Gender inequalities in excess adiposity and anaemia combine in a large double burden of malnutrition gap detrimental to women in an urban area in North Africa
Bibliographic Data
| ID | 15096046 |
|---|---|
| Authors | Pierre Traissac (0000-0002-3184-5597, Institut de Recherche pour le Développement, corresponding author), Jalila El Ati (0000-0002-8715-455X, Institut National de Nutrition et de Technologie Alimentaire), Agnes Gartner (0000-0002-8225-0227, Agropolis International), Houda Ben Gharbia (0000-0002-0793-045X, Institut National de Nutrition et de Technologie Alimentaire), Francis Delpeuch (Institut de Recherche pour le Développement) |
| Year | 2016 |
| Volume | 19 |
| Issue | 8 |
| Pages | 1428-1437 |
| Publication date | 2016-06-01 |
| Peer Reviewed | Yes |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Public Health Nutrition (JOURNAL) |
| Journal identifiers | ISSN: 1368-9800 • E-ISSN: 1475-2727 |
| Publisher | Cambridge University Press (CUP) (PUBLISHER) |
| DOI | 10.1017/s1368980016000689 |
| PMID | 27049694 |
| OpenAlex | W2314954239 |
| Language | EN |
| Citations received | 2 |
| References cited | 43 |
Objective The nutrition transition has exacerbated the gender gap in health in the Middle East and North Africa region as the increase in excess adiposity has been much higher among women than men. This is not exclusive of the persistence of anaemia, generally also more prevalent among women. We assessed the magnitude and sociodemographic factors associated with gender inequality vis-à-vis the double burden of excess adiposity and anaemia. Design Cross-sectional study, stratified two-stage cluster sample. BMI (=weight/height 2 ) ≥25·0 kg/m 2 defined overweight and BMI≥30·0 kg/m 2 obesity. Anaemia was defined as Hb v . men relative prevalence ratios (RPR). Their variation with sociodemographic characteristics used models including gender × covariate interactions. Setting Greater Tunis area in 2009–2010. Subjects Adults aged 20–49 years (women, n 1689; men, n 930). Results Gender inequalities in excess adiposity were high (e.g. overweight: women 64·9 % v . men 48·4 %; RPR=2·1; 95 % CI 1·6, 2·7) and much higher for anaemia (women 38·0 % v . men 7·2 %; RPR=8·2; 95 % CI 5·5, 12·4). They were striking for overweight and anaemia (women 24·1 % v . men 3·4 %; RPR=16·2; 95 % CI 10·3, 25·4). Gender inequalities in overweight adjusted for covariates increased with age but decreased with professional activity and household wealth score; gender inequality in anaemia or overweight and anaemia was more uniformly distributed. Conclusions Women were much more at risk than men, from both over- and undernutrition perspectives. Both the underlying gender-related and sex-linked biological determinants of this remarkable double burden of malnutrition inequality must be addressed to promote gender equity in health
Anemia · Cross-sectional study · Double burden · Inequality · Malnutrition · Obesity · Overweight · Child Nutrition and Water Access · Demography · Medicine · Obesity and Health Practices · Obesity, Physical Activity, Diet · Endocrinology · Gerontology · Internal Medicine
Analysis of Health Surveys
Applied Logistic Regression
Genders, sexes, and health
Global Gender Disparities in Obesity
Anaemia in low-income and middle-income countries
Measuring socio-economic position for epidemiological studies in low- and middle-income countries
A systematic analysis of global anemia burden from 1990 to 2010
Global nutrition transition and the pandemic of obesity in developing countries
Social determinants of health inequalities
Gender inequity in health
The hidden penalties of gender inequality
Prevalence of diabetes in Northern African countries
The double burden of malnutrition and cardiometabolic risk widens the gender and socio-economic health gap
Aetiological factors and perception of anaemia in Tunisian women of reproductive age
Patterns of weight change and progression to overweight and obesity differ in men and women
Tunisian Women's Perceptions of Desirable Body Size and Chronic Disease Risk
Cultural constructions of “obesity”
Central gender theoretical concepts in health research
Gender equity and socioeconomic inequality
Gender inequalities of health in the third world
Does Female Disadvantage Mean Lower Access to Food
Obesity and household roles
| Unique citing works | 2 |
|---|---|
| Citations per year | 0,29 |
| Citation span | 2019 - 2020 (2) |
| Citation velocity | historical |
| Highly cited | No |
| Citation types | Neutral: 2 |