{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T15:43:23Z","timestamp":1791906203221,"version":"4.3.4"},"reference-count":44,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2022,1,27]],"date-time":"2022-01-27T00:00:00Z","timestamp":1643241600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Obesity"],"published-print":{"date-parts":[[2022,2]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>This study examined the association between social determinants of health (SDOH) burden and overweight\/obesity in a nationally representative sample of adults in the United States.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Data for 161,795 adults aged \u226518 years from the 2013 to 2017 National Health Interview Survey were used. A total of 38 SDOH were aggregated to create a cumulative SDOH score, which was divided into quartiles (Q1\u2010Q4) to denote levels of SDOH burden. Prevalence of overweight and obesity was examined across SDOH quartiles in the total population and by age, sex, and race\/ethnicity. Multinomial logistic regression models were used to analyze the association between SDOH quartiles and overweight\/obesity, adjusting for relevant covariates.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>There was a graded increase in obesity prevalence with increasing SDOH burden. At nearly each quartile, overweight and obesity rates were higher for middle\u2010aged and non\u2010Hispanic Black adults compared with their counterparts; additional differences were observed by sex. In fully adjusted models, SDOH\u2010Q4 was associated with 15%, 50%, and 70% higher relative prevalence of overweight, obesity class 1 and 2, and obesity class 3, respectively, relative to SDOH\u2010Q1.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Cumulative social disadvantage, denoted by higher SDOH burden, was associated with increased odds of obesity, independent of clinical and demographic factors.<\/jats:p><\/jats:sec>","DOI":"10.1002\/oby.23336","type":"journal-article","created":{"date-parts":[[2022,1,28]],"date-time":"2022-01-28T05:45:34Z","timestamp":1643348734000},"page":"491-502","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":133,"title":["Social determinants of health and obesity: Findings from a national study of US adults"],"prefix":"10.1002","volume":"30","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4137-9198","authenticated-orcid":false,"given":"Zulqarnain","family":"Javed","sequence":"first","affiliation":[{"name":"Division of Health Equity &amp; Disparities Research Center for Outcomes Research Houston Methodist  Houston Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Javier","family":"Valero\u2010Elizondo","sequence":"additional","affiliation":[{"name":"Division of Health Equity &amp; Disparities Research Center for Outcomes Research Houston Methodist  Houston Texas USA"},{"name":"Division of Cardiovascular Prevention and Wellness DeBakey Heart and Vascular Center Houston Methodist  Houston Texas USA"},{"name":"Center for Cardiovascular Computational Health &amp; Precision Medicine (C3\u2010PH) Houston Methodist  Houston Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Muhammad Haisum","family":"Maqsood","sequence":"additional","affiliation":[{"name":"Department of Medicine Lincoln Medical Center  New York New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shiwani","family":"Mahajan","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine Yale School of Medicine Yale University  New Haven Connecticut USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohamad B.","family":"Taha","sequence":"additional","affiliation":[{"name":"Division of Cardiovascular Prevention and Wellness DeBakey Heart and Vascular Center Houston Methodist  Houston Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kershaw V.","family":"Patel","sequence":"additional","affiliation":[{"name":"Division of Cardiovascular Prevention and Wellness DeBakey Heart and Vascular Center Houston Methodist  Houston Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Garima","family":"Sharma","sequence":"additional","affiliation":[{"name":"Division of Cardiology Ciccarone Center for Prevention of Cardiovascular Disease The Johns Hopkins University School of Medicine The John Hopkins University  Baltimore Maryland USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kobina","family":"Hagan","sequence":"additional","affiliation":[{"name":"Division of Health Equity &amp; Disparities Research Center for Outcomes Research Houston Methodist  Houston Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael J.","family":"Blaha","sequence":"additional","affiliation":[{"name":"Division of Cardiology Ciccarone Center for Prevention of Cardiovascular Disease The Johns Hopkins University School of Medicine The John Hopkins University  Baltimore Maryland USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ron","family":"Blankstein","sequence":"additional","affiliation":[{"name":"Cardiovascular Division Department of Medicine Brigham and Women's Hospital Harvard Medical School Harvard University  Boston Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elias","family":"Mossialos","sequence":"additional","affiliation":[{"name":"Department of Health Policy London School of Economics  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Salim S.","family":"Virani","sequence":"additional","affiliation":[{"name":"Health Policy, Quality &amp; Informatics Program Health Services Research &amp; Development Center for Innovations in Quality, Effectiveness, and Safety Michael E. DeBakey VA Medical Center  Houston Texas USA"},{"name":"Department of Medicine Section of Cardiology Baylor College of Medicine  Houston Texas USA"},{"name":"Section of Cardiology Health Services Research and Development Michael E. DeBakey Veterans Affairs Medical Center  Houston Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Miguel","family":"Cainzos\u2010Achirica","sequence":"additional","affiliation":[{"name":"Division of Health Equity &amp; Disparities Research Center for Outcomes Research Houston Methodist  Houston Texas USA"},{"name":"Division of Cardiovascular Prevention and Wellness DeBakey Heart and Vascular Center Houston Methodist  Houston Texas USA"},{"name":"Center for Cardiovascular Computational Health &amp; Precision Medicine (C3\u2010PH) Houston Methodist  Houston Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Khurram","family":"Nasir","sequence":"additional","affiliation":[{"name":"Division of Health Equity &amp; Disparities Research Center for Outcomes Research Houston Methodist  Houston Texas USA"},{"name":"Division of Cardiovascular Prevention and Wellness DeBakey Heart and Vascular Center Houston Methodist  Houston Texas USA"},{"name":"Center for Cardiovascular Computational Health &amp; Precision Medicine (C3\u2010PH) Houston Methodist  Houston Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2022,1,27]]},"reference":[{"key":"e_1_2_9_2_1","unstructured":"Centers for Disease Control and Prevention.Adult obesity facts. 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