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The Direct and Indirect Effects of Socioeconomic Status and Acculturation on Physical Activity and BMI within Country Rural‐to‐Urban Migrants
Author(s) -
Hilmers Angela,
BernabeOrtiz Antonio,
Gilman Robert,
McDermott Ann,
Smeeth Liam,
Miranda Jaime
Publication year - 2015
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.29.1_supplement.902.27
Subject(s) - acculturation , overweight , socioeconomic status , obesity , context (archaeology) , demography , logistic regression , odds , multinomial logistic regression , environmental health , gerontology , population , cross sectional study , medicine , psychology , geography , immigration , sociology , endocrinology , archaeology , pathology , machine learning , computer science
Background To investigate whether socioeconomic status (SES) and acculturation predict overweight/obesity risk as well as the mediating effect of physical activity (PA) in the context of internal migration.
Methods: Cross‐sectional study of 587 rural ‐ to ‐ urban migrants participating in the PERU MIGRANT Study. Analyses were conducted using logistic regression and structural equation modeling. All models were controlled for age, gender, education, SES and acculturation. Results: Only SES was a significant predictor of overweight/obesity risk. Lower SES decreased the odds of being overweight or obese by 51.4 percent. This association did not vary by gender nor was it explained by PA. Discussion: Mechanisms underlying the relationship between SES and overweight/obesity may differ depending on the geographic location and sociocultural context of the population studied. Research on internal migration and health would benefit from the development of tailored acculturation measures and the evaluation of an exploratory model that includes diet.