economics. An essential read for policy makers who are seeking a framework to address this problem.
During the last 25 years, life expectancy at age 50 in the United States has been rising, but at a slower pace than in many other high-income countries, such as Japan and Australia. This difference is particularly notable given that the United States spends more on health care than any other nation. Concerned about this divergence, the National Institute on Aging asked the National Research Council to examine evidence on its possible causes. According to Explaining Divergent Levels of Longevity in High-Income Countries, the nation's history of heavy smoking is a major reason why lifespans in the United States fall short of those in many other high-income nations. Evidence suggests that current obesity levels play a substantial part as well. The book reports that lack of universal access to health care in the U.S. also has increased mortality and reduced life expectancy, though this is a less significant factor for those over age 65 because of Medicare access. For the main causes of death at older ages-cancer and cardiovascular disease-available indicators do not suggest that the U.S. health care system is failing to prevent deaths that would be averted elsewhere. In fact, cancer detection and survival appear to be better in the U.S. than in most other high-income nations, and survival rates following a heart attack also are favorable. Explaining Divergent Levels of Longevity in High-Income Countries identifies many gaps in research. For instance, while lung cancer deaths are a reliable marker of the damage from smoking, no clear-cut marker exists for obesity, physical inactivity, social integration, or other risks considered in this book. Moreover, evaluation of these risk factors is based on observational studies, which-unlike randomized controlled trials-are subject to many biases.
In a world where obesity has now reached epidemic proportions, a thorough understanding of the underlying causes of the problem is essential if society, public health initiatives and government policies are to successfully address the issue. The obesogenic environment describes all the possible influences that our environment presents which encourage overweight and obesity in individuals and populations. Beginning with an overarching introduction to obesity and its implications for health and wellbeing, the book will move on to consider such crucial areas as eating behaviours and food environments, physical activity and the environment, the urban environment, methods, policy and future research directions. Brings together expertise from across a range of disciplines Written by a truly multidisciplinary team of international authors Presents some of the most innovative thinking in the battle against obesity This groundbreaking book brings together for the first time the knowledge of experts with backgrounds in nutrition and dietetics, policy, epidemiology, environmental sciences, medical sciences, town planning and urban design, transport, geography and physical activity in order to offer a multidisciplinary approach to public health, suggesting new and exciting ways to shape our environment to better support healthful decisions.
Women's health and men's health differ in a variety of waysâ€"women live longer on average, for example, but tend to be sicker as well. Whereas some of these distinctions are based solely on gender, there is growing awareness that the environment and related factors may play a role in creating health status differences between men and women. Various factors, such as genetics and hormones, may account for gender differences in susceptibility to environmental factors. In 1996 the Office for Research on Women's Health at the National Institutes of Health asked the Institute of Medicine to conduct a workshop study to review some of the current federal research programs devoted to women's health and to clarify the state of knowledge regarding gender-related differences in susceptibility. This book contains a general outline of research needs, a summary of the workshop proceedings (as well as summaries of the speakers' presentations), and an analysis of the participating federal agencies' research portfolios.