+ Site Statistics
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

Socioeconomic inequality in abdominal obesity among older people in Purworejo District, Central Java, Indonesia - a decomposition analysis approach



Socioeconomic inequality in abdominal obesity among older people in Purworejo District, Central Java, Indonesia - a decomposition analysis approach



International Journal for Equity in Health 16(1): 214



Label="BACKGROUND">Obesity has become a global health challenge as its prevalence has increased globally in recent decades. Studies in high-income countries have shown that obesity is more prevalent among the poor. In contrast, obesity is more prevalent among the rich in low- and middle-income countries, hence requiring different focal points to design public health policies in the latter contexts. We examined socioeconomic inequalities in abdominal obesity in Purworejo District, Central Java, Indonesia and identified factors contributing to the inequalities.Label="METHODS">We utilised data from the WHO-INDEPTH Study on global AGEing and adult health (WHO-INDEPTH SAGE) conducted in the Purworejo Health and Demographic Surveillance System (HDSS) in Purworejo District, Indonesia in 2010. The study included 14,235 individuals aged 50 years and older. Inequalities in abdominal obesity across wealth groups were assessed separately for men and women using concentration indexes. Decomposition analysis was conducted to assess the determinants of socioeconomic inequalities in abdominal obesity.Label="RESULTS">Abdominal obesity was five-fold more prevalent among women than in men (30% vs. 6.1%; p < 0.001). The concentration index (CI) analysis showed that socioeconomic inequalities in abdominal obesity were less prominent among women (CI = 0.26, SE = 0.02, p < 0.001) compared to men (CI = 0.49, SE = 0.04, p < 0.001). Decomposition analysis showed that physical labour was the major determinant of socioeconomic inequalities in abdominal obesity among men, explaining 47% of the inequalities, followed by poor socioeconomic status (31%), ≤ 6 years of education (15%) and current smoking (11%). The three major determinants of socioeconomic inequalities in abdominal obesity among women were poor socio-economic status (48%), physical labour (17%) and no formal education (16%).Label="CONCLUSION">Abdominal obesity was more prevalent among older women in a rural Indonesian setting. Socioeconomic inequality in abdominal obesity exists and concentrates more among the rich population in both sexes. The inequality gap is less prominent among women, indicating a trend towards obesity being more common in poor women. Policies to address social determinants of health need to be developed to address the socioeconomic inequality gaps in obesity, with particular focus on addressing the existing burden of obesity among the better-off population group, while preventing the imminent burden of obesity among the worst-off group, particularly among women.

Please choose payment method:






(PDF emailed within 0-6 h: $19.90)

Accession: 065522203

Download citation: RISBibTeXText

PMID: 29233136

DOI: 10.1186/s12939-017-0708-6


Related references

Concurrent prevalence of chronic energy deficiency and obesity among women in Purworejo, Central Java, Indonesia. Food & Nutrition Bulletin 19(4): 321-333, 1998

Food patterns during an economic crisis among pregnant women in Purworejo District, Central Java, Indonesia. Food and Nutrition Bulletin 24(3): 256-267, 2003

Health and quality of life among older rural people in Purworejo District, Indonesia. Global Health Action 3:, 2010

Change of strategy is required for malaria elimination: a case study in Purworejo District, Central Java Province, Indonesia. Malaria Journal 14: 318, 2015

Malaria Risk Factors in Kaligesing, Purworejo District, Central Java Province, Indonesia: A Case-control Study. Journal of Preventive Medicine and Public Health 51(3): 148-153, 2018

Frequency distribution of antimalarial drug-resistant alleles among isolates of Plasmodium falciparum in Purworejo district, Central Java Province, Indonesia. American Journal of Tropical Medicine and Hygiene 69(6): 614-620, 2003

"It is not possible for me to have diabetes"-community perceptions on diabetes and its risk factors in Rural Purworejo District, Central Java, Indonesia. Global Journal of Health Science 6(5): 204-218, 2014

Re-emerging malaria in Central Java, Indonesia An epidemic at Purworejo. American Journal of Tropical Medicine & Hygiene 62(3 Suppl.): 236, 2000

Standard chloroquine or Fansidar therapy for uncomplicated malaria caused by Plasmodium falciparum or P vivax at Purworejo Central Java, Indonesia. American Journal of Tropical Medicine & Hygiene 62(3 Suppl.): 276-277, 2000

Reconciling agricultural production and sustainability in the uplands of Central Java: a study of the farming systems of two villages in Semarang District, Central Java, Indonesia. Farming Systems Analysis Paper ( 13(E)): 33pp., 1991

Socioeconomic inequality in functional deficiencies and chronic diseases among older Indian adults: a sex-stratified cross-sectional decomposition analysis. Bmj Open 9(2): E022787, 2019

Socioeconomic inequality in childhood obesity and its determinants: a Blinder-Oaxaca decomposition. Jornal de Pediatria 94(2): 131-139, 2017

Health information system model for monitoring treatment and surveillance for leprosy patients in indonesia (case study in Pekalongan District, Central Java, Indonesia). Studies in Health Technology and Informatics 192: 1096, 2013

Socioeconomic inequality of unintended pregnancy in the Iranian population: a decomposition approach. Bmc Public Health 18(1): 607, 2018

Does socioeconomic inequality in health persist among older people living in resource-poor urban slums?. Journal of Urban Health 88(Suppl. 2): S381-S400, 2011