Underpinnings of entangled ethnical and gender inequalities in obesity in Cochabamba-Bolivia [Elektronisk resurs]an intersectional approach

E-artikel/E-kapitelEngelska2019

Förlag, utgivningsår, omfång ...

Publicerad:BioMed Central,Publicerad:2019

Nummerbeteckningar

LIBRIS-ID:r2llbmrzp195sqgr
http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-164917uri
urn:nbn:se:umu:diva-164917urn
10.1186/s12939-019-1062-7doi

Kompletterande språkuppgifter

Språk:engelska

Ingår i deldatabas

deldatabas:Eplk_tEPLK

Anmärkningar

Published
gratis
BACKGROUND: Social inequalities in obesity have been observed not only by gender but also between ethnic groups. Evidence on combined dimensions of inequality in health, and specifically including indigenous populations, is however scarce, and presents a particularly daunting challenge for successful prevention and control of obesity in Bolivia, as well as worldwide. OBJECTIVE: The aims of this study were i) to examine intersectional inequalities in obesity and ii) to identify the factors underlying the observed intersectional inequalities. METHODS: An intersectional approach study was employed, using the information collected in a cross-sectional community-based survey. The sample consisted of youth and adults with permanent residence in Cochabamba department (N = 5758), selected through a multistage sampling technique. An adapted version of the WHO-STEPS survey was used to collect information about Abdominal obesity and risk factors associated. Four intersectional positions were constructed from gender (woman vs. men) and ethnic group (indigenous vs. mestizo). Joint and excess intersectional disparities in obesity were estimated as absolute prevalence differences between binary groups, using binomial regression models. The Oaxaca-Blinder decomposition was applied to estimate the contributions of explanatory factors underlying the observed intersectional disparities, using Oaxaca command in Stata software v15.1. RESULTS: The prevalence of abdominal obesity had a higher prevalence in mestizos (men 35.01% and women 30.71%) as compared to indigenous (men 25.38% and women 27.75%). The joint disparity was estimated at 7.26 percentage points higher prevalence in the doubly advantaged mestizo men than in the doubly disadvantaged indigenous women. The gender referent disparity showed that mestizo-women had a higher prevalence than indigenous-women. The ethnic referent disparity showed that mestizo-men had a higher prevalence than indigenous men. The behavioural risk factors were the most important to explain the observed inequalities, while differences in socioeconomic and demographic factors played a less important role. CONCLUSION: Our study illustrates that abdominal obesity is not distributed according to expected patterns of structural disadvantage in the intersectional space of ethnicity and gender in Bolivia. In the Cochabamba case, a high social advantage was related to higher rates of abdominal obesity, as well as the behavioural risk factors associated with them.

Ämnesord och genrebeteckningar

Medical and Health Sciences hsv
Health Sciences hsv
Public Health, Global Health, Social Medicine and Epidemiology hsv
Medicin och hälsovetenskap hsv
Hälsovetenskaper hsv
Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi hsv
government publication marcgt
Obesity
Gender
Ethnic
Intersectionality
Health inequality
Decomposition analysis
Bolivia

Biuppslag (personer, institutioner, konferenser, titlar ...)

Gustafsson, Per E (författare)
San Sebastián Chasco, Miguel (författare)
Armaza Céspedes, Ada Ximena (författare)
Luizaga López, Jenny Marcela (författare)
Illanes Velarde, Daniel Elving (författare)
Mosquera Méndez, Paola A. (författare)
Umeå universitetMedicinska fakulteten (utgivare)

Sammanhörande titlar

Del av/supplement till:channel record
Ingår i:VärdpublikationInternational Journal for Equity in Health18:11475-9276
Ingår i:Värdpublikation

Internetlänk

Länka till posten

Inställningar Hjälp

Beståndsinformation saknas

1 av 1
Föregående post
Nästa post
Till träfflistan

Sök vidare

Hjälp

Fler titlar av: Mamani-Ortiz, Yercin; Gustafsson, Per E; San Sebastián Chasco ...; Armaza Céspedes, Ada ...; Luizaga López, Jenny ...; Illanes Velarde, Dan ...; visa fler...; Mosquera Méndez, Pao ...; Umeå universitet Med ...; visa färre...
Fler titlar om: Medical and Health S ...; Health Sciences; Public Health, Globa ...; Medicin och hälsovet ...; Hälsovetenskaper; Folkhälsovetenskap, ...
Fler titlar i denna genre: government publicati ...
Värdpublikation: International Journa ...; Fler artiklar

Sök utanför LIBRIS

Hjälp

Sök vidare i:: Google; Google Book Search; Google Scholar; LibraryThing

Om LIBRIS: Sekretess

Hjälp: Fel i posten?; Kontakt; Teknik och format

Sök utifrån: Sökrutor; Plug-ins; Bookmarklet

Anpassa: Textstorlek; Kontrast; Vyer

LIBRIS söktjänster: SwePub; Uppsök

Kungliga biblioteket hanterar dina personuppgifter i enlighet med EU:s dataskyddsförordning (2018), GDPR. Läs mer om hur det funkar här.
Så här hanterar KB dina uppgifter vid användning av denna tjänst.