info:eu-repo/semantics/article
Sociodemographic disparities and contextual factors in obesity: updated evidence from a National Survey of Risk Factors for Chronic Diseases
Fecha
2021-12Registro en:
Pou, Sonia Alejandra; Diaz, Maria del Pilar; Velázquez, Guillermo Ángel; Aballay, Laura Rosana; Sociodemographic disparities and contextual factors in obesity: updated evidence from a National Survey of Risk Factors for Chronic Diseases; Cambridge; Public Health Nutrition; 12-2021; 1-13
1368-9800
1475-2727
CONICET Digital
CONICET
Autor
Pou, Sonia Alejandra
Diaz, Maria del Pilar
Velázquez, Guillermo Ángel
Aballay, Laura Rosana
Resumen
Objective: To assess the association of sociodemographic and environmental factors with the obesity occurrence in Argentina from a sex- and age-comparative perspective and a multilevel approach. Design: Cross-sectional study based on secondary data from the National Survey of Chronic Diseases Risk Factors (CDRF) 2018, Argentina. Two-level logistic regression models stratified by sex and age were used. Setting: The nationwide probabilistic sample of the CDRF survey and twenty-four geographical units. Participants: 16 410 adult people, living in Argentine towns of at least 5000 people, nested into 24 geographical units. Sex and age groups were defined as young (aged 18–44 years), middle-aged (45–64 years) and older (65 years and older) men and women. Results: Single men (all age groups) and divorced/widowed men (aged 45 years or older) had a lower obesity risk compared to married ones. In the middle-aged group, men with higher education showed a lower risk than men with incomplete primary education. In young women, a marked social gradient by educational level was observed. A low-income level coupled with highly urbanised contexts represents an unfavourable scenario for young and middle-aged women. Having a multi-person household was a risk factor for obesity (OR = 1•26, P = 0•038) in middle-aged women. Contextual factors linked to the availability of socially constructed recreational resources and green spaces were associated with obesity among young adults. Conclusions: Socio-environmental determinants of obesity seem to operate differently according to sex and age in Argentina. This entails the need to address the obesity epidemic considering gender inequalities and the socio-environmental context at each stage of life.