Are Women's Empowerment and Income Inequality Associated with Excess Weight in Latin American Cities?
Are Women's Empowerment and Income Inequality Associated with Excess Weight in Latin American Cities?
复制标题
DOI：
10.1007/s11524-022-00689-5
复制
发表时间：
2022-12
期刊：
影响因子：
--
通讯作者：
Benach J
中科院分区：
文献类型：
--
作者：
Tumas N;Rodríguez López S;Mazariegos M;Ortigoza A;Anza Ramírez C;Pérez Ferrer C;Moore K;Yamada G;Menezes MC;Sarmiento OL;Pericàs JM;Belvis Costes F;Lazo M;Benach J
While income gradients and gender inequalities in excess weight have been noted elsewhere, data from Latin American cities is lacking. We analyzed gender-specific associations between city-level women’s empowerment and income inequality with individual-level overweight/obesity, assessing how these associations vary by individual education or living conditions within cities in Latin America. Data came from national surveys and censuses, and was compiled by the SALURBAL project (Urban Health in Latin America). The sample included 79,422 individuals (58.0% women), living in 538 sub-cities, 187 cities, and 8 countries. We used gender-stratified Poisson multilevel models to estimate the Prevalence Rate Ratios (PRR) for overweight/obesity (body mass index ≥ 25 kg/m2) per a unit change in city-level women’s empowerment (proxied by a score that measures gender inequalities in employment and education) and income inequality (proxied by income-based Gini coefficient). We also tested whether individual education or sub-city living conditions modified such associations. Higher city labor women’s empowerment (in women) and higher city Gini coefficient (in men) were associated with a lower prevalence of overweight/obesity (PRR = 0.97 (95%CI 0.94, 0.99) and PRR = 0.94 (95%CI 0.90, 0.97), respectively). The associations varied by individual education and sub-city living conditions. For labor women’s empowerment, we observed weakened associations towards the null effect in women with lower education and in residents of sub-cities with worse living conditions (men and women). For the Gini coefficient, the association was stronger among men with primary education, and a negative association was observed in women with primary education. Our findings highlight the need for promoting equity-based policies and interventions to tackle the high prevalence of excess weight in Latin American cities. The online version contains supplementary material available at 10.1007/s11524-022-00689-5.
登录
查看更多内容
影响因子：
10.8
作者：
Fox, Ashley;Feng, Wenhui;Asal, Victor
通讯作者：
Asal, Victor
影响因子：
7.3
作者：
Frasca D;Blomberg BB
通讯作者：
Blomberg BB
影响因子：
3.7
作者：
Fisher, Brendan;Naidoo, Robin
通讯作者：
Naidoo, Robin
影响因子：
3.7
作者：
Chant, Sylvia
通讯作者：
Chant, Sylvia
DOI：
10.2471/blt.10.079905
发表时间：
2011-03-01
期刊：
Bulletin of the World Health Organization: International Journal of Public Health
影响因子：
--
作者：
Hitchman, Sara C;Fong, Geoffrey T
通讯作者：
Fong, Geoffrey T