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Socioeconomic Position, Pre-Obesity and Obesity in Latin American Cities: A Systematic Review
Journal article - Review

Socioeconomic Position, Pre-Obesity and Obesity in Latin American Cities: A Systematic Review

Mariana Carvalho de Menezes, Ana C Duran, Brent Langellier, Carolina Pérez-Ferrer, Joaquin Barnoya and Ana-Lucia Mayén
International journal of social determinants of health and health services, v 54(3), pp 224-232
Jul 2024
PMID: 38489831
Featured in Collection :   UN Sustainable Development Goals @ Drexel

Abstract

socioeconomic position equity overweight Latin America Obesity
Currently the socioeconomic gradient of obesity it is not well understood in the urban population in Latin American. This study reviewed the literature assessing associations between pre-obesity, obesity, and socioeconomic position (SEP) in adults living in urban areas in Latin American countries. PubMed and SciELO databases were used. Data extraction was conducted using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. We extracted data on the association between SEP (e.g., education, income), pre-obesity (body mass index [BMI] ≥ 25 and < 30 kg/m2) and obesity (BMI ≥ 30 kg/m2). Relative differences between low and high SEP groups were assessed and defined a priori as significant at p < 0.05. Thirty-one studies met our inclusion criteria and most were conducted in Brazil and Mexico (22 and 3 studies, respectively). One study presented nonsignificant associations. Forty-seven percent of associations between education or income and pre-obesity were negative. Regarding obesity, 80 percent were negative and 20 percent positive. Most negative associations were found in women while in men they varied depending on the indicator used. Pre-obesity and obesity by SEP did not follow the same pattern, revealing a reversal of the obesity social gradient by SEP, especially for women in Latin America, highlighting the need for articulated policies that target structural and agentic interventions.

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Web of Science research areas
Health Care Sciences & Services
Health Policy & Services
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