The association between socioeconomic status and obesity in Peruvian women.

The association between socioeconomic status and obesity in Peruvian women.
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DOI:
10.1038/oby.2011.288
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发表时间:
2012-11
期刊:
影响因子:
6.9
通讯作者:
Jaime Miranda, J.
Jaime Miranda, J.
中科院分区:
医学2区
文献类型:
--
作者:
Poterico, Julio A.;Stanojevic, Sanja;Ruiz-Grosso, Paulo;Bernabe-Ortiz, Antonio;Jaime Miranda, J.

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从历史上看,在发展中国家,肥胖症的流行率在更高的社会经济群体中更高。然而,近年来,社会经济地位(SES)和肥胖之间的关联发生了变化,并根据国家的发展阶段而变化。本研究使用社会经济地位的两个指标:教育或拥有资产来检验社会经济地位与肥胖之间的关系。我们利用2008年秘鲁全国人口和家庭健康横断面调查(ENDES 2008),调查了生活在农村和城市的15至49岁妇女的这种关系。考虑到抽样设计的多阶段性质,进行了描述性、线性和logistic回归分析。本研究中肥胖的总体患病率为14.1%(95%CI:13.3-14.8);农村地区为8.4%(95%CI:7.5-9.3),城市地区为16.2%(95%CI:15.2-17-2)。富裕的女性更容易肥胖,这种关联在农村地区更强。相反,受教育程度较高的妇女不太可能肥胖,特别是在城市地区。秘鲁妇女的肥胖分布与社会经济地位密切相关,无论是以财产还是以教育水平来衡量,都存在差异。这些研究结果可能对秘鲁的政策制定产生重要影响。
Historically in developing countries, the prevalence of obesity has been greater in more advantaged socioeconomic groups. However, in recent years the association between socioeconomic status (SES) and obesity has changed and varies depending on the country’s development stage. This study examines the relationship between SES and obesity using two indicators of SES: education or possession assets. Using the cross-sectional 2008 National Demographic and Family Health Survey of Peru (ENDES 2008) we investigated this relationship in women aged 15 to 49 years living in rural and urban settings. Descriptive, linear and logistic regressions analyses were conducted accounting for the multi-staged nature of the sampling design. The overall prevalence of obesity in this study was 14.1% (95%CI: 13.3–14.8); 8.4% (95%CI: 7.5–9.3) in rural areas and 16.2% (95%CI: 15.2–17-2) in urban areas. Wealthier women were more likely to be obese, and this association was stronger in rural areas. Conversely, more educated women were less likely to be obese, especially in urban areas. The distribution of obesity in Peruvian women is strongly related to socioeconomic position, and differs whether measured as possession assets or by level of education. These findings could have important implications for policy development in Peru.
DOI: 10.1038/oby.2010.92
发表时间: 2010-11
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影响因子: --
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