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Abstract
Argentina Mixed models Non-communicable diseases Social determinants Urban
We examined associations of individual-, neighborhood- and city-level education -as proxies of SES at different levels-, with diabetes, hypertension, obesity, smoking and binge drinking (non-communicable disease risk factors -NCD/RF) among Argentinian adults. We estimated mixed models based on 21,415 individuals from the 2013 National Survey of Risk Factors, living in 2,698 neighborhoods and 33 cities. Gradients by individual-level education differed by gender and NCD/RF, and some were modified by city education. In addition, we identified contextual effects of neighborhood and city education on some NCD/RF. Urban efforts to tackle NCD/RF in Argentina should be context- and gender-sensitive, and mainly focused on socially disadvantaged groups.
•City-, neighborhood- and individual-level education shape non-communicable diseases risks factors (NCD/RF) in Argentina.•Most associations across levels vary by gender and NCD/RF.•Educational gradients are stronger for individual- and neighborhood-level.•Some of these associations interact with city education.•Urban public strategies to tackle NCD/RF should be context and gender-sensitive.
Urban social determinants of non-communicable diseases risk factors in Argentina
Creators
Natalia Tumas - National University of Córdoba
Santiago Rodríguez López - Centro de Investigaciones y Estudios sobre Cultura y Sociedad, Consejo Nacional de Investigaciones Científicas y Técnicas y Universidad Nacional de Córdoba, Argentina
Usama Bilal - Drexel University
Ana F. Ortigoza - Drexel University
Ana V. Diez Roux - Urban Health Collaborative, Dornsife School of Public Health, Drexel University, Philadelphia, PA, USA
Publication Details
Health & place, v 77, 102611
Publisher
Elsevier
Resource Type
Journal article
Language
English
Academic Unit
Urban Health Collaborative
Web of Science ID
WOS:000862367800007
Scopus ID
2-s2.0-85108968813
Other Identifier
991019173575704721
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