What Drives Abdominal Obesity in Peru? A Multilevel Analysis Approach Using a Nationally Representative Survey

Akram Hernández-Vásquez (), Kamyla M. Olazo-Cardenas, Fabriccio J. Visconti-Lopez and Antonio Barrenechea-Pulache
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Kamyla M. Olazo-Cardenas: Facultad de Ciencias de la Salud, Universidad Científica del Sur, Lima 15067, Peru
Fabriccio J. Visconti-Lopez: Department of Health Sciences, Universidad Peruana de Ciencias Aplicadas, Lima 15023, Peru
Antonio Barrenechea-Pulache: Facultad de Ciencias de la Salud, Universidad Científica del Sur, Lima 15067, Peru

IJERPH, 2022, vol. 19, issue 16, 1-13

Abstract: Abdominal obesity (AO) is a serious public health threat due to its increasing prevalence and effect on the development of various non-communicable diseases. A multilevel analysis of the 2019 Demographic and Family Health Survey (ENDES in Spanish) using the Latin American Diabetes Association (ALAD in Spanish) cut-off points was carried out to evaluate the individual and contextual factors associated with AO in Peru. A total of 30,585 individuals 18 years and older were included in the analysis. The prevalence of AO among Peruvians in 2019 was 56.5%. Individuals of older age (aOR 4.64; 95% CI: 3.95–5.45), women (aOR 2.74; 95% CI: 2.33–3.23), individuals with a higher wealth index (aOR 2.81; 95% CI: 2.40–3.30) and having only secondary education (aOR 1.45; 95% CI: 1.21–1.75) showed increased odds of presenting AO compared to their peers. At a contextual level, only the Human Development Index (aOR 1.59; 95% CI: 1.17–2.16) was associated with the development of AO. A high Human Development Index is the contextual factor most associated with AO. It is necessary to formulate and implement new public health policies focused on these associated factors in order to reduce the prevalence of OA and prevent the excessive burden of associated noncommunicable diseases.

Keywords: Peru; abdominal obesity; multilevel analysis; epidemiology; health surveys (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2022
References: View complete reference list from CitEc
Citations: View citations in EconPapers (1)

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