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Hacia la Promoción de la Salud
Print version ISSN 0121-7577
Abstract
MONTERO-LOPEZ, Melina et al. Social determinants of health and prevalence of overweight-obesity in urban women according to their socioeconomic level. Hacia promoc. Salud [online]. 2021, vol.26, n.2, pp.192-207. Epub Sep 10, 2021. ISSN 0121-7577. https://doi.org/10.17151/hpsal.2021.26.2.14.
Obesity is a risk factor for different chronic diseases and is associated with genetic, environmental and social factors.
Objective:
To analyze the association between the social determinants of health and the prevalence of overweight and obesity in urban women, according to their socioeconomic status.
Methods:
This cross-sectional study used a mixed approach. For the quantitative component, structured interviews were conducted with a sample of women aged 25-45 years (n=137), representative of two urban cantons in Costa Rica. For the qualitative component, semi-structured interviews were conducted with a sample of 13 institutional actors of the same cantons.
Results:
There are inequalities in the prevalence of overweight and obesity, with a greater impact on the population with a low socioeconomic status. Citizen insecurity, socioeconomic status and overpopulation are obstacles to the development of healthy practices. There is a significant inverse association between regular physical activity and overweight and obesity (OR = 0.35, p = 0.03).
Conclusions:
These results are an input to carry out actions that promote equity, especially in populations that do not have resources for a healthy lifestyle.
Keywords : Obesity; social determinants of social health; social class; health promotion; disparities in health status.