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Socioeconomic inequalities in obesity in Brazil

机译:巴西肥胖症的社会经济不等式

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The aim of this work was to analyze the socioeconomic inequality in overweight and obesity for the Brazilian adult population and to determine the factors that contribute the most to the observed inequality. Data from the 2013 National Health Survey (Pesquisa Nacional de Saude PNS) were used and the inequality was calculated using the concentration index, which was decomposed to analyze the contribution of different factors (demographic, schooling, lifestyle, sanitation, among others). The analyses were stratified by gender and region, in order to identify some heterogeneity. The results for gender showed that the inequality in overweight and obesity in men is concentrated in the richest ones, whereas, for women, the indices did not show inequality. In the analyzes per region, the results showed the same pattern for men, and differences were found for women, suggesting that overweight is more concentrated in rich women in the less developed regions (North and Northeast) and in poor women in more developed regions (South, Southeast and Midwest). Income, demographics, schooling, and lifestyles are the factors that contributed most to the observed inequality. Public policy strategies should aim to reduce such persistence of overweight and obesity, but also seek equity and equality in health. (c) 2020 Elsevier B.V. All rights reserved.
机译:这项工作的目的是分析巴西成年人的超重和肥胖的社会经济不平等,并确定对观察到的不平等产生贡献的因素。使用2013年国家健康调查(Pesquisa Nacional De Saude PNS)的数据,并使用浓度指数计算不等式,该浓度指数被分解为分析不同因素的贡献(人口统计,教育,生活方式,卫生,卫生等)。分析由性别和区域分层,以鉴定一些异质性。性别的结果表明,男人的超重和肥胖的不平等是集中在最富有的人中,而对于女性而言,索引没有表现出不平等。在每个地区的分析中,结果表现出对男性相同的模式,对女性的差异显示出不同的差异,表明超重在较少发达的地区(北部和东北)和更多发达地区的贫困妇女中更集中南,东南和中西部)。收入,人口统计学,学校教育和生活方式是对观察到的不平等产生最大的因素。公共政策策略应旨在减少超重和肥胖的持久性,而且还可以在健康中寻求股权和平等。 (c)2020 Elsevier B.v.保留所有权利。

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