Universidad Peruana Cayetano Heredia

Socioeconomic inequalities in abdominal obesity among Peruvian adults

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dc.contributor.author Farro-Maldonado, M.Y.
dc.contributor.author Gutierrez-Perez, G.
dc.contributor.author Hernandez-Vásquez, A.
dc.contributor.author Barrenechea-Pulache, A.
dc.contributor.author Santero, M.
dc.contributor.author Rojas-Roque, C.
dc.contributor.author Azañedo, D.
dc.date.accessioned 2021-10-04T23:01:00Z
dc.date.available 2021-10-04T23:01:00Z
dc.date.issued 2021
dc.identifier.uri https://hdl.handle.net/20.500.12866/9891
dc.description.abstract 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 en_US
dc.language.iso eng
dc.publisher Public Library of Science
dc.relation.ispartofseries PLoS ONE
dc.rights info:eu-repo/semantics/restrictedAccess
dc.rights.uri https://creativecommons.org/licenses/by-nc-nd/4.0/deed.es
dc.subject Obesity en_US
dc.subject Socioeconomic aspects of health en_US
dc.subject Educational attainment en_US
dc.subject Peru en_US
dc.subject Adults en_US
dc.subject Urban areas en_US
dc.subject Body mass index en_US
dc.subject Rural areas en_US
dc.title Socioeconomic inequalities in abdominal obesity among Peruvian adults en_US
dc.type info:eu-repo/semantics/article
dc.identifier.doi https://doi.org/10.1371/journal.pone.0254365
dc.relation.issn 1932-6203


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