Sociodemographic disparities and contextual factors in obesity: updated evidence from a National Survey of Risk Factors for Chronic Diseases.

Public Health Nutr

Estadística y Bioestadística, Escuela de Nutrición, Facultad de Ciencias Médicas, Universidad Nacional de Córdoba, Córdoba5016, Argentina.

Published: December 2021

AI Article Synopsis

  • The study investigates how sociodemographic and environmental factors influence obesity rates in Argentina, focusing on differences related to sex and age using a multilevel approach.
  • Data from a national survey involving over 16,000 adults led to findings that unmarried and divorced/widowed men have a lower risk of obesity, while education levels have a notable impact, especially on women.
  • Results indicate that socio-environmental influences on obesity are complex and vary by gender and age, highlighting the need for targeted strategies to combat obesity that consider these differences.

Article Abstract

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.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC9991557PMC
http://dx.doi.org/10.1017/S1368980021004924DOI Listing

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