A cross sectional survey on social, cultural and economic determinants of obesity in a low middle income setting
| Autor: | Sudirikku Hennadige Padmal De Silva, Rashan Haniffa, Prasad Katulanda, Ambepitiyawaduge Pubudu De Silva, Chandrika Neelakanthi Wijeratne, Isurujith Kongala Liyanage, Lalini Rajapakse, Sumedha Wijeratne, Kosala Saroj Amarasiri Jayasinghe |
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| Rok vydání: | 2014 |
| Předmět: |
Adult
Male Cross-sectional study 030209 endocrinology & metabolism Overweight Social class Obesity in Muslims Socioeconomic and cultural determinants of obesity 03 medical and health sciences 0302 clinical medicine Sex Factors medicine Humans 030212 general & internal medicine Obesity Socioeconomics Socioeconomic status Poverty Abdominal obesity Sri Lanka 2. Zero hunger business.industry Health Policy Research 1. No poverty Public Health Environmental and Occupational Health Age Factors Middle Aged Obesity in plantation sector medicine.disease Health Surveys 3. Good health Cross-Sectional Studies Social Class Socioeconomic Factors Female medicine.symptom business Body mass index Prevalence of obesity Social status Demography |
| Zdroj: | International Journal for Equity in Health |
| ISSN: | 1475-9276 |
| Popis: | Introduction Obesity is an increasing problem in South Asian countries and Sri Lanka is no exception. The socioeconomic determinants of obesity in Sri Lanka, and in neighbouring countries are inadequately described. Aim was to describe social, cultural and economic determinants of obesity in a representative sample from Kalutara District in Sri Lanka. Methods This was a cross sectional descriptive study conducted among adults aged 35–64 years. A representative sample was selected using stratified random cluster sampling method from urban, rural and plantation sectors of Kalutara District. Data were collected using a pre-tested questionnaire. A body mass index of 23.01 kg/m2-27.50 kg/m2 was considered as overweight and ≥27.51 kg/m2 as obese. Waist circumference (WC) of ≥ 90 cm and ≥80 cm was regarded as high for men and women respectively. Significance of prevalence of obesity categories across different socio-economic strata was determined by chi square test for trend. Results Of 1234 adults who were screened, age and sex adjusted prevalence of overweight, obesity and abdominal obesity (high WC) were 33.2% (male 27.3%/female 38.7%), 14.3% (male 9.2%/female 19.2%) and 33.6% (male 17.7%/female 49.0%) respectively. The Muslims had the highest prevalence of all three obesity categories. Sector, education, social status quintiles and area level deprivation categories show a non linear social gradient while income shows a linear social gradient in all obesity categories, mean BMI and mean WC. The differences observed for mean BMI and mean WC between the lowest and highest socioeconomic groups were statistically significant. Conclusion There is a social gradient in all three obesity categories with higher prevalence observed in the more educated, urban, high income and high social status segments of society. The higher socioeconomic groups are still at a higher risk of all types of obesity despite other public health indicators such as maternal and infant mortality displaying an established social gradient. Electronic supplementary material The online version of this article (doi:10.1186/s12939-015-0140-8) contains supplementary material, which is available to authorized users. |
| Databáze: | OpenAIRE |
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