Analysis of inequities between demographic and social determinants associated with overweight and obesity

ABSTRACT Objective: To assess demographic and social determinants associated with the prevalence of overweight and obesity from a population survey. Methods: Cross-sectional study with 28,153 adults participating in the 2017-2018 Household Budget Survey. Self-reported weight and height were used...

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Main Authors: Pabyle Alves Flauzino, Ilana Nogueira Bezerra, Julia Sichieri Moura, Rosely Sichieri
Format: Article
Language:English
Published: Associação Brasileira de Pós-Graduação em Saúde Coletiva 2025-07-01
Series:Revista Brasileira de Epidemiologia
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1415-790X2025000100430&lng=en&tlng=en
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author Pabyle Alves Flauzino
Ilana Nogueira Bezerra
Julia Sichieri Moura
Rosely Sichieri
author_facet Pabyle Alves Flauzino
Ilana Nogueira Bezerra
Julia Sichieri Moura
Rosely Sichieri
author_sort Pabyle Alves Flauzino
collection DOAJ
description ABSTRACT Objective: To assess demographic and social determinants associated with the prevalence of overweight and obesity from a population survey. Methods: Cross-sectional study with 28,153 adults participating in the 2017-2018 Household Budget Survey. Self-reported weight and height were used to estimate the prevalence of overweight and obesity, in addition to information on sociodemographic characteristics such as age (continuous), sex (male/female), skin color or race (white, brown, and black), location of residence (urban or rural), and per capita family income (quartile). Linear regression models were used to assess changes in mean BMI according to age and income in each area (urban/rural), stratified by sex and race/skin color. Results: In men, overweight and obesity were more prevalent in urban than rural areas, but there was no such difference in women. Income was quadratically related to the mean BMI among women, while in men the prevalence increased with income. In women, higher income was associated with lower BMI, except for black women, who did not show variation with income and were the ones with the highest prevalence of obesity. Men in rural areas had a much lower BMI and, respectively, a lower prevalence of obesity. Conclusion: We found no difference between extreme groups of possible inequality with regard to overweight and obesity. However, the prevalence of grade I obesity in men was different according to the area, being higher in men living in urban areas; and the highest prevalence of obesity according to race/color occurred among black women in the highest income quartile.
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spelling doaj-art-e63d53d973c9411586d74cd14ca6caeb2025-08-20T03:51:18ZengAssociação Brasileira de Pós-Graduação em Saúde ColetivaRevista Brasileira de Epidemiologia1980-54972025-07-012810.1590/1980-549720250038Analysis of inequities between demographic and social determinants associated with overweight and obesityPabyle Alves Flauzinohttps://orcid.org/0000-0003-0872-5690Ilana Nogueira Bezerrahttps://orcid.org/0000-0002-2072-0123Julia Sichieri Mourahttps://orcid.org/0000-0003-3121-9956Rosely Sichierihttps://orcid.org/0000-0001-5286-5354ABSTRACT Objective: To assess demographic and social determinants associated with the prevalence of overweight and obesity from a population survey. Methods: Cross-sectional study with 28,153 adults participating in the 2017-2018 Household Budget Survey. Self-reported weight and height were used to estimate the prevalence of overweight and obesity, in addition to information on sociodemographic characteristics such as age (continuous), sex (male/female), skin color or race (white, brown, and black), location of residence (urban or rural), and per capita family income (quartile). Linear regression models were used to assess changes in mean BMI according to age and income in each area (urban/rural), stratified by sex and race/skin color. Results: In men, overweight and obesity were more prevalent in urban than rural areas, but there was no such difference in women. Income was quadratically related to the mean BMI among women, while in men the prevalence increased with income. In women, higher income was associated with lower BMI, except for black women, who did not show variation with income and were the ones with the highest prevalence of obesity. Men in rural areas had a much lower BMI and, respectively, a lower prevalence of obesity. Conclusion: We found no difference between extreme groups of possible inequality with regard to overweight and obesity. However, the prevalence of grade I obesity in men was different according to the area, being higher in men living in urban areas; and the highest prevalence of obesity according to race/color occurred among black women in the highest income quartile.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1415-790X2025000100430&lng=en&tlng=enObesityIntersectional frameworkSocial conditionsRace factors
spellingShingle Pabyle Alves Flauzino
Ilana Nogueira Bezerra
Julia Sichieri Moura
Rosely Sichieri
Analysis of inequities between demographic and social determinants associated with overweight and obesity
Revista Brasileira de Epidemiologia
Obesity
Intersectional framework
Social conditions
Race factors
title Analysis of inequities between demographic and social determinants associated with overweight and obesity
title_full Analysis of inequities between demographic and social determinants associated with overweight and obesity
title_fullStr Analysis of inequities between demographic and social determinants associated with overweight and obesity
title_full_unstemmed Analysis of inequities between demographic and social determinants associated with overweight and obesity
title_short Analysis of inequities between demographic and social determinants associated with overweight and obesity
title_sort analysis of inequities between demographic and social determinants associated with overweight and obesity
topic Obesity
Intersectional framework
Social conditions
Race factors
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1415-790X2025000100430&lng=en&tlng=en
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AT juliasichierimoura analysisofinequitiesbetweendemographicandsocialdeterminantsassociatedwithoverweightandobesity
AT roselysichieri analysisofinequitiesbetweendemographicandsocialdeterminantsassociatedwithoverweightandobesity