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Obesity-related mortality in France, Italy, and the United States: a comparison using multiple cause-of-death analysis

Author

Listed:
  • Magali Barbieri

    (Institut national d’études démographiques (Ined)
    University of California, Berkeley)

  • Aline Désesquelles

    (Institut national d’études démographiques (Ined))

  • Viviana Egidi

    (Sapienza University of Rome)

  • Elena Demuru

    (Sapienza University of Rome)

  • Luisa Frova

    (Istituto nazionale di statistica (Istat))

  • France Meslé

    (Institut national d’études démographiques (Ined))

  • Marilena Pappagallo

    (Istituto nazionale di statistica (Istat))

Abstract

Objectives We investigate the reporting of obesity on death certificates in three countries (France, Italy, and the United States) with different levels of prevalence, and we examine which causes are frequently associated with obesity. Methods We use cause-of-death data for all deaths at ages 50–89 in 2010–2011. Since obesity may not be the underlying cause (UC) of death, we compute age- and sex-standardized death rates considering all mentions of obesity (multiple causes or MC). We use cluster analyses to identify patterns of cause-of-death combinations. Results Obesity is selected as UC in no more than 20% of the deaths with a mention of obesity. Mortality levels, whether measured from the UC or the MC, are weakly related to levels of prevalence. Patterns of cause-of-death combinations are similar across the countries. In addition to strong links with cardiovascular diseases and diabetes, we identify several less familiar associations. Conclusions Considering all mentions on the deaths certificates reduces the underestimation of obesity-related mortality based on the UC only. It also enables us to describe the various mortality patterns involving obesity.

Suggested Citation

  • Magali Barbieri & Aline Désesquelles & Viviana Egidi & Elena Demuru & Luisa Frova & France Meslé & Marilena Pappagallo, 2017. "Obesity-related mortality in France, Italy, and the United States: a comparison using multiple cause-of-death analysis," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 62(6), pages 623-629, July.
    • Handle: RePEc:spr:ijphth:v:62:y:2017:i:6:d:10.1007_s00038-017-0978-1
    DOI: 10.1007/s00038-017-0978-1
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    References listed on IDEAS

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    1. Aline Désesquelles & Elena Demuru & Marilena Pappagallo & Luisa Frova & France Meslé & Viviana Egidi, 2015. "After the epidemiologic transition: a reassessment of mortality from infectious diseases among over-65s in France and Italy," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 60(8), pages 961-967, December.
    2. Aline F. Désesquelles & Michele Antonio Salvatore & Marilena Pappagallo & Luisa Frova & Monica Pace & France Meslé & Viviana Egidi, 2012. "Analysing Multiple Causes of Death: Which Methods For Which Data? An Application to the Cancer-Related Mortality in France and Italy [Analyse des causes multiples de décès: quelles méthodes pour qu," European Journal of Population, Springer;European Association for Population Studies, vol. 28(4), pages 467-498, November.
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    Cited by:

    1. Louise Sundberg & Neda Agahi & Johan Fritzell & Stefan Fors, 2018. "Why is the gender gap in life expectancy decreasing? The impact of age- and cause-specific mortality in Sweden 1997–2014," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 63(6), pages 673-681, July.
    2. Permanyer, Iñaki & Vigezzi, Serena, 2023. "Cause-of-death determinants of lifespan inequality," OSF Preprints t3kzy, Center for Open Science.

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