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Education Modifies the Association of Wealth with Obesity in Women in Middle-Income but Not Low-Income Countries: An Interaction Study Using Seven National Datasets, 2005-2010

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  • Amina Aitsi-Selmi
  • Ruth Bell
  • Martin J Shipley
  • Michael G Marmot

Abstract

Background: Education and wealth may have different associations with female obesity but this has not been investigated in detail outside high-income countries. This study examines the separate and inter-related associations of education and household wealth in relation to obesity in women in a representative sample of low- and middle-income countries (LMICs). Methods: The seven largest national surveys were selected from a list of Demographic and Health Surveys (DHS) ordered by decreasing sample size and resulted in a range of country income levels. These were nationally representative data of women aged 15–49 years collected in the period 2005–2010. The separate and joint effects, unadjusted and adjusted for age group, parity, and urban/rural residence using a multivariate logistic regression model are presented Results: In the four middle-income countries (Colombia, Peru, Jordan, and Egypt), an interaction was found between education and wealth on obesity (P-value for interaction

Suggested Citation

  • Amina Aitsi-Selmi & Ruth Bell & Martin J Shipley & Michael G Marmot, 2014. "Education Modifies the Association of Wealth with Obesity in Women in Middle-Income but Not Low-Income Countries: An Interaction Study Using Seven National Datasets, 2005-2010," PLOS ONE, Public Library of Science, vol. 9(3), pages 1-10, March.
    • Handle: RePEc:plo:pone00:0090403
    DOI: 10.1371/journal.pone.0090403
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    References listed on IDEAS

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    2. Marialaura Bonaccio & Augusto Di Castelnuovo & Simona Costanzo & Mariarosaria Persichillo & Maria Benedetta Donati & Giovanni de Gaetano & Licia Iacoviello, 2016. "Interaction between education and income on the risk of all-cause mortality: prospective results from the MOLI-SANI study," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 61(7), pages 765-776, September.
    3. Sudikno Sudikno & Ning Sulistyowati & Olwin Nainggolan & Dwi Hapsari Tjandrarini, 2021. "Obesity in Older Adults Indonesia: The Role of Healthy Behaviour Factors and Metabolic Syndrome," Global Journal of Health Science, Canadian Center of Science and Education, vol. 13(6), pages 124-124, June.
    4. Hanen Samouda & Maria Ruiz-Castell & Valery Bocquet & Andrea Kuemmerle & Anna Chioti & Frédéric Dadoun & Ngianga-Bakwin Kandala & Saverio Stranges, 2018. "Geographical variation of overweight, obesity and related risk factors: Findings from the European Health Examination Survey in Luxembourg, 2013-2015," PLOS ONE, Public Library of Science, vol. 13(6), pages 1-23, June.

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