Obesity and association with area of residence, gender and socio-economic factors in Algerian and Tunisian adults

The epidemiological transition has resulted in a major increase in the prevalence of obesity in North Africa. This study investigated differences in obesity and its association with area of residence, gender and socio-economic position among adults in Algeria and Tunisia, two countries with socio-ec...

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Published in:PloS one 2013-10, Vol.8 (10), p.e75640
Main Authors: Atek, Madjid, Traissac, Pierre, El Ati, Jalila, Laid, Youcef, Aounallah-Skhiri, Hajer, Eymard-Duvernay, Sabrina, Mézimèche, Nadia, Bougatef, Souha, Béji, Chiraz, Boutekdjiret, Leila, Martin-Prével, Yves, Lebcir, Hassiba, Gartner, Agnès, Kolsteren, Patrick, Delpeuch, Francis, Ben Romdhane, Habiba, Maire, Bernard
Format: Article
Language:English
Subjects:
Adult
Adults
Aged
Algeria - epidemiology
Body mass
Body mass index
Body measurements
Body size
Economic aspects
Economic development
Economic factors
Economics
Epidemiology
Female
Households
Humans
Male
Men
Middle Aged
Nutrition
Obesity
Obesity - epidemiology
Obesity - etiology
Prevalence
Public health
Risk Factors
Rural areas
Rural Population
Sex Factors
Socioeconomic Factors
Socioeconomics
Studies
Thinness - epidemiology
Thinness - etiology
Tunisia - epidemiology
Urban Population
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cited_by cdi_FETCH-LOGICAL-c692t-d5031a1b6af6cd90eaa9c9c77f562db22cf16c5819dc7f5df656a373a8d2fdf3
cites cdi_FETCH-LOGICAL-c692t-d5031a1b6af6cd90eaa9c9c77f562db22cf16c5819dc7f5df656a373a8d2fdf3
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container_issue 10
container_start_page e75640
container_title PloS one
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creator Atek, Madjid
Traissac, Pierre
El Ati, Jalila
Laid, Youcef
Aounallah-Skhiri, Hajer
Eymard-Duvernay, Sabrina
Mézimèche, Nadia
Bougatef, Souha
Béji, Chiraz
Boutekdjiret, Leila
Martin-Prével, Yves
Lebcir, Hassiba
Gartner, Agnès
Kolsteren, Patrick
Delpeuch, Francis
Ben Romdhane, Habiba
Maire, Bernard
description The epidemiological transition has resulted in a major increase in the prevalence of obesity in North Africa. This study investigated differences in obesity and its association with area of residence, gender and socio-economic position among adults in Algeria and Tunisia, two countries with socio-economic and socio-cultural similarities. Cross-sectional studies used stratified, three-level, clustered samples of 35-70 year old adults in Algeria, (women n = 2741, men n = 2004) and Tunisia (women n = 2964, men n = 2379). Thinness was defined as Body Mass Index (BMI) = weight/height
doi_str_mv 10.1371/journal.pone.0075640
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This study investigated differences in obesity and its association with area of residence, gender and socio-economic position among adults in Algeria and Tunisia, two countries with socio-economic and socio-cultural similarities. Cross-sectional studies used stratified, three-level, clustered samples of 35-70 year old adults in Algeria, (women n = 2741, men n = 2004) and Tunisia (women n = 2964, men n = 2379). Thinness was defined as Body Mass Index (BMI) = weight/height &lt;18.5 kg/m(2), obesity as BMI ≥30, and abdominal obesity as waist circumference/height ≥0.6. Associations with area of residence, gender, age, education, profession and household welfare were assessed. Prevalence of thinness was very low except among men in Algeria (7.3% C.I.[5.9-8.7]). Prevalence of obesity among women was high in Algeria (30.1% C.I.[27.8-32.4]) and Tunisia (37.0% C.I.[34.4-39.6]). It was less so among men (9.1% C.I.[7.1-11.0] and 13.3% C.I.[11.2-15.4]).The results were similar for abdominal obesity. In both countries women were much more obesity-prone than men: the women versus men obesity Odds-Ratio was 4.3 C.I.[3.4-5.5] in Algeria and 3.8 C.I.[3.1-4.7] in Tunisia. Obesity was more prevalent in urban versus rural areas in Tunisia, but not in Algeria (e.g. for women, urban versus rural Odds-Ratio was 2.4 C.I.[1.9-3.1] in Tunisia and only 1.2 C.I.[1.0-5.5] in Algeria). Obesity increased with household welfare, but more markedly in Tunisia, especially among women. Nevertheless, in both countries, even in the lowest quintile of welfare, a fifth of the women were obese. The prevention of obesity, especially in women, is a public health issue in both countries, but there were differences in the patterning of obesity according to area of residence and socio-economic position. 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This study investigated differences in obesity and its association with area of residence, gender and socio-economic position among adults in Algeria and Tunisia, two countries with socio-economic and socio-cultural similarities. Cross-sectional studies used stratified, three-level, clustered samples of 35-70 year old adults in Algeria, (women n = 2741, men n = 2004) and Tunisia (women n = 2964, men n = 2379). Thinness was defined as Body Mass Index (BMI) = weight/height &lt;18.5 kg/m(2), obesity as BMI ≥30, and abdominal obesity as waist circumference/height ≥0.6. Associations with area of residence, gender, age, education, profession and household welfare were assessed. Prevalence of thinness was very low except among men in Algeria (7.3% C.I.[5.9-8.7]). Prevalence of obesity among women was high in Algeria (30.1% C.I.[27.8-32.4]) and Tunisia (37.0% C.I.[34.4-39.6]). 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Medical Complete (Alumni)</collection><collection>Materials Science Database</collection><collection>Nursing &amp; Allied Health Database (Alumni Edition)</collection><collection>Meteorological &amp; Geoastrophysical Abstracts - Academic</collection><collection>ProQuest Engineering Collection</collection><collection>ProQuest Biological Science Collection</collection><collection>Agricultural Science Database</collection><collection>Health &amp; Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Algology Mycology and Protozoology Abstracts (Microbiology C)</collection><collection>Biological Science Database</collection><collection>Engineering Database</collection><collection>Nursing &amp; Allied Health Premium</collection><collection>Advanced Technologies &amp; Aerospace Database</collection><collection>ProQuest Advanced Technologies &amp; Aerospace Collection</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>Environmental Science Database</collection><collection>Materials Science Collection</collection><collection>Publicly Available Content Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>Engineering Collection</collection><collection>Environmental Science Collection</collection><collection>Genetics Abstracts</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><collection>DOAJ Directory of Open Access Journals</collection><jtitle>PloS one</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Atek, Madjid</au><au>Traissac, Pierre</au><au>El Ati, Jalila</au><au>Laid, Youcef</au><au>Aounallah-Skhiri, Hajer</au><au>Eymard-Duvernay, Sabrina</au><au>Mézimèche, Nadia</au><au>Bougatef, Souha</au><au>Béji, Chiraz</au><au>Boutekdjiret, Leila</au><au>Martin-Prével, Yves</au><au>Lebcir, Hassiba</au><au>Gartner, Agnès</au><au>Kolsteren, Patrick</au><au>Delpeuch, Francis</au><au>Ben Romdhane, Habiba</au><au>Maire, Bernard</au><au>Jordan, Fiona M.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Obesity and association with area of residence, gender and socio-economic factors in Algerian and Tunisian adults</atitle><jtitle>PloS one</jtitle><addtitle>PLoS One</addtitle><date>2013-10-08</date><risdate>2013</risdate><volume>8</volume><issue>10</issue><spage>e75640</spage><pages>e75640-</pages><issn>1932-6203</issn><eissn>1932-6203</eissn><abstract>The epidemiological transition has resulted in a major increase in the prevalence of obesity in North Africa. This study investigated differences in obesity and its association with area of residence, gender and socio-economic position among adults in Algeria and Tunisia, two countries with socio-economic and socio-cultural similarities. Cross-sectional studies used stratified, three-level, clustered samples of 35-70 year old adults in Algeria, (women n = 2741, men n = 2004) and Tunisia (women n = 2964, men n = 2379). Thinness was defined as Body Mass Index (BMI) = weight/height &lt;18.5 kg/m(2), obesity as BMI ≥30, and abdominal obesity as waist circumference/height ≥0.6. Associations with area of residence, gender, age, education, profession and household welfare were assessed. Prevalence of thinness was very low except among men in Algeria (7.3% C.I.[5.9-8.7]). Prevalence of obesity among women was high in Algeria (30.1% C.I.[27.8-32.4]) and Tunisia (37.0% C.I.[34.4-39.6]). It was less so among men (9.1% C.I.[7.1-11.0] and 13.3% C.I.[11.2-15.4]).The results were similar for abdominal obesity. In both countries women were much more obesity-prone than men: the women versus men obesity Odds-Ratio was 4.3 C.I.[3.4-5.5] in Algeria and 3.8 C.I.[3.1-4.7] in Tunisia. Obesity was more prevalent in urban versus rural areas in Tunisia, but not in Algeria (e.g. for women, urban versus rural Odds-Ratio was 2.4 C.I.[1.9-3.1] in Tunisia and only 1.2 C.I.[1.0-5.5] in Algeria). Obesity increased with household welfare, but more markedly in Tunisia, especially among women. Nevertheless, in both countries, even in the lowest quintile of welfare, a fifth of the women were obese. The prevention of obesity, especially in women, is a public health issue in both countries, but there were differences in the patterning of obesity according to area of residence and socio-economic position. These specificities must be taken into account in the management of obesity inequalities.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>24116063</pmid><doi>10.1371/journal.pone.0075640</doi><tpages>e75640</tpages><oa>free_for_read</oa></addata></record>
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identifier ISSN: 1932-6203
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issn 1932-6203
1932-6203
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source Publicly Available Content Database; PubMed Central
subjects Adult
Adults
Aged
Algeria - epidemiology
Body mass
Body mass index
Body measurements
Body size
Economic aspects
Economic development
Economic factors
Economics
Epidemiology
Female
Households
Humans
Male
Men
Middle Aged
Nutrition
Obesity
Obesity - epidemiology
Obesity - etiology
Prevalence
Public health
Risk Factors
Rural areas
Rural Population
Sex Factors
Socioeconomic Factors
Socioeconomics
Studies
Thinness - epidemiology
Thinness - etiology
Tunisia - epidemiology
Urban Population
title Obesity and association with area of residence, gender and socio-economic factors in Algerian and Tunisian adults
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