Socioeconomic position and markers of adiposity among female teachers in Mexico

Hirko, Kelly A.; Lajous, Martín; Ortíz-Panozo, Eduardo; López‐Ridaura, Ruy; Christine, Paul J.; Lê‐Scherban, Félice; Rice, Megan S.; Barrientos‐Gutiérrez, Tonatiuh

doi:10.1136/jech-2017-209179

Cited by 11 publications

(13 citation statements)

References 34 publications

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“…In addition, it adds a new perspective on our current understanding of the socioeconomic gradient of obesity in women. A number of studies showed evidence of a negative gradient in females, in particular in middle-and high-income countries (Monteiro et al, 2004;Roskam and Kunst, 2008;Dinsa et al, 2012;Hirko et al, 2017;Newton et al, 2017). The negative gradient for females is consistent with the observation that wealthier women have a healthier diet, greater health awareness and more marked preferences for slenderness (Swami, 2015).…”

Section: Discussionmentioning

confidence: 80%

The economic gradient of obesity in Mexico: Independent predictive roles of absolute and relative wealth by gender

Esposito

Villaseñor

Rodríguez

et al. 2020

Social Science & Medicine

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This is a PDF file of an article that has undergone enhancements after acceptance, such as the addition of a cover page and metadata, and formatting for readability, but it is not yet the definitive version of record. This version will undergo additional copyediting, typesetting and review before it is published in its final form, but we are providing this version to give early visibility of the article. Please note that, during the production process, errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain.

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Section: Discussionmentioning

confidence: 80%

The economic gradient of obesity in Mexico: Independent predictive roles of absolute and relative wealth by gender

Esposito

Villaseñor

Rodríguez

et al. 2020

Social Science & Medicine

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“…We also assessed internet access at home and the type of insurance women used for serious conditions (public, private or other) as indicators for socioeconomic position. (31) Smoking status was defined as current, ever, never or unknown status. Physical activity was categorized into tertiles of total metabolic equivalent of task per week of multiple-choice frequencies of activity.…”

Section: Accepted Manuscriptmentioning

confidence: 99%

“…Ethnicity was defined as whether or not women or her parents spoke an indigenous language/dialect. We also assessed Internet access at home and the type of insurance women used for serious conditions (public, private or other) as indicators for socio-economic position (31) . Smoking status was defined as current, ever, never or unknown status.…”

Section: Covariates Assessmentmentioning

confidence: 99%

Ultraprocessed beverages and processed meats increase the incidence of hypertension in Mexican women

et al. 2020

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Higher intake of ultra-processed foods (UPF), which have undergone multiple processes and have poor nutrient quality, is associated with higher incidence of non-communicable diseases. Yet, its association with hypertension has scarcly been studied, especially in low- and middle-income countries. We aimed to estimate the associations between consumption of UPF (total, liquid and solid) and UPF food subgroups and incident hypertension in a prospective cohort study. We used data from the Mexican Teachers’ Cohort including 64,934 women aged ≥25 y, free of hypertension, cardiovascular disease, and cancer at baseline. We assessed usual dietary intake using a validated food frequency questionnaire (FFQ) at baseline. Each FFQ item was categorized according to NOVA, a degree of food processing classification system. UPF and UPF subgroups were categorized according to the distribution of their contribution to total energy intake. Hypertension was self-reported. We used Poisson regression models to estimate incidence rate ratios (IRR) and their 95% confidence intrevals (95%CI). During a median follow-up of 2.2y (IQR 1.8, 4.4) we identified 3,752 incident cases of hypertension. The mean contribution of UPF to total energy intake was 29.8±9.4% kcal (23.4±8.9% solid, 6.4±4.8% liquid). In multivariable analyses, comparing extreme categories showed that higher total and solid UPF consumption were not associated with incident hypertension (IRR: 0.96; 95%CI:0.79,1.16; IRR: 0.91; 95%CI:0.82,1.01; respectively). However, liquid UPF and processed meats were associated with increased rate of hypertension (IRR: 1.32; 95%CI:1.10,1.65; IRR: 1.17; 95%CI:1.01,1.36; respectively). Addressing intake of liquid UPF and processed meats may help in managing hypertension in LMIC.

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“…The increasing prevalence of being overweight or obese has become a major global public health problem [1,2], due to health consequences, such as hypertension and type 2 diabetes [3,4], and has attracted the attention of many scholars [5][6][7][8]. Studies on being overweight or obese in developed countries have consistently found a negative relationship between socioeconomic status (SES) and being overweight or obese [7][8][9][10][11].…”

Section: Introductionmentioning

confidence: 99%

“…Data from poorer countries show a positive relationship between obesity and SES [8,[12][13][14][15][16][17]. However, in some middle-income countries, there is a negative association between obesity and SES [5,6]. These findings from developing countries reveal that the relationship between SES and obesity is moderated by the level of gross domestic product [15], and this pattern may exists even inside one country [16,17].…”

Section: Introductionmentioning

confidence: 99%

Socioeconomic Status, Institutional Power, and Body Mass Index among Chinese Adults

Feldman

2021

IJERPH

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Despite the vast literature on the socioeconomic status (SES) gradient of obesity among adult people, no study has investigated the relationship between institutional power and body mass index. Using national survey data from the “China Labor-force Dynamics Survey 2016” (CLDS 2016), multistage cluster-stratified probability proportional to size (PPS) sampling was employed to select cases from 29 provinces, cities, and autonomous regions in China. This study adopts an institutional approach to explore the influences of SES and institutional power on the state of being overweight or severely overweight (obese) among Chinese adults. It is shown that SES has a non-linear influence on being overweight or obese, higher education has a negative effect on being overweight or obese, income has an inverted U-shaped effect on being overweight or obese, and having a managerial or administrative job has a positive effect on being overweight but less so on obesity. These findings reveal that disparities in health outcome and risks are due to inequality in SES. The work unit is a stronger predictor of adults being overweight or obese than occupation. Working in the public sector has a positive effect on being overweight relative to working in the private sector, and only state institutions and government departments have a positive association with obesity. Our results indicate that institutional structure still has effects on individuals’ life chances in the era of China’s market transition.

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Socioeconomic position and markers of adiposity among female teachers in Mexico

Abstract: Our findings suggest that SEP remains relevant for adiposity within a single occupational setting and indicate that a stronger conceptualisation of SEP in epidemiological studies may be warranted.

Cited by 11 publications

References 34 publications

The economic gradient of obesity in Mexico: Independent predictive roles of absolute and relative wealth by gender

The economic gradient of obesity in Mexico: Independent predictive roles of absolute and relative wealth by gender

Ultraprocessed beverages and processed meats increase the incidence of hypertension in Mexican women

Socioeconomic Status, Institutional Power, and Body Mass Index among Chinese Adults

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