The economic gradient of obesity in Mexico: Independent predictive roles of absolute and relative wealth by gender

Autor: Adrián Villaseñor, Lucio Esposito, Enrique Cuevas Rodríguez, Christopher Millett
Rok vydání: 2019
Předmět:
Health (social science)
Waist
SEX-DIFFERENCES
CUTOFF POINTS
Social Sciences
Standard of living
HEALTH-RISKS
medicine.disease_cause
03 medical and health sciences
0302 clinical medicine
History and Philosophy of Science
Economic inequality
MIDDLE-INCOME COUNTRIES
medicine
SOCIOECONOMIC-STATUS
030212 general & internal medicine
Obesity
SUBJECTIVE SOCIAL-STATUS
DEPRIVATION
Relative deprivation
Socioeconomic status
Mexico
Abdominal obesity
Body mass index
11 Medical and Health Sciences
14 Economics
Public
Environmental & Occupational Health

Wealth
Science & Technology
business.industry
030503 health policy & services
Gender
medicine.disease
Biomedical Social Sciences
Social Sciences
Biomedical

BODY-MASS INDEX
Inequality
ABDOMINAL OBESITY
16 Studies in Human Society
Waist circumference
Public Health
medicine.symptom
0305 other medical science
business
Life Sciences & Biomedicine
Demography
Zdroj: Social sciencemedicine (1982). 250
ISSN: 1873-5347
Popis: Despite the vast literature on the economic gradient of obesity, no study investigates the independent predictive roles of absolute and relative standards of living using a large nationally representative adult sample. This gap limits our ability to discern 'material' and 'psychosocial' pathways to obesity as well as our understanding of the role played by economic inequality in the growing obesity epidemic. Using a large and nationally representative Mexican dataset, we find that absolute wealth and relative deprivation are independently related to obesity, and that such relationships are patterned by sex. Absolute wealth predicts body mass index as well as abdominal obesity according to an inverted-U shape for both sexes, and more markedly so for females. Relative deprivation predicts higher body mass index for females and higher waist circumference for both sexes, with highly relatively deprived females being 24.29% (95% CI [24.26, 24.31]) more likely to be obese and 34.46% (95% CI [34.40,34.53]) more likely to be abdominal obese, and highly relatively deprived males being 14.91% (95% CI [14.88,14.93] more likely to be abdominal obese. Our results offer a new perspective on the economic gradient of obesity and highlight the potential impact of economic inequality, especially for women. Greater awareness of the independent and sex-specific roles of the absolute and relative facets of economic status is needed to better understand and address the obesity epidemic.
Databáze: OpenAIRE