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Regional inequalities in pre-pregnancy overweight and obesity in Sweden, 1992, 2000, and 2010
Centre for Health Equity Studies (CHESS). (Umeå SIMSAM Lab)
Umeå University, Faculty of Medicine, Department of Public Health and Clinical Medicine, Epidemiology and Global Health. (Umeå SIMSAM Lab)ORCID iD: 0000-0001-8944-2558
Centre for Health Equity Studies (CHESS). (Umeå SIMSAM Lab)
Umeå University, Faculty of Social Sciences, Department of Sociology. (Umeå SIMSAM Lab)
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2015 (English)In: Scandinavian Journal of Public Health, ISSN 1403-4948, E-ISSN 1651-1905, Vol. 43, no 5, 534-539 p.Article in journal (Refereed) Published
Abstract [en]

Aims: To investigate regional differences and time trends in women’s overweight and obesity in Sweden. Methods: Using datafrom the Swedish Medical Birth Register (women aged ⩾18 years, first pregnancy only) and the Total Population Registeraccessed through the Umeå SIMSAM Lab, age-standardized prevalence of pre-pregnancy overweight/obesity (BMI ⩾ 25 kg/m2) and obesity (BMI ⩾ 30 kg/m2) were estimated by county for the years 1992, 2000, and 2010. Maps were created usingArcMap v10.2.2 to display regional variations over time and logistic regression analyses were used to assess if the observedtrends were significant. Results: The prevalence of pre-pregnancy overweight/obesity and obesity increased significantly inall Swedish counties between 1992, and 2010. In 2010, Södermanland and Gotland exhibited the highest age-standardizedoverweight/obesity (39.7%) and obesity (15.1%) prevalence, respectively. The sharpest increases between 1992 and 2010were observed in Västerbotten for overweight/obesity (75% increase) and in Gotland for obesity (233% increase). Across theyears, Stockholm had the lowest prevalence of overweight/obesity (26.3% in 2010) and obesity (7.3% in 2010) and one ofthe least steep increases in prevalence of both between 1992 and 2010. Conclusions: Substantial regional differencesin pre-pregnancy overweight and obesity prevalence are apparent in Sweden. Further research should elucidatethe mechanisms causing these differences.

Place, publisher, year, edition, pages
2015. Vol. 43, no 5, 534-539 p.
Keyword [en]
overweight, obesity, Sweden, pregnancy, inequalities
National Category
Public Health, Global Health, Social Medicine and Epidemiology
URN: urn:nbn:se:umu:diva-102828DOI: 10.1177/1403494815579478ISI: 000357581300013OAI: diva2:810426
Available from: 2015-05-07 Created: 2015-05-07 Last updated: 2015-12-21Bibliographically approved

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Ivarsson, AnneliNilsson, KarinaHäggström, Jennyde Luna, XavierLindgren, Urban
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