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Socioeconomic inequalities of childhood obesity in South Africa

Obesity is a public health concern in both high- and low-middle income countries. In South Africa obesity is not only limited to adults but is also evidenced in children. In order to contribute useful insights for developing effective obesity policy and programme interventions, this study assesses s...

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Main Author: Nakimuli, Brenda
Other Authors: Alaba, Olufunke
Format: Thesis
Language:English
Published: Health Economics Unit 2017
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access_status_str Open Access
author Nakimuli, Brenda
author2 Alaba, Olufunke
author_browse Alaba, Olufunke
Nakimuli, Brenda
author_facet Alaba, Olufunke
Nakimuli, Brenda
author_sort Nakimuli, Brenda
collection Thesis
description Obesity is a public health concern in both high- and low-middle income countries. In South Africa obesity is not only limited to adults but is also evidenced in children. In order to contribute useful insights for developing effective obesity policy and programme interventions, this study assesses socioeconomic (SE) inequalities related to childhood obesity in South Africa. Using data from the South African National Income Dynamics survey (2012), the study assesses the extent of SE inequalities in obesity using concentration index (CI). The study also assesses the determinants that underpin these inequalities using decomposition analysis of the CI. Overall, the positive CI from the results indicates that the burden of obesity is more concentrated among the rich compared to the poor with girls having slightly greater SE inequalities compared to boys. The decomposition analysis further indicated that the determinants of these inequalities were an interplay of individual (i.e. race), household (i.e. household head characteristics) and contextual (i.e. household location) level factors. These findings suggest that there is a continuous need for surveillance of obesity in children over time across different social economic status (SES) especially in low- and middle- income countries. Finally, the results suggest that both childhood obesity and inequalities are complex issues with different underlying determinants that vary with the different SES, gender and may require coordinated policy and programmatic interventions at individual, household and contextual level.
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language eng
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license_str Not specified — see source repository
provenance_str_mv Harvested via OAI-PMH from UCTD — University of Cape Town Open Access Repository
publishDate 2017
publishDateRange 2017
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publisher Health Economics Unit
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spelling oai:open.uct.ac.za:11427/23395 Socioeconomic inequalities of childhood obesity in South Africa Nakimuli, Brenda Alaba, Olufunke Govender, Veloshnee Health Economics Obesity is a public health concern in both high- and low-middle income countries. In South Africa obesity is not only limited to adults but is also evidenced in children. In order to contribute useful insights for developing effective obesity policy and programme interventions, this study assesses socioeconomic (SE) inequalities related to childhood obesity in South Africa. Using data from the South African National Income Dynamics survey (2012), the study assesses the extent of SE inequalities in obesity using concentration index (CI). The study also assesses the determinants that underpin these inequalities using decomposition analysis of the CI. Overall, the positive CI from the results indicates that the burden of obesity is more concentrated among the rich compared to the poor with girls having slightly greater SE inequalities compared to boys. The decomposition analysis further indicated that the determinants of these inequalities were an interplay of individual (i.e. race), household (i.e. household head characteristics) and contextual (i.e. household location) level factors. These findings suggest that there is a continuous need for surveillance of obesity in children over time across different social economic status (SES) especially in low- and middle- income countries. Finally, the results suggest that both childhood obesity and inequalities are complex issues with different underlying determinants that vary with the different SES, gender and may require coordinated policy and programmatic interventions at individual, household and contextual level. 2017-01-26T13:33:08Z 2017-01-26T13:33:08Z 2016 Master Thesis Masters MPH http://hdl.handle.net/11427/23395 eng application/pdf Health Economics Unit Faculty of Health Sciences University of Cape Town
spellingShingle Health Economics
Nakimuli, Brenda
Socioeconomic inequalities of childhood obesity in South Africa
thesis_degree_str Master's
title Socioeconomic inequalities of childhood obesity in South Africa
title_full Socioeconomic inequalities of childhood obesity in South Africa
title_fullStr Socioeconomic inequalities of childhood obesity in South Africa
title_full_unstemmed Socioeconomic inequalities of childhood obesity in South Africa
title_short Socioeconomic inequalities of childhood obesity in South Africa
title_sort socioeconomic inequalities of childhood obesity in south africa
topic Health Economics
url http://hdl.handle.net/11427/23395
work_keys_str_mv AT nakimulibrenda socioeconomicinequalitiesofchildhoodobesityinsouthafrica