Socioeconomic inequalities in abdominal obesity among Peruvian adults.

<h4>Objectives</h4>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 inequ...

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Autores principales:	Marioli Y Farro-Maldonado, Glenda Gutiérrez-Pérez, Akram Hernández-Vásquez, Antonio Barrenechea-Pulache, Marilina Santero, Carlos Rojas-Roque, Diego Azañedo
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/caf0f11aeae64a32a44b6eb85375ffca
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spelling	oai:doaj.org-article:caf0f11aeae64a32a44b6eb85375ffca2021-12-02T20:06:44ZSocioeconomic inequalities in abdominal obesity among Peruvian adults.1932-620310.1371/journal.pone.0254365https://doaj.org/article/caf0f11aeae64a32a44b6eb85375ffca2021-01-01T00:00:00Zhttps://doi.org/10.1371/journal.pone.0254365https://doaj.org/toc/1932-6203<h4>Objectives</h4>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) cut-off points in Peruvian adults in 2018-2019.<h4>Methods</h4>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.<h4>Results</h4>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).<h4>Conclusions</h4>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.Marioli Y Farro-MaldonadoGlenda Gutiérrez-PérezAkram Hernández-VásquezAntonio Barrenechea-PulacheMarilina SanteroCarlos Rojas-RoqueDiego AzañedoPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 16, Iss 7, p e0254365 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Marioli Y Farro-Maldonado Glenda Gutiérrez-Pérez Akram Hernández-Vásquez Antonio Barrenechea-Pulache Marilina Santero Carlos Rojas-Roque Diego Azañedo Socioeconomic inequalities in abdominal obesity among Peruvian adults.
description	<h4>Objectives</h4>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) cut-off points in Peruvian adults in 2018-2019.<h4>Methods</h4>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.<h4>Results</h4>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).<h4>Conclusions</h4>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.
format	article
author	Marioli Y Farro-Maldonado Glenda Gutiérrez-Pérez Akram Hernández-Vásquez Antonio Barrenechea-Pulache Marilina Santero Carlos Rojas-Roque Diego Azañedo
author_facet	Marioli Y Farro-Maldonado Glenda Gutiérrez-Pérez Akram Hernández-Vásquez Antonio Barrenechea-Pulache Marilina Santero Carlos Rojas-Roque Diego Azañedo
author_sort	Marioli Y Farro-Maldonado
title	Socioeconomic inequalities in abdominal obesity among Peruvian adults.
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.
publisher	Public Library of Science (PLoS)
publishDate	2021
url	https://doaj.org/article/caf0f11aeae64a32a44b6eb85375ffca
work_keys_str_mv	AT marioliyfarromaldonado socioeconomicinequalitiesinabdominalobesityamongperuvianadults AT glendagutierrezperez socioeconomicinequalitiesinabdominalobesityamongperuvianadults AT akramhernandezvasquez socioeconomicinequalitiesinabdominalobesityamongperuvianadults AT antoniobarrenecheapulache socioeconomicinequalitiesinabdominalobesityamongperuvianadults AT marilinasantero socioeconomicinequalitiesinabdominalobesityamongperuvianadults AT carlosrojasroque socioeconomicinequalitiesinabdominalobesityamongperuvianadults AT diegoazanedo socioeconomicinequalitiesinabdominalobesityamongperuvianadults
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Socioeconomic inequalities in abdominal obesity among Peruvian adults.

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