ArticlePloS one2014
Education modifies the association of wealth with obesity in women in middle-income but not low-income countries: an interaction study using seven national datasets, 2005-2010.
Article in PloS one, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 37 papers, 1 of them a synthesis that pooled it.
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Who cites it
37 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Association Between Educational Attainment and Overweight/Obesity in Eight South Asian Countries: A Systematic Review.Asia-Pacific journal of public health · 2026Pooled it
- Interaction between the place of residence and wealth on the risk of overweight and obesity in Bangladeshi women.PloS one · 2020Trial
- Malnutrition among men in Ghana: socio-demographic factors and rural-urban differences.Journal of health, population, and nutrition · 2026Article
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- Trends and social determinants of the obesity epidemic among reproductive-age women in ten Asian countries.Scientific reports · 2024Article
- Material needs security and cardiovascular risk factors in rural South Africa.BMC public health · 2024Observational
- Impact of Community Based Nutrition Intervention in the Prevention and Control of Anaemia Among Reproductive Aged Women of India.Maternal and child health journal · 2023Article
- Bayesian spatial modeling of childhood overweight and obesity prevalence in Costa Rica.BMC public health · 2023Article
- Maternal and Child Health handbook and under-6 child overweight in greater Jakarta, Indonesia: a cross-sectional web-based survey.BMC nutrition · 2023Article
- Risk factors associated with overweight and obesity in people with severe mental illness in South Asia: cross-sectional study in Bangladesh, India, and Pakistan.Journal of nutritional science · 2023Article
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- Age at childbirth and change in BMI across the life-course: evidence from the INCAP Longitudinal Study.BMC pregnancy and childbirth · 2022Article
- Association between socioeconomic level and cardiovascular risk in the Peruvian population.Revista de saude publica · 2022Article
- Income in relation to obesity measures in an East German adult population: findings from the LIFE-Adult-Study.BMC public health · 2021Article
- Overweight and Obesity among Adults in Iraq: Prevalence and Correlates from a National Survey in 2015.International journal of environmental research and public health · 2021Article
- Double Burden of Malnutrition among Chinese Women of Reproductive Age and Their Social Determinants.Nutrients · 2020Article
- Article
- Child-level double burden of malnutrition in the MENA and LAC regions: Prevalence and social determinants.Maternal & child nutrition · 2020Article
- Differences in magnitude and rates of change in BMI distributions by socioeconomic and geographic factors in Mexico, Colombia, and Peru, 2005-2010.European journal of clinical nutrition · 2020Article
- The shift of obesity burden by socioeconomic status between 1998 and 2017 in Latin America and the Caribbean: a cross-sectional series study.The Lancet. Global health · 2019Article
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Authors and funding
4 authors.
Funding
Abstract
backgroundEducation and wealth may have different associations with female obesity but this has not been investigated in detail outside high-income countries. This study examines the separate and inter-related associations of education and household wealth in relation to obesity in women in a representative sample of low- and middle-income countries (LMICs).
methodsThe seven largest national surveys were selected from a list of Demographic and Health Surveys (DHS) ordered by decreasing sample size and resulted in a range of country income levels. These were nationally representative data of women aged 15-49 years collected in the period 2005-2010. The separate and joint effects, unadjusted and adjusted for age group, parity, and urban/rural residence using a multivariate logistic regression model are presented.
resultsIn the four middle-income countries (Colombia, Peru, Jordan, and Egypt), an interaction was found between education and wealth on obesity (P-value for interaction <0.001). Among women with no/primary education the wealth effect was positive whereas in the group with higher education it was either absent or inverted (negative). In the poorer countries (India, Nigeria, Benin), there was no evidence of an interaction. Instead, the associations between each of education and wealth with obesity were independent and positive. There was a statistically significant difference between the average interaction estimates for the low-income and middle-income countries (P<0.001).
conclusionsThe findings suggest that education may protect against the obesogenic effects of increased household wealth as countries develop. Further research could examine the factors explaining the country differences in education effects.
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