Obesity Linked With Lower Wages

Story by Karen Finney, UC Davis

A new UC Davis study has found that minimum-wage employees are more likely to be obese than those who earn higher wages, adding to growing evidence that low income may be a risk factor for unhealthy weight.

“Our study clarifies a link that has been assumed but difficult to prove,” said Paul Leigh, senior author of the study and professor in the UC Davis Center for Healthcare Policy and Research. “The correlation between obesity and poverty-level wages was very strong.”

“Obesity is a complex problem that likely has multiple causes. The more we can pinpoint those causes for specific populations, the greater chances there are for reducing its impact.”
Paul Leigh

Public health scientists have identified several potential reasons why lower wages could support the tendency for obesity. One is that poorer people tend to live in less-safe neighborhoods with reduced access to parks and other low-cost means of physical activity. Healthy, lower-calorie foods also tend to be more expensive and less available in poorer communities. California's Obesity Prevention Plan, for instance, notes that many low-income families must travel long distances to find healthier foods at reasonable prices.

“The outcome leads us to believe that raising minimum wages should be part of the solution to the obesity epidemic. Doing so could help increase purchasing power enough to expand access to healthier lifestyle choices,” Leigh said.

Published in the May issue of the Journal of Occupational and Environmental Medicine, the findings are the result of the novel use of a statistical technique known as instrumental variables, which is often used by economists and other social scientists to determine causal rather than coincidental relationships between, for instance, education and earnings.

“Instrumental variables gave us the chance to evaluate an independent factor that is definitely not caused by obesity – minimum wages,” said Leigh, who is an expert in health and labor economics. “After adjusting for inflation, minimum wages have been stagnant or falling over the past three decades, placing most full-time workers near the poverty line. It is also during those same three decades that we have seen the prevalence of obesity soar.”

In gathering data to run using instrumental variables, the team started with the Panel Study of Income Dynamics. This longitudinal, representative sample of people in the United States includes information on height and weight, which were used to calculate body mass index (BMI), in addition to demographics and earnings. The researchers isolated data collected in 2003, 2005 and 2007 from 6,312 full-time workers in over 40 states who were 20-to-64 years of age and identified themselves as heads of household. State established minimum wage data for those same three years was obtained from the US Department of Labor.

The results showed that people earning the lowest wages were more likely to have weights in the obese range, or BMIs of 30 or greater. People living in the southern United States — where state minimum wage levels are among the lowest — were more likely to be obese than people in other regions.

Leigh noted that one limitation of the study is its sample. Those identifying themselves as “heads of household” were 85 percent men and 90 percent Caucasian.

“Future research should address wage and obesity correlations among samples that include more African-Americans, Hispanics, Asians and women,” said Leigh. “Obesity is a complex problem that likely has multiple causes. The more we can pinpoint those causes for specific populations, the greater chances there are for reducing its impact.”

Leigh co-authored the study with DaeHwan Kim, who recently obtained his doctorate in economics from UC Davis.  He is now a research fellow at the Korea Insurance Research Institutes in Seoul.

 

1 Kim D, Leigh JP. Estimating the Effects of Wages on Obesity. Journal of Occupational and Environmental Medicine 2010;52(5):495-500.  [abstract]

A copy of the study can be requested from the journal by e-mailing Marjory Spraycar at m.spraycar@verizon.net

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