J Prev Med Public Health.  2018 Nov;51(6):289-297. 10.3961/jpmph.18.062.

Measuring and Decomposing Socioeconomic Inequalities in Adult Obesity in Western Iran

• Najafi F
• Pasdar Y
• Hamzeh B
• Rezaei S
• Moradi Nazar M
• Soofi M

• KMID: 2430451
• DOI: http://doi.org/10.3961/jpmph.18.062

Abstract

OBJECTIVES
Obesity is a considerable and growing public health concern worldwide. The present study aimed to quantify socioeconomic inequalities in adult obesity in western Iran.
METHODS
A total of 10 086 participants, aged 35-65 years, from the Ravansar Non-communicable Disease Cohort Study (2014-2016) were included in the study to examine socioeconomic inequalities in obesity. We defined obesity as a body mass index ≥30 kg/m2. The concentration index and concentration curve were used to illustrate and measure wealth-related inequality in obesity. Additionally, we decomposed the concentration index to identify factors that explained wealth-related inequality in obesity.
RESULTS
Overall, the prevalence of obesity in the total sample was 26.7%. The concentration index of obesity was 0.04; indicating that obesity was more concentrated among the rich (p < 0.001). Decomposition analysis indicated that wealth, place of residence, and marital status were the main contributors to the observed inequality in obesity.
CONCLUSIONS
Socioeconomic-related inequalities in obesity among adults warrant more attention. Policies should be designed to reduce both the prevalence of obesity and inequalities in obesity by focusing on those with higher socioeconomic status, urban residents, and married individuals.

Keyword

Health equity; Social class; Socioeconomic factors; Obesity; Iran

MeSH Terms

Adult*
Body Mass Index
Cohort Studies
Health Equity
Humans
Iran*
Marital Status
Obesity*
Prevalence
Public Health
Social Class
Socioeconomic Factors*