Abstract
To analyze the demographic, behavioral and occupational factors associated with obesity among urban collective transportation workers of the Metropolitan Region of Belo Horizonte, Minas Gerais State, Brazil. This is a cross-sectional study conducted with 1,448 drivers and collectors in the Metropolitan Region of Belo Horizonte. Anthropometric, demographic, behavioral data, as well as participants' link to the company and bus conditions were gathered in 2012 through a questionnaire applied by an interviewer. To calculate obesity, the body mass index cut off point was ≥ 30 kg/m2. Prevalence ratios (PR) and respective 95% confidence intervals (95%CI) were adjusted by Poisson's multivariate regression. The prevalence of obesity among urban collective transportation workers was 16.1%. Female sex (PR = 1.84; 95%CI 1.37 - 2.49), aging 30 to 39 years old (PR = 1.66; 95%CI 1.17 - 2.37) and 40 to 49 years old (PR = 1.59; 95%CI 1.04 - 2.42), being in the same job role from 5.01 to 10 years (PR = 1.52; 95%CI 1.04 - 2,42) and from 20.01 to 47 years (PR = 1.90; 95%CI 1.21 - 3.00), and physical inactivity (PR = 1.32; 95%CI 1.01 - 1.73) remained independently associated with obesity after multivariate adjustment data. These findings highlight the need to consider actions that encourage employees to participate in healthy activities when discussing health promotion for public transport workers, as well as actions to improve the organization and management of work, so it becomes a health and well-being feature for this population.
Highlights
Obesity is a major public health problem, reaching approximately 650 million adults globally[1]
Objective: To analyze the demographic, behavioral and occupational factors associated with obesity among urban collective transportation workers of the Metropolitan Region of Belo Horizonte, Minas Gerais State, Brazil
It is estimated that such morbidity is responsible for 3.4 million deaths per year and 93.6 million years of life lived with disabilities due to a well-known association with chronic noncommunicable diseases (NCDs), such as diabetes mellitus, arterial hypertension, coronary artery disease, stroke, some types of cancer, obstructive sleep apnea and osteoarthritis[3]
Summary
Obesity is a major public health problem, reaching approximately 650 million adults globally[1]. In Brazil, over 70% of all deaths per year are attributed to NCDs, which makes them the most prominent public health problem[3], with high social and economic burden on the country. The economically active population (EAP) is affected in large proportions, which generates early retirements due to disability and temporary withdrawals, especially due to cardiovascular diseases[4]. Facing such magnitude and social relevance, researchers’ interest in obesity prevention, control and treatment has increased in recent years in an attempt to reduce the impact of morbidity and mortality by NCDs, especially in the EAP
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