Gender obesity inequities are huge but differ greatly according to environment and socio-economics in a North African setting: a national cross-sectional study in Tunisia

Southern Mediterranean countries have experienced a marked increase in the prevalence of obesity whose consequences for gender related health inequities have been little studied. We assessed gender obesity inequalities and their environmental and socio-economic modifiers among Tunisian adults. Cross...

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Published in:PloS one 2012-10, Vol.7 (10), p.e48153
Main Authors: El Ati, Jalila, Traissac, Pierre, Delpeuch, Francis, Aounallah-Skhiri, Hajer, Béji, Chiraz, Eymard-Duvernay, Sabrina, Bougatef, Souha, Kolsteren, Patrick, Maire, Bernard, Ben Romdhane, Habiba
Format: Article
Language:English
Subjects:
Adipose tissue
Adiposity
Adult
Adults
Aged
Analysis
Body mass
Body Mass Index
Body measurements
Cross-Sectional Studies
Economic aspects
Economics
Education
Female
Gender equality
Households
Humans
Inequalities
Male
Medicine
Men
Middle Aged
Nutrition
Obesity
Obesity, Abdominal - epidemiology
Occupational health
Prevalence
Profession
Rural areas
Rural Population
Sex Factors
Social and Behavioral Sciences
Socioeconomic Factors
Socioeconomics
Surveys
Tunisia - epidemiology
Urban environments
Urban Population
Womens health
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cited_by cdi_FETCH-LOGICAL-c692t-b9f6ca55c9bb2dd971353205d5ab66f693960c17f947d611447d0edae3f09f33
cites cdi_FETCH-LOGICAL-c692t-b9f6ca55c9bb2dd971353205d5ab66f693960c17f947d611447d0edae3f09f33
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container_issue 10
container_start_page e48153
container_title PloS one
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creator El Ati, Jalila
Traissac, Pierre
Delpeuch, Francis
Aounallah-Skhiri, Hajer
Béji, Chiraz
Eymard-Duvernay, Sabrina
Bougatef, Souha
Kolsteren, Patrick
Maire, Bernard
Ben Romdhane, Habiba
description Southern Mediterranean countries have experienced a marked increase in the prevalence of obesity whose consequences for gender related health inequities have been little studied. We assessed gender obesity inequalities and their environmental and socio-economic modifiers among Tunisian adults. Cross-sectional survey in 2005; national, 3 level random cluster sample of 35-70 years Tunisians (women: n = 2964, men: n = 2379). Overall adiposity was assessed by BMI = weight(kg)/height(m)(2) and obesity was BMI≥30, WHtR = waist circumference to height ratio defined abdominal obesity as WHtR≥0.6. Gender obesity inequality measure was women versus men Prevalence Proportion Odds-Ratio (OR); models featuring gender x covariate interaction assessed variation of gender obesity inequalities with area (urban versus rural), age, marital status or socio-economic position (profession, education, household income proxy). BMI was much higher among women (28.4(0.2)) versus men (25.3(0.1)), P
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Mary</contributor><creatorcontrib>El Ati, Jalila ; Traissac, Pierre ; Delpeuch, Francis ; Aounallah-Skhiri, Hajer ; Béji, Chiraz ; Eymard-Duvernay, Sabrina ; Bougatef, Souha ; Kolsteren, Patrick ; Maire, Bernard ; Ben Romdhane, Habiba ; Schooling, C. Mary</creatorcontrib><description>Southern Mediterranean countries have experienced a marked increase in the prevalence of obesity whose consequences for gender related health inequities have been little studied. We assessed gender obesity inequalities and their environmental and socio-economic modifiers among Tunisian adults. Cross-sectional survey in 2005; national, 3 level random cluster sample of 35-70 years Tunisians (women: n = 2964, men: n = 2379). Overall adiposity was assessed by BMI = weight(kg)/height(m)(2) and obesity was BMI≥30, WHtR = waist circumference to height ratio defined abdominal obesity as WHtR≥0.6. 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Mary</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Gender obesity inequities are huge but differ greatly according to environment and socio-economics in a North African setting: a national cross-sectional study in Tunisia</atitle><jtitle>PloS one</jtitle><addtitle>PLoS One</addtitle><date>2012-10-31</date><risdate>2012</risdate><volume>7</volume><issue>10</issue><spage>e48153</spage><pages>e48153-</pages><issn>1932-6203</issn><eissn>1932-6203</eissn><abstract>Southern Mediterranean countries have experienced a marked increase in the prevalence of obesity whose consequences for gender related health inequities have been little studied. We assessed gender obesity inequalities and their environmental and socio-economic modifiers among Tunisian adults. Cross-sectional survey in 2005; national, 3 level random cluster sample of 35-70 years Tunisians (women: n = 2964, men: n = 2379). Overall adiposity was assessed by BMI = weight(kg)/height(m)(2) and obesity was BMI≥30, WHtR = waist circumference to height ratio defined abdominal obesity as WHtR≥0.6. Gender obesity inequality measure was women versus men Prevalence Proportion Odds-Ratio (OR); models featuring gender x covariate interaction assessed variation of gender obesity inequalities with area (urban versus rural), age, marital status or socio-economic position (profession, education, household income proxy). BMI was much higher among women (28.4(0.2)) versus men (25.3(0.1)), P&lt;0.0001) as was obesity (37.0% versus 13.3%, OR = 3.8[3.1-7.4], P&lt;0.0001) and abdominal obesity (42.6% versus 15.6%, 4.0[3.3-4.8], P&lt;0.0001). Gender obesity inequalities (women versus men adjusted OR) were higher in urban (OR = 3.3[1.3-8.7]) than rural (OR = 2.0[0.7-5.5]) areas. These gender obesity inequalities were lower for subjects with secondary education or more (OR = 3.3[1.3-8.6]), than among those with no schooling (OR = 6.9[2.0-23.3]). They were also lower for those with upper/intermediate profession (OR = 1.4[0.5-4.3]) or even employees/workers OR = 2.3[1.0-5.4] than those not professionaly active at all (OR = 3.3[1.3-8.6]). Similar results were observed for addominal obesity. The huge overall gender obesity inequities (women much more corpulent than men) were higher in urban settings, but lower among subjects of higher education and professional activity. Reasons for gender inequalities in obesity and their variation with socio-economic position should be sought so that appropriate policies to reduce these inequalities can be implemented in Tunisia and similar settings.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>23118943</pmid><doi>10.1371/journal.pone.0048153</doi><tpages>e48153</tpages><oa>free_for_read</oa></addata></record>
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1932-6203
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source Publicly Available Content (ProQuest); PubMed Central
subjects Adipose tissue
Adiposity
Adult
Adults
Aged
Analysis
Body mass
Body Mass Index
Body measurements
Cross-Sectional Studies
Economic aspects
Economics
Education
Female
Gender equality
Households
Humans
Inequalities
Male
Medicine
Men
Middle Aged
Nutrition
Obesity
Obesity, Abdominal - epidemiology
Occupational health
Prevalence
Profession
Rural areas
Rural Population
Sex Factors
Social and Behavioral Sciences
Socioeconomic Factors
Socioeconomics
Surveys
Tunisia - epidemiology
Urban environments
Urban Population
Womens health
title Gender obesity inequities are huge but differ greatly according to environment and socio-economics in a North African setting: a national cross-sectional study in Tunisia
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