Socioeconomic inequalities and obesity in South Africa: a decomposition analysis
SOURCE: International Journal of Environmental Research and Public Health
OUTPUT TYPE: Journal Article
PUBLICATION YEAR: 2021
TITLE AUTHOR(S): E.Goetjes, M.Pavlova, C.Hongoro, W.Groot
KEYWORDS: HEALTH, INEQUALITIES, OBESITY, SANHANES, SOCIO-ECONOMIC INEQUALITIES
DEPARTMENT: Developmental, Capable and Ethical State (DCES)
Print: HSRC Library: shelf number 12106
HANDLE: 20.500.11910/16384
URI: http://hdl.handle.net/20.500.11910/16384
OUTPUT TYPE: Journal Article
PUBLICATION YEAR: 2021
TITLE AUTHOR(S): E.Goetjes, M.Pavlova, C.Hongoro, W.Groot
KEYWORDS: HEALTH, INEQUALITIES, OBESITY, SANHANES, SOCIO-ECONOMIC INEQUALITIES
DEPARTMENT: Developmental, Capable and Ethical State (DCES)
Print: HSRC Library: shelf number 12106
HANDLE: 20.500.11910/16384
URI: http://hdl.handle.net/20.500.11910/16384
If you would like to obtain a copy of this Research Output, please contact Hanlie Baudin at researchoutputs@hsrc.ac.za.
Abstract
Prior evidence shows that inequalities are related to overweight and obesity in South Africa. Using data from a recent national study, we examine the socioeconomic inequalities associated with obesity in South Africa and the factors associated with it. Methods: We use quantitative data from the South African National Health and Nutrition Examination Survey (SANHANES-1) carried out in 2012. We estimate the concentration index (CI) to identify inequalities and decompose the CI to explore the determinants of these inequalities. Results: We confirm the existence of pro-rich inequalities associated with obesity in South Africa. The inequalities among males are larger (CI of 0.16) than among women (CI of 0.09), though more women are obese than men. Marriage increases the risk of obesity for women and men, while smoking decreases the risk of obesity among men significantly. Higher education is associated with lower inequalities among females. Conclusions: We recommend policies to focus on promoting a healthy lifestyle, including the individual's perception of a healthy body size and image, especially among women.-
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