title: Socioeconomic inequalities in abdominal obesity in Brazilian female adolescents: a national-based study.
abstract: The aim of the present study was to identify the prevalence of abdominal obesity and verify the socioeconomic inequities in abdominal obesity among female adolescents from all regions of Brazil. A cross sectional nationwide study was carried out on abdominal obesity with 2,488 women aged 15 to 19 years in the National Survey on Demography and Health of Women and Children (PNDS), 2006. Abdominal obesity was identified based on waist circumference (WC). Demographic and socioeconomic data (age, skin color, schooling level, socioeconomic status, area of residence, geographic region, marital status, and private health insurance) were collected. Poisson regression was used for multivariate analysis. The prevalence of abdominal obesity was 24.7 % (95 % confidence intervals; 20.9, 28.3). The mean WC value was 74.1 cm (SD=9.3). Adolescents who studied fewer years, those living in a socially and economically more developed region and those who had a partner, showed higher prevalence of abdominal obesity. Effective actions to reduce abdominal obesity include equitable early childhood development programs and education and interventions within the health systems should be complemented with population-based policies specifically designed to reduce socioeconomic inequalities.
authors.affiliation: Centro de Desportos, Programa de Pós Graduação em Educação Física, Campus Universitário Trindade, Universidade Federal de Santa Catarina, Florianópolis, SC, 88010-970, Brazil, diegoaugustoss@yahoo.com.br.
authors.forename: Diego Augusto Santos
authors.initials: DA
authors.lastname: Silva
mesh_terms: D000293:Adolescent; D015992:Body Mass Index; D001938:Brazil / Q000453:epidemiology; D003430:Cross-Sectional Studies; D005260:Female; D006306:Health Surveys; D006801:Humans; D056128:Obesity, Abdominal / Q000453:epidemiology*; D015995:Prevalence; D012044:Regression Analysis; D012959:Socioeconomic Factors; D055105:Waist Circumference; D055815:Young Adult
references.citation: Am J Clin Nutr. 2000 Aug;72(2):490-5
references.pmid: 10919946
references.citation: Econ Hum Biol. 2008 Dec;6(3):330-49
references.pmid: 18753018
references.citation: Prev Med. 2010 Dec;51(6):460-5
references.pmid: 20955726
references.citation: World Health Organ Tech Rep Ser. 1995;854:1-452
references.pmid: 8594834
references.citation: Am J Epidemiol. 1993 Dec 1;138(11):923-36
references.pmid: 8256780
references.citation: BMC Public Health. 2011 May 10;11:289
references.pmid: 21569269
references.citation: Obes Rev. 2011 Nov;12(11):887-96
references.pmid: 21722299
references.citation: BMJ. 2003 Mar 22;326(7390):624
references.pmid: 12649234
references.citation: Obesity (Silver Spring). 2012 Apr;20(4):916-9
references.pmid: 21566567
references.citation: Int J Epidemiol. 1997 Feb;26(1):224-7
references.pmid: 9126524
references.citation: Cad Saude Publica. 2009;25 Suppl 3:S427-40
references.pmid: 20027390
references.citation: Lancet. 2013 Feb 16;381(9866):585-97
references.pmid: 23410608
references.citation: Obesity (Silver Spring). 2012 Oct;20(10):2093-100
references.pmid: 22262164
references.citation: BMC Public Health. 2010 Nov 26;10:732
references.pmid: 21110843
references.citation: J Korean Med Sci. 2010 Jan;25(1):75-82
references.pmid: 20052351
references.citation: PLoS One. 2012;7(5):e37158
references.pmid: 22666343
references.citation: Arq Bras Endocrinol Metabol. 2012 Jul;56(5):291-9
references.pmid: 22911281
references.citation: J Korean Med Sci. 2011 Jan;26(1):78-84
references.pmid: 21218034
references.citation: PLoS One. 2013;8(1):e54225
references.pmid: 23326600
references.citation: Eur J Clin Nutr. 2001 Oct;55(10):902-7
references.pmid: 11593353
references.citation: Am J Clin Nutr. 2002 Jun;75(6):971-7
references.pmid: 12036801
references.citation: Prev Med. 2013 Jan;56(1):30-4
references.pmid: 23142534
references.citation: Public Health Nutr. 2009 Aug;12(8):1106-14
references.pmid: 19243675
references.citation: Eur J Cardiovasc Prev Rehabil. 2011 Aug;18(4):550-6
references.pmid: 21450632
references.citation: Prev Med. 2013 Jan;56(1):20-4
references.pmid: 23123860
references.citation: J Am Coll Cardiol. 2007 Feb 27;49(8):891-8
references.pmid: 17320748