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- Title
Social Determinants of Obesity and Stunting among Brazilian Adolescents: A Multilevel Analysis.
- Authors
Vale, Diôgo; Andrade, Maria Eduarda da Costa; Dantas, Natalie Marinho; Bezerra, Ricardo Andrade; Lyra, Clélia de Oliveira; Oliveira, Angelo Giuseppe Roncalli da Costa
- Abstract
(1) Background: The purpose of this study was to identify the prevalence of obesity and stunting among Brazilian adolescents and its associations with social determinants of health (individual, family, and school), grounded on the necessity of investigating the determinants of nutritional problems within this population. (2) Methods: A population-based survey was administered to 16,556 adolescents assessed by the 2015 National School Health Survey. Multivariate models of obesity and stunting were estimated from Multilevel Poisson Regressions. (3) Results: The prevalence of obesity among Brazilian adolescents (10.0%; 95% CI: 9.4–10.6) was associated directly with indifference or dissatisfaction with body image, with eating breakfast four or fewer days a week, living with up to four people in the household, studying in private schools, and being from the South region, and was inversely associated with being female, 15 years old or older, with having the highest nutritional risk eating pattern, dining at fast-food restaurants, and eating while watching television or studying. The prevalence of stunting (2.3%; 95% CI: 2.0–2.8) was directly associated with the age of 15 years or older, and inversely associated with the lower number of residents living in the household, maternal education—decreasing gradient from literate to college level education, studying in urban schools, and being from the South and Central-West regions. (4) Conclusions: Obesity in adolescence presented behavioral determinants. Stunting and obesity have structural social determinants related, respectively, to worse and better socioeconomic position among Brazilian adolescents.
- Subjects
BRAZIL; OBESITY; SCHOOL environment; SOCIAL determinants of health; CONFIDENCE intervals; MULTIVARIATE analysis; REGRESSION analysis; SURVEYS; RISK assessment; DISEASE prevalence; FAMILY relations; BREAKFASTS; GROWTH disorders; ADOLESCENCE
- Publication
Nutrients, 2022, Vol 14, Issue 11, p2334
- ISSN
2072-6643
- Publication type
Article
- DOI
10.3390/nu14112334