Lindsay C Kobayashi1,2, Sarah Frank3, Carlos Riumallo-Herl3,4, David Canning3,5, Lisa Berkman3. 1. Lombardi Comprehensive Cancer Center, Georgetown University, Washington, DC, USA. lk721@georgetown.edu. 2. Harvard Center for Population and Development Studies, Harvard T.H. Chan School of Public Health, Cambridge, MA, USA. lk721@georgetown.edu. 3. Harvard Center for Population and Development Studies, Harvard T.H. Chan School of Public Health, Cambridge, MA, USA. 4. Department of Applied Economics, Erasmus School of Economics, Rotterdam, The Netherlands. 5. Department of Global Health and Population, Harvard T.H. Chan School of Public Health, Boston, MA, USA.
Abstract
OBJECTIVES: To investigate the associations between household wealth, household consumption, and chronic disease risk behaviors among older adults in rural South Africa. METHODS: Data were from baseline assessments of 5059 adults aged ≥ 40 in the population-based "Health and Aging in Africa: A Longitudinal Study of an INDEPTH Community in South Africa" in 2015. Confounder-adjusted prevalence ratios were estimated for the associations between each of household wealth and household consumption quintiles with low moderate-to-vigorous physical activity (MVPA), current smoking, frequent alcohol intake, and overweight/obese body mass index (BMI). RESULTS: Low MVPA and overweight/obese BMI were common (57% and 58%, respectively), and linearly increased in prevalence across household wealth quintiles. Low MVPA decreased and overweight/obese BMI increased in prevalence across household consumption quintiles. Smoking and frequent alcohol intake were rare (9% and 6%, respectively); they decreased in prevalence across wealth quintiles, but did not vary by consumption quintile. CONCLUSIONS: Chronic disease risk behaviors are socioeconomically graded among older, rural South African adults. The high prevalence of overweight and obesity in rural South Africa is a public health concern requiring urgent attention.
OBJECTIVES: To investigate the associations between household wealth, household consumption, and chronic disease risk behaviors among older adults in rural South Africa. METHODS: Data were from baseline assessments of 5059 adults aged ≥ 40 in the population-based "Health and Aging in Africa: A Longitudinal Study of an INDEPTH Community in South Africa" in 2015. Confounder-adjusted prevalence ratios were estimated for the associations between each of household wealth and household consumption quintiles with low moderate-to-vigorous physical activity (MVPA), current smoking, frequent alcohol intake, and overweight/obese body mass index (BMI). RESULTS: Low MVPA and overweight/obese BMI were common (57% and 58%, respectively), and linearly increased in prevalence across household wealth quintiles. Low MVPA decreased and overweight/obese BMI increased in prevalence across household consumption quintiles. Smoking and frequent alcohol intake were rare (9% and 6%, respectively); they decreased in prevalence across wealth quintiles, but did not vary by consumption quintile. CONCLUSIONS:Chronic disease risk behaviors are socioeconomically graded among older, rural South African adults. The high prevalence of overweight and obesity in rural South Africa is a public health concern requiring urgent attention.
Entities:
Keywords:
Aging; Alcohol; Body mass index; Physical activity; Rural; Smoking; Socioeconomic inequalities; South Africa
Authors: Kay-Tee Khaw; Nicholas Wareham; Sheila Bingham; Ailsa Welch; Robert Luben; Nicholas Day Journal: PLoS Med Date: 2008-01-08 Impact factor: 11.069
Authors: Stephen B Asiimwe; Meagan Farrell; Lindsay C Kobayashi; Jen Manne-Goehler; Kathleen Kahn; Stephen M Tollman; Chodziwadziwa Whiteson Kabudula; F Xavier Gómez-Olivé; Ryan G Wagner; Livia Montana; Lisa F Berkman; M Maria Glymour; Till Bärnighausen Journal: Sci Rep Date: 2020-10-06 Impact factor: 4.379