Trends in the Association Between Socioeconomic Status and Obesity in U.S. Adults: 2002-2012

Since the 1980s, the prevalence of obesity has more than doubled to over 30 percent of the adult population (Thorpe, 2004). Obesity is a key contributing factor to continually rising national healthcare costs. Addressing its negative implications is essential not only from a cost perspective, but also for the betterment of our nation¿s general health and wellbeing. Obesity is reportedly associated with a 35% increase in inpatient and outpatient spending, as well as a 77% increase in related necessary medications (Sturm, 2002). Obesity, which some have argued should be classified as a disease in itself, has roughly the same association with the development of chronic health conditions as does 20 years of aging (Sturm, 2002). Defined as ambulatory care-sensitive conditions, these obesity-related chronic health diagnoses ¿ like diabetes, cardiovascular disease, and hypertension ¿ are in turn the primary drivers of current healthcare spending, as well as future predicted health expenditures. It is well established that lower socioeconomic status (SES) is associated with higher rates of obesity and the subsequent development of aforementioned obesity-related conditions. Socioeconomic status has traditionally been defined by education, income, and occupation (Adler, 2002); however, this study found empirical evidence for education being the most fundamental of these three SES indicators in determining obesity outcomes. For both men and women, as education levels increased, the likelihood of an individual being obese decreased. However, with less education, there was increased disparity between the obesity rates for men and women. Women consistently saw higher rates of obesity and were more impacted in terms of obesity onset by belonging to a lower SES category than men. In addition, this study assessed whether the impact of one¿s socioeconomic status on obesity-related health outcomes (specifically the negative impact low-SES as measured by education level) has changed over time. Results deriving from annual data from the National Health Interview Survey (NHIS) for all years from 2002 to 2012 indicate that the association between low-socioeconomic status and negative health outcomes has not increased in magnitude over the past decade. Instead, obesity rates have increased across the overall U.S. adult population, most likely due to a number of larger external societal factors resulting in increased caloric intake and decreased energy expenditure across every SES group. In addition, while the association between low-SES and obesity has not worsened, a consequence of the Great Recession has been a larger percentage of the U.S. population in lower-SES, which is still consistently subject to the same worse health outcomes.

Solvatochromic and Thermochromic Studies of Tryptanthrin

Solvatochromism and thermochromism describe how a solvent or environment affects the photophysical behavior of a photoluminescent solute. The most common use of solvatochromism is as a probe in which the polarity of a solvent in which a solvatochromic solute is dissolved can be spectroscopically measured. Solvatochromic and thermochromic studies of tryptanthrin in several different solvents are reported. Absorption and corrected emission spectra for tryptanthrin at ~10-6 M concentrations are reported in four aprotic and nine alcoholic solvents. The absorption spectra are relatively unaffected by changes in solvent polarity and by differences in the hydrogen bonding ability of the alcoholic solvents. The emission spectra are much more affected by changes in solvent polarity and hydrogen bonding ability. In aprotic solvents, emission energy decreases and emission intensity increases with increasing solvent polarity. In the alcoholic solvents, emission energy also decreases with increasing solvent polarity. However, emission intensity for the alcoholic solvents varies significantly from the aprotic solvents over similar polarity ranges. This suggests that in the alcoholic solvents, hydrogen bonding ability correlates better than polarity to emission energy and intensity trends. The absorption and emission data in the aprotic solvents were also used to estimate the ground and emitting excited state dipole moments for tryptanthrin. The value obtained for the ground state dipole moment (2.37 D) agrees with theoretical results (2.06 D) and a previously reported experimental value (2.0 D). Attempts to explain previously reported results and conclusions with respect to the solvatochromic behavior of the aromatic carbonyls fluorenone and benzo(b)fluorenone were explored in an attempt to understand the solvatochromic response of tryptanthrin. Such attempts include models dependent on non-radiative decay pathways like intersystem crossing, internal conversion, and hydrogen bonding interactions.