Socioeconomic patterning of chronic conditions and behavioral risk factors in rural South Asia: a multi-site cross-sectional study

Bhan, Nandita; Millett, Christopher; Subramanian, S. V.; Dias, Amit; Alam, Dewan S.; Williams, Joseph; Dhillon, Preet K.

doi:10.1007/s00038-017-1019-9

Cited by 11 publications

(17 citation statements)

References 34 publications

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“…The results of this study are consistent with previous findings that showed a higher prevalence of underweight among adults with low SES [20]. Similarly, overweight is more prevalent among educated and wealthier people [16][17][18]. Previous studies conducted in India have identified SES as an important factor involved in access to food, which can influence body weight.…”

Section: Discussionsupporting

confidence: 91%

“…Previous studies conducted in India have identified SES as an important factor involved in access to food, which can influence body weight. Higher SES also appears to be strongly correlated with physical inactivity, which subsequently plays an important role in determining body weight [16]. Additionally, gender differences in BMI are notable.…”

Section: Discussionmentioning

confidence: 92%

“…The prevalence of both underweight and overweight/obesity were higher among women than men. The prevalence of overweight/obesity among men almost doubled from 2005-06 to 2015- 16. Figure 3A and 3B shows the distribution of underweight and overweight/obesity among men in different Indian states.…”

Section: Resultsmentioning

confidence: 99%

“…The determinants of the dual burden of malnutrition differ considerably based on gender, socioeconomic, and behavioural factors. Economic status has emerged as an important determinant of overweight/obesity, particularly in developing countries [15][16][17][18]. In contrast, less educated and socially disadvantaged adults tend to be underweight [19,20].…”

Section: Predictor Variablesmentioning

confidence: 99%

“…The selected covariates included age group (15)(16)(17)(18)(19)(20)(21)(22)(23)(24)(25)(26)(27)(28)(29)(30)(31)(32)(33)(34), and 35-49), place of residence (rural or urban), caste (Scheduled Caste, Scheduled Tribe, Other Backward Class, or other), religion (Hindu, Muslim, or other), currently employed (no or yes), and marital status (unmarried, currently married, widowed, or divorced/ separated).…”

Section: Covariatesmentioning

confidence: 99%

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The double burden of malnutrition among adults in India: evidence from the National Family Health Survey-4 (2015-16)

Dutta

Selvamani²,

Singh

et al. 2019

Epidemiol Health

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OBJECTIVES: India still faces the burden of undernutrition and communicable diseases, and the prevalence of overweight/obesity is steadily increasing. The discourse regarding the dual burden of underweight and overweight/obesity has not yet been widely explored in both men and women. The present study assessed the determinants of underweight and overweight/obesity in India among adult men and women aged 15-49.METHODS: Population-based cross-sectional and nationally representative data from the National Family Health Survey-4 (2015-16), consisting of a sample of men and women, were analyzed. Stratified 2-stage sampling was used in the NFHS-4 study protocol. In the present study, bivariate and adjusted multinomial logistic regression analyses were performed to determine the correlates of underweight and overweight/obesity.RESULTS: The results suggested a persistently high prevalence of underweight coexisting with an increased prevalence of overweight/obesity in India. The risk of underweight was highest in the central and western regions and was also relatively high among those who used either smoking or smokeless tobacco. Overweight/obesity was more prevalent in urban areas, in the southern region, and among adults aged 35-49. Furthermore, level of education and wealth index were positively associated with overweight/obesity. More educated and wealthier adults were less likely to be underweight.CONCLUSIONS: In India, underweight has been prevalent, and the prevalence of overweight/obesity is increasing rapidly, particularly among men. The dual burden of underweight and overweight/obesity is alarming and needs to be considered; public health measures to address this situation must also be adopted through policy initiatives.

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Section: Discussionsupporting

confidence: 91%

Section: Discussionmentioning

confidence: 92%

Section: Resultsmentioning

confidence: 99%

Section: Predictor Variablesmentioning

confidence: 99%

Section: Covariatesmentioning

confidence: 99%

See 3 more Smart Citations

The double burden of malnutrition among adults in India: evidence from the National Family Health Survey-4 (2015-16)

Dutta

Selvamani²,

Singh

et al. 2019

Epidemiol Health

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show abstract

Population estimates, consequences, and risk factors of obesity among pregnant and postpartum women in India: Results from a national survey and policy recommendations

Chopra

Kaur

Singh

et al. 2020

Intl J Gynecology & Obste

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Objective To examine prevalence, risk factors, and consequences of maternal obesity; and provide evidence on current policies and programs to manage maternal obesity in India. Methods This is a mixed‐methods study. We analyzed the National Family Health Survey (NFHS)‐4 data (2015–16) to estimate the prevalence and risk factors of obesity, followed by a desk review of literature and stakeholder mapping with interviews to develop policy guidance. Results National prevalence of obesity (defined by WHO as body mass index ≥25) was comparable among pregnant (12%) and postpartum women (13%) ≥20 years of age. A high prevalence of obesity (>40%) was observed in over 30 districts in multiple states. Older maternal age, urban residence, increasing wealth quintile, and secondary education were associated with increased odds of obesity among pregnant and postpartum women; higher education increased odds among postpartum women only (OR 1.90; 95% CI, 1.44–2.52). Dietary variables were not associated with obesity. Several implementation challenges across healthcare system blocks were observed at policy level. Conclusion Overall prevalence of obesity in India during and after pregnancy is high, with huge variation across districts. Policy and programs must be state‐specific focusing on prevention, screening, and management of obesity among pregnant and postpartum women.

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Missed opportunities for initiation of treatment and control of hypertension among older adults in India

Bhatia¹,

Kumar²,

Dixit³

et al. 2022

Preventive Medicine Reports

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Socioeconomic patterning of chronic conditions and behavioral risk factors in rural South Asia: a multi-site cross-sectional study

Abstract: Ongoing monitoring of inequalities in chronic disease risks is needed for planning and evaluating interventions to address the growing burden of chronic conditions.

Cited by 11 publications

References 34 publications

The double burden of malnutrition among adults in India: evidence from the National Family Health Survey-4 (2015-16)

The double burden of malnutrition among adults in India: evidence from the National Family Health Survey-4 (2015-16)

Population estimates, consequences, and risk factors of obesity among pregnant and postpartum women in India: Results from a national survey and policy recommendations

Missed opportunities for initiation of treatment and control of hypertension among older adults in India

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