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. 2022 Sep:77:102611.
doi: 10.1016/j.healthplace.2021.102611. Epub 2021 Jun 29.

Urban social determinants of non-communicable diseases risk factors in Argentina

Natalia Tumas  1 , Santiago Rodríguez López  2 , Usama Bilal  3 , Ana F Ortigoza  4 , Ana V Diez Roux  5
Affiliations

Urban social determinants of non-communicable diseases risk factors in Argentina

Natalia Tumas et al. Health Place. 2022 Sep.

Abstract

We examined associations of individual-, neighborhood- and city-level education -as proxies of SES at different levels-, with diabetes, hypertension, obesity, smoking and binge drinking (non-communicable disease risk factors -NCD/RF) among Argentinian adults. We estimated mixed models based on 21,415 individuals from the 2013 National Survey of Risk Factors, living in 2,698 neighborhoods and 33 cities. Gradients by individual-level education differed by gender and NCD/RF, and some were modified by city education. In addition, we identified contextual effects of neighborhood and city education on some NCD/RF. Urban efforts to tackle NCD/RF in Argentina should be context- and gender-sensitive, and mainly focused on socially disadvantaged groups.

Keywords: Argentina; Mixed models; Non-communicable diseases; Social determinants; Urban.

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Conflict of interest statement

Declaration of competing interest None.

Figures

Fig. 1
Fig. 1
Age-adjusted prevalence (95% confidence intervals) of non-communicable disease risk factors by a) individual-, b) neighborhood- and c) city-level education. Argentina, National Survey of Risk Factors, 2013. Age-adjusted using the age distribution of the sample. 95% confidence intervals are shown in vertical lines.
Fig. 2
Fig. 2
Adjusted odds ratios of non-communicable disease risk factors associated with individual-level education stratified by city education as estimated from multilevel models.
Fig. 3
Fig. 3
Adjusted odds ratios of non-communicable disease risk factors associated with neighborhood-level education stratified by city education as estimated from multilevel models.
See this image and copyright information in PMC

References

    1. Allen L., Williams J., Townsend N., Mikkelsen B., Roberts N., Foster C., Wickramasinghe K. Socioeconomic status and non-communicable disease behavioural risk factors in low-income and lower-middle-income countries: a systematic review. Lancet Glob. Health. 2017;5(3):e277–e289. doi: 10.1016/S2214-109X(17)30058-X. - DOI - PMC - PubMed
    1. Allender S., Foster C., Hutchinson L., Arambepola C. Quantification of urbanization in relation to chronic diseases in developing countries: a systematic review. J. Urban Health. 2008;85(6):938–951. doi: 10.1007/s11524-008-9325-4. - DOI - PMC - PubMed
    1. Amos A., Haglund M. From social taboo to “torch of freedom”: the marketing of cigarettes to women. Tobac. Contr. 2000;9:3–8. doi: 10.1136/tc.9.1.3. - DOI - PMC - PubMed
    1. Auchincloss A.H., Diez Roux A.V., Mujahid M.S., et al. Neighborhood resources for physical activity and healthy foods and incidence of type 2 diabetes mellitus: the Multi-Ethnic study of Atherosclerosis. Arch. Intern. Med. 2009;169:1698–1704. doi: 10.1001/archinternmed.2009.302. - DOI - PMC - PubMed
    1. Batis C., Mazariegos M., Martorell R., Gil A., Rivera J.A. Malnutrition in all its forms by wealth, education and ethnicity in Latin America: who are more affected? Publ. Health Nutr. 2019;23(S1):1–12. doi: 10.1017/S136898001900466X. - DOI - PMC - PubMed

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