Gender Obesity Inequities Are Huge but Differ Greatly According to Environment and Socio-Economics in a North African Setting A National Cross-Sectional Study in Tunisia 英文参考文献.docVIP

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Gender Obesity Inequities Are Huge but Differ Greatly According to Environment and Socio-Economics in a North African Setting A National Cross-Sectional Study in Tunisia 英文参考文献.doc

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Gender Obesity Inequities Are Huge but Differ Greatly According to Environment and Socio-Economics in a North African Setting A National Cross-Sectional Study in Tunisia 英文参考文献

GenderObesityInequitiesAreHugebutDifferGreatly AccordingtoEnvironmentandSocio-Economicsina NorthAfricanSetting:ANationalCross-SectionalStudy inTunisia JalilaElAti1,PierreTraissac2*,FrancisDelpeuch2,HajerAounallah-Skhiri3,ChirazBe′ji1,SabrinaEymard- Duvernay2,SouhaBougatef3,PatrickKolsteren4,BernardMaire2,HabibaBenRomdhane5 1INNTA(NationalInstituteofNutritionandFoodTechnology),Tunis,Tunisia,2IRD(InstitutdeRecherchepourleDe′veloppement),NUTRIPASSResearchUnit,IRD-UM2- UM1, Montpellier, France, 3INSP (National Institute of Public Health), Tunis, Tunisia, 4ITM (Institute of Tropical Medicine), Antwerp, Belgium, 5Epidemiology and PreventionofCardiovascularDiseasesUnit,FacultyofMedicine,Tunis,Tunisia Abstract Introduction:SouthernMediterraneancountrieshaveexperiencedamarkedincreaseintheprevalenceofobesitywhose consequencesforgenderrelatedhealthinequitieshavebeenlittlestudied.Weassessedgenderobesityinequalitiesand theirenvironmentalandsocio-economicmodifiersamongTunisianadults. Methods:Cross-sectionalsurveyin2005;national,3levelrandomclustersampleof35–70yearsTunisians(women:n=2964, men: n=2379). Overall adiposity was assessed by BMI=weight(kg)/height(m)2 and obesity was BMI$30, WHtR=waist circumference to height ratio defined abdominal obesity as WHtR$0.6. Gender obesity inequality measure was women versusmenPrevalenceProportionOdds-Ratio(OR);modelsfeaturinggenderxcovariateinteractionassessedvariationof gender obesity inequalities with area (urban versus rural), age, marital status or socio-economic position (profession, education,householdincomeproxy). Results: BMIwasmuchhigheramongwomen(28.4(0.2))versusmen(25.3(0.1)),P,0.0001)aswasobesity(37.0%versus 13.3%, OR=3.8[3.1–7.4], P,0.0001) and abdominal obesity (42.6% versus 15.6%, 4.0[3.3–4.8], P,0.0001). Gender obesity inequalities(womenversusmenadjustedOR)werehigherinurban(OR=3.3[1.3–8.7])thanrural(OR=2.0[0.7–5.5])areas. Thesegenderobesityinequalitieswerelowerforsubjectswithsecondaryeducationormore(OR=3.3[1.3–8.6]),thanamong