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The changing influence of wealth, education and urbanization on overweight and obesity in Guatemalan women between 1995 and 2008
Author(s) -
Kanter Rebecca,
Fort Meredith P.,
Ramirez Manuel,
Martorell Reynaldo
Publication year - 2013
Publication title -
the faseb journal
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.709
H-Index - 277
eISSN - 1530-6860
pISSN - 0892-6638
DOI - 10.1096/fasebj.27.1_supplement.1055.25
Subject(s) - overweight , obesity , medicine , demography , parity (physics) , body mass index , logistic regression , ethnic group , physics , particle physics , sociology , anthropology
Overweight and obesity (BMI≥25.0) prevalence in Guatemalan women (15–49y) was examined in the 1995, 1998, 2002, and 2008 National Maternal and Infant Health Surveys (ENSMI). Associations with socio‐demographic factors (age, education, ethnicity, urban‐rural, parity, and wealth) were analyzed using STATA SE 12.0. Survey weighted logistic regression models adjusted for age and parity assessed associations between BMI≥25.0 and socio‐demographic factors. Prevalence of BMI≥25.0 was 34.1% in 1995 and 59.4% in 2008; and BMI≥30.0 rose from 7.9% to 22.4%. Tests for trend (p<0.0001) confirmed BMI≥25.0 increased in most socio‐demographic groups over time. In 1995, high wealth (OR = 5.97, CI: 4.23, 8.43, p<0.001) and urban areas (OR = 1.32, CI: 1.08, 1.62, p<0.01) were associated with a BMI≥25.0. In 1998, 2002, and 2008, education and urban areas were significantly positively associated with BMI≥25.0. In 1995, education (OR = 1.81, CI: 1.19, 2.75, p<0.01) and high wealth (OR = 7.07, CI: 3.99, 12.52, p<0.001) were associated with BMI≥30.0; in 1998 wealth was not significant. From 2002 and 2008 the association with BMI≥30.0 and education decreased (OR = 1.97, CI: 1.55, 2.50, p<0.001; OR = 1.52, CI: 1.30, 1.78, p<0.001), while urban areas increased (OR = 1.34, CI: 1.05, 1.72, p<0.05; OR = 1.67, CI: 1.42, 1.95, p<0.001). Education, and urban areas explain more of the increase in BMI≥25.0 from 1995 to 2008. This research was not funded. Grant Funding Source : None