Socioeconomic inequalities in abdominal obesity among Peruvian adults

Objectives Abdominal obesity (AO) has become a public health issue due to its impact on health, society and the economy. The relationship between socioeconomic disparities and the prevalence of AO has yet to be studied in Peru. Thus, our aim was to analyze the socioeconomic inequalities in AO distri...

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Authors: Farro-Maldonado, Marioli Y., Gutiérrez-Pérez, Glenda, Hernández-Vásquez, Akram|||0000-0003-1431-2526, Barrenechea-Pulache, Antonio, Santero, Marilina|||0000-0001-5371-0979, Rojas-Roque, Carlos, Azañedo, Diego
Format: article
Publication Date:2021
Country:España
Institution:Universitat Autònoma de Barcelona
Repository:Dipòsit Digital de Documents de la UAB
Language:English
OAI Identifier:oai:ddd.uab.cat:271910
Online Access:https://ddd.uab.cat/record/271910
https://dx.doi.org/urn:doi:10.1371/journal.pone.0254365
Access Level:Open access
Keyword:Adolescent
Adult
Female
Humans
Male
Middle Aged
Obesity, Abdominal
Peru
Rural Population
Sex Factors
Socioeconomic Factors
Urban Population
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spelling Socioeconomic inequalities in abdominal obesity among Peruvian adultsFarro-Maldonado, Marioli Y.Gutiérrez-Pérez, GlendaHernández-Vásquez, Akram|||0000-0003-1431-2526Barrenechea-Pulache, AntonioSantero, Marilina|||0000-0001-5371-0979Rojas-Roque, CarlosAzañedo, DiegoAdolescentAdultFemaleHumansMaleMiddle AgedObesity, AbdominalPeruRural PopulationSex FactorsSocioeconomic FactorsUrban PopulationObjectives Abdominal obesity (AO) has become a public health issue due to its impact on health, society and the economy. The relationship between socioeconomic disparities and the prevalence of AO has yet to be studied in Peru. Thus, our aim was to analyze the socioeconomic inequalities in AO distribution defined using the International Diabetes Federation (IDF) cutoff points in Peruvian adults in 2018-2019. Methods This was a cross-sectional study using data from the 2018-2019 Demographic and Family Health Survey (ENDES) of Peru. We analyzed a representative sample of 62,138 adults over 18 years of age of both sexes from urban and rural areas. Subjects were grouped into quintiles of the wealth to calculate a concentration curve and the Erreygers Concentration Index (ECI) in order to measure the inequality of AO distribution. Finally, we performed a decomposition analysis to evaluate the major determinants of inequalities. Results The prevalence of AO among Peruvian adults was 73.8%, being higher among women than men (85.1% and 61.1% respectively, p < 0.001). Socioeconomic inequality in AO was more prominent among men (ECI = 0.342, standard error (SE) = 0.0065 vs. ECI = 0.082, SE = 0.0043). The factors that contributed most to inequality in the prevalence of AO for both sexes were having the highest wealth index (men 37.2%, women 45.6%, p < 0.001), a higher education (men 34.4%, women 41.4%, p < 0.001) and living in an urban setting (men 22.0%, women 57.5%, p < 0.001). Conclusions In Peru the wealthy concentrate a greater percentage of AO. The inequality gap is greater among men, although AO is more prevalent among women. The variables that most contributed to inequality were the wealth index, educational level and area of residence. There is a need for effective individual and community interventions to reduce these inequalities.Universitat Autònoma de Barcelona 22021-01-0120212021-01-01Articlehttp://purl.org/coar/resource_type/c_6501VoRhttp://purl.org/coar/version/c_970fb48d4fbd8a85info:eu-repo/semantics/articleapplication/pdfhttps://ddd.uab.cat/record/271910https://dx.doi.org/urn:doi:10.1371/journal.pone.0254365reponame:Dipòsit Digital de Documents de la UABinstname:Universitat Autònoma de BarcelonaInglésengopen accesshttp://purl.org/coar/access_right/c_abf2Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, la comunicació pública de l'obra i la creació d'obres derivades, fins i tot amb finalitats comercials, sempre i quan es reconegui l'autoria de l'obra original.https://creativecommons.org/licenses/by/4.0/info:eu-repo/semantics/openAccessoai:ddd.uab.cat:2719102026-06-06T12:50:31Z
dc.title.none.fl_str_mv Socioeconomic inequalities in abdominal obesity among Peruvian adults
title Socioeconomic inequalities in abdominal obesity among Peruvian adults
spellingShingle Socioeconomic inequalities in abdominal obesity among Peruvian adults
Farro-Maldonado, Marioli Y.
Adolescent
Adult
Female
Humans
Male
Middle Aged
Obesity, Abdominal
Peru
Rural Population
Sex Factors
Socioeconomic Factors
Urban Population
title_short Socioeconomic inequalities in abdominal obesity among Peruvian adults
title_full Socioeconomic inequalities in abdominal obesity among Peruvian adults
title_fullStr Socioeconomic inequalities in abdominal obesity among Peruvian adults
title_full_unstemmed Socioeconomic inequalities in abdominal obesity among Peruvian adults
title_sort Socioeconomic inequalities in abdominal obesity among Peruvian adults
dc.creator.none.fl_str_mv Farro-Maldonado, Marioli Y.
Gutiérrez-Pérez, Glenda
Hernández-Vásquez, Akram|||0000-0003-1431-2526
Barrenechea-Pulache, Antonio
Santero, Marilina|||0000-0001-5371-0979
Rojas-Roque, Carlos
Azañedo, Diego
author Farro-Maldonado, Marioli Y.
author_facet Farro-Maldonado, Marioli Y.
Gutiérrez-Pérez, Glenda
Hernández-Vásquez, Akram|||0000-0003-1431-2526
Barrenechea-Pulache, Antonio
Santero, Marilina|||0000-0001-5371-0979
Rojas-Roque, Carlos
Azañedo, Diego
author_role author
author2 Gutiérrez-Pérez, Glenda
Hernández-Vásquez, Akram|||0000-0003-1431-2526
Barrenechea-Pulache, Antonio
Santero, Marilina|||0000-0001-5371-0979
Rojas-Roque, Carlos
Azañedo, Diego
author2_role author
author
author
author
author
author
dc.contributor.none.fl_str_mv Universitat Autònoma de Barcelona
dc.subject.none.fl_str_mv Adolescent
Adult
Female
Humans
Male
Middle Aged
Obesity, Abdominal
Peru
Rural Population
Sex Factors
Socioeconomic Factors
Urban Population
topic Adolescent
Adult
Female
Humans
Male
Middle Aged
Obesity, Abdominal
Peru
Rural Population
Sex Factors
Socioeconomic Factors
Urban Population
description Objectives Abdominal obesity (AO) has become a public health issue due to its impact on health, society and the economy. The relationship between socioeconomic disparities and the prevalence of AO has yet to be studied in Peru. Thus, our aim was to analyze the socioeconomic inequalities in AO distribution defined using the International Diabetes Federation (IDF) cutoff points in Peruvian adults in 2018-2019. Methods This was a cross-sectional study using data from the 2018-2019 Demographic and Family Health Survey (ENDES) of Peru. We analyzed a representative sample of 62,138 adults over 18 years of age of both sexes from urban and rural areas. Subjects were grouped into quintiles of the wealth to calculate a concentration curve and the Erreygers Concentration Index (ECI) in order to measure the inequality of AO distribution. Finally, we performed a decomposition analysis to evaluate the major determinants of inequalities. Results The prevalence of AO among Peruvian adults was 73.8%, being higher among women than men (85.1% and 61.1% respectively, p < 0.001). Socioeconomic inequality in AO was more prominent among men (ECI = 0.342, standard error (SE) = 0.0065 vs. ECI = 0.082, SE = 0.0043). The factors that contributed most to inequality in the prevalence of AO for both sexes were having the highest wealth index (men 37.2%, women 45.6%, p < 0.001), a higher education (men 34.4%, women 41.4%, p < 0.001) and living in an urban setting (men 22.0%, women 57.5%, p < 0.001). Conclusions In Peru the wealthy concentrate a greater percentage of AO. The inequality gap is greater among men, although AO is more prevalent among women. The variables that most contributed to inequality were the wealth index, educational level and area of residence. There is a need for effective individual and community interventions to reduce these inequalities.
publishDate 2021
dc.date.none.fl_str_mv 2
2021-01-01
2021
2021-01-01
dc.type.none.fl_str_mv Article
http://purl.org/coar/resource_type/c_6501
VoR
http://purl.org/coar/version/c_970fb48d4fbd8a85
dc.type.openaire.fl_str_mv info:eu-repo/semantics/article
format article
dc.identifier.none.fl_str_mv https://ddd.uab.cat/record/271910
https://dx.doi.org/urn:doi:10.1371/journal.pone.0254365
url https://ddd.uab.cat/record/271910
https://dx.doi.org/urn:doi:10.1371/journal.pone.0254365
dc.language.none.fl_str_mv Inglés
eng
language_invalid_str_mv Inglés
language eng
dc.rights.none.fl_str_mv open access
http://purl.org/coar/access_right/c_abf2
https://creativecommons.org/licenses/by/4.0/
dc.rights.openaire.fl_str_mv info:eu-repo/semantics/openAccess
rights_invalid_str_mv open access
http://purl.org/coar/access_right/c_abf2
https://creativecommons.org/licenses/by/4.0/
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.source.none.fl_str_mv reponame:Dipòsit Digital de Documents de la UAB
instname:Universitat Autònoma de Barcelona
instname_str Universitat Autònoma de Barcelona
reponame_str Dipòsit Digital de Documents de la UAB
collection Dipòsit Digital de Documents de la UAB
repository.name.fl_str_mv
repository.mail.fl_str_mv
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