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Journal article
Educational inequalities, urbanicity and levels of non-communicable diseases risk factors: evaluating trends in Argentina (2005-2013)
BMC public health, Vol.21(1), pp.1572-1572
20 Aug 2021
PMID: 34416876
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
We investigated a) whether urbanicity is associated with individual-level non-communicable diseases (NCD) risk factors and whether urbanicity modifies trends over time in risk factors; and (b) whether educational inequalities in NCD risk factors change over time or are modified by province urbanicity.
We used data from three large national surveys on NCD risk factors (Encuesta Nacional de Factores de Riesgo; ENFR
) conducted in urban areas of Argentina (n = 108,489). We used gender-stratified logistic random-intercept models (individuals nested within provinces) to determine adjusted associations of self-reported individual NCD risk factors (hypertension, diabetes, obesity, and current smoking) with education and urbanicity.
In both men and women, the prevalence of obesity and diabetes increased over time but smoking decreased. Hypertension prevalence increased over time in men. Higher urbanicity was associated with higher odds of smoking and lower odds of hypertension in women but was not associated with NCD risk factors in men. Obesity increased more over time in more compared to less urbanized provinces (in men) while smoking decreased more over time in less urbanized provinces. All risk factors had a higher prevalence in persons with lower education (stronger in women than in men), except for diabetes in men and smoking in women. Educational inequalities in obesity (in men) and hypertension (in men and women) became stronger over time, while an initial inverse social gradient in smoking for women reverted and became similar to other risk factors over time. In general, the inverse associations of education with the risk factors became stronger with increasing levels of province urbanicity.
Increasing prevalence of diabetes and obesity over time and growing inequities by education highlight the need for policies aimed at reducing NCD risk factors among lower socioeconomic populations in urban environments in Argentina.
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Details
- Title
- Educational inequalities, urbanicity and levels of non-communicable diseases risk factors: evaluating trends in Argentina (2005-2013)
- Creators
- Santiago Rodríguez López - Urban Health Collaborative, Dornsife School of Public Health, Drexel University, Philadelphia, USA. santiago.rodriguez@conicet.gov.arUsama Bilal - Drexel UniversityAna F Ortigoza - Drexel UniversityAna V Diez-Roux - Drexel University
- Publication Details
- BMC public health, Vol.21(1), pp.1572-1572
- Publisher
- Springer BMC
- Grant note
- P30 DK111022 / NIDDK NIH HHS
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Urban Health Collaborative
- Identifiers
- 991019167321804721
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- Collaboration types
- Domestic collaboration
- International collaboration
- Web of Science research areas
- Public, Environmental & Occupational Health