IDEAS home Printed from https://ideas.repec.org/a/plo/pone00/0208491.html
   My bibliography  Save this article

The role of intergenerational educational mobility and household wealth in adult obesity: Evidence from Wave 2 of the World Health Organization’s Study on global AGEing and adult health

Author

Listed:
  • Stella T Lartey
  • Costan G Magnussen
  • Lei Si
  • Barbara de Graaff
  • Richard Berko Biritwum
  • George Mensah
  • Alfred Yawson
  • Nadia Minicuci
  • Paul Kowal
  • Godfred O Boateng
  • Andrew J Palmer

Abstract

Background: Obesity has emerged as a major risk factor for non-communicable diseases in low and middle-income countries but may not follow typical socioeconomic status (SES)-related gradients seen in higher income countries. This study examines the associations between current and lifetime markers of SES and BMI categories (underweight, normal weight, overweight, obese) and central adiposity in Ghanaian adults. Methods: Data from 4,464 adults (2,610 women) who participated in the World Health Organization’s Study on global AGEing and adult health (SAGE) Wave 2 were examined. Multilevel multinomial and binomial logistic regression models were used to examine associations. SES markers included parental education, individual education, intergenerational educational mobility and household wealth. Intergenerational educational mobility was classified: stable-low (low parental and low individual education), stable-high (high parental and high individual education), upwardly (low parental and high individual education), or downwardly mobile (high parental and low individual education). Results: The prevalence of obesity (12.9%) exceeded the prevalence of underweight (7.2%) in the population. High parental and individual education were significantly associated with higher odds of obesity and central adiposity in women. Compared to the stable low pattern, stable high (obesity: OR = 3.15; 95% CI: 1.96, 5.05; central adiposity: OR = 1.75; 95% CI: 1.03, 2.98) and upwardly (obesity: OR = 1.71; 95% CI: 11.13, 2.60; central adiposity: OR = 1.60; 95% CI: 1.08, 2.37) mobile education patterns were associated with higher odds of obesity and central adiposity in women, while stable high pattern was associated with higher odds of overweight (OR = 1.88; 95% CI: 1.11, 3.19) in men. Additionally, high compared to the lowest household wealth was associated with high odds of obesity and central adiposity in both sexes. Conclusion: Stable high and upwardly mobile education patterns are associated with higher odds of obesity and central adiposity in women while the stable high pattern was associated with higher odds of overweight in men.

Suggested Citation

  • Stella T Lartey & Costan G Magnussen & Lei Si & Barbara de Graaff & Richard Berko Biritwum & George Mensah & Alfred Yawson & Nadia Minicuci & Paul Kowal & Godfred O Boateng & Andrew J Palmer, 2019. "The role of intergenerational educational mobility and household wealth in adult obesity: Evidence from Wave 2 of the World Health Organization’s Study on global AGEing and adult health," PLOS ONE, Public Library of Science, vol. 14(1), pages 1-19, January.
    • Handle: RePEc:plo:pone00:0208491
    DOI: 10.1371/journal.pone.0208491
    as

    Download full text from publisher

    File URL: https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0208491
    Download Restriction: no
    File URL: https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0208491&type=printable
    Download Restriction: no
    File URL: https://libkey.io/10.1371/journal.pone.0208491?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    References listed on IDEAS

    as
    1. Sophia Rabe‐Hesketh & Anders Skrondal, 2006. "Multilevel modelling of complex survey data," Journal of the Royal Statistical Society Series A, Royal Statistical Society, vol. 169(4), pages 805-827, October.
    2. Deon Filmer & Lant Pritchett, 2001. "Estimating Wealth Effects Without Expenditure Data—Or Tears: An Application To Educational Enrollments In States Of India," Demography, Springer;Population Association of America (PAA), vol. 38(1), pages 115-132, February.
    3. Rodolfo Nayga, 2000. "Schooling, health knowledge and obesity," Applied Economics, Taylor & Francis Journals, vol. 32(7), pages 815-822.
    4. Stella Lartey & Rasheda Khanam & Shingo Takahashi, 2016. "The Impact Of Household Wealth On Child Survival In Ghana," Working Papers EMS_2016_01, Research Institute, International University of Japan.
    5. World Bank Group, 2015. "Rising through Cities in Ghana," World Bank Publications - Reports 22020, The World Bank Group.
    6. S V Subramanian & Emre Özaltin & Jocelyn E Finlay, 2011. "Height of Nations: A Socioeconomic Analysis of Cohort Differences and Patterns among Women in 54 Low- to Middle-Income Countries," PLOS ONE, Public Library of Science, vol. 6(4), pages 1-13, April.
    7. McLaren, Lindsay & Kuh, Diana, 2004. "Women's body dissatisfaction, social class, and social mobility," Social Science & Medicine, Elsevier, vol. 58(9), pages 1575-1584, May.
    8. Greenland, S., 1989. "Modeling and variable selection in epidemiologic analysis," American Journal of Public Health, American Public Health Association, vol. 79(3), pages 340-349.
    9. World Bank Group, 2015. "Urbanization in Ghana," World Bank Publications - Reports 22761, The World Bank Group.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Lartey, Stella T. & Si, Lei & Otahal, Petr & de Graaff, Barbara & Boateng, Godfred O. & Biritwum, Richard Berko & Minicuci, Nadia & Kowal, Paul & Magnussen, Costan G. & Palmer, Andrew J., 2020. "Annual transition probabilities of overweight and obesity in older adults: Evidence from World Health Organization Study on global AGEing and adult health," Social Science & Medicine, Elsevier, vol. 247(C).
    2. Wu, Hania Fei, 2021. "Social determination, health selection or indirect selection? Examining the causal directions between socioeconomic status and obesity in the Chinese adult population," Social Science & Medicine, Elsevier, vol. 269(C).
    3. Weidong Li & Shuzhuo Li & Marcus W. Feldman, 2021. "Socioeconomic Status, Institutional Power, and Body Mass Index among Chinese Adults," IJERPH, MDPI, vol. 18(20), pages 1-19, October.

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Lartey, Stella T. & Si, Lei & Otahal, Petr & de Graaff, Barbara & Boateng, Godfred O. & Biritwum, Richard Berko & Minicuci, Nadia & Kowal, Paul & Magnussen, Costan G. & Palmer, Andrew J., 2020. "Annual transition probabilities of overweight and obesity in older adults: Evidence from World Health Organization Study on global AGEing and adult health," Social Science & Medicine, Elsevier, vol. 247(C).
    2. Ting Meng & Wojciech J. Florkowski & Daniel B. Sarpong & Manjeet Chinnan & Anna V. A. Resurreccion, 2021. "Cooking Fuel Usage in Sub-Saharan Urban Households," Energies, MDPI, vol. 14(15), pages 1-18, July.
    3. Tarun Ghawana & Karel Janečka & Sisi Zlatanova, 2021. "Development of 3D Spatial Database Enabled IT Framework for Land Agencies: Case Studies of Delhi, India and Prague, Czech Republic," Land, MDPI, vol. 10(3), pages 1-23, March.
    4. Diane Coffey & Ashwini Deshpande & Jeffrey Hammer & Dean Spears, 2019. "Local Social Inequality, Economic Inequality, and Disparities in Child Height in India," Demography, Springer;Population Association of America (PAA), vol. 56(4), pages 1427-1452, August.
    5. Angus Deaton & Jean Dreze, 2008. "Nutrition in India: Facts and Interpretations," Working Papers 1071, Princeton University, Woodrow Wilson School of Public and International Affairs, Research Program in Development Studies..
    6. Cornelie Nienaber-Rousseau & Olusola F. Sotunde & Patricia O. Ukegbu & P. Hermanus Myburgh & Hattie H. Wright & Lize Havemann-Nel & Sarah J. Moss & Iolanthé M. Kruger & H. Salomé Kruger, 2017. "Socio-Demographic and Lifestyle Factors Predict 5-Year Changes in Adiposity among a Group of Black South African Adults," IJERPH, MDPI, vol. 14(9), pages 1-16, September.
    7. Kumar, Kaushalendra & Shukla, Ankita & Singh, Abhishek & Ram, Faujdar & Kowal, Paul, 2016. "Association between wealth and health among older adults in rural China and India," The Journal of the Economics of Ageing, Elsevier, vol. 7(C), pages 43-52.
    8. Winters, P. & Kafle, K. & Benfica, R., 2018. "IFAD RESEARCH SERIES 21 - Does relative deprivation induce migration? Evidence from sub-Saharan Africa," IFAD Research Series 280070, International Fund for Agricultural Development (IFAD).
    9. Langyintuo, Augustine S. & Mungoma, Catherine, 2008. "The effect of household wealth on the adoption of improved maize varieties in Zambia," Food Policy, Elsevier, vol. 33(6), pages 550-559, December.
    10. Ravi Prakash & Abhishek Singh, 2014. "Who Marries Whom? Changing Mate Selection Preferences in Urban India and Emerging Implications on Social Institutions," Population Research and Policy Review, Springer;Southern Demographic Association (SDA), vol. 33(2), pages 205-227, April.
    11. Aleksandra Parteka & Joanna Wolszczak-Derlacz, 2020. "Wage response to global production links: evidence for workers from 28 European countries (2005–2014)," Review of World Economics (Weltwirtschaftliches Archiv), Springer;Institut für Weltwirtschaft (Kiel Institute for the World Economy), vol. 156(4), pages 769-801, November.
    12. Per Strömblad & Gunnar Myrberg, 2013. "Urban Inequality and Political Recruitment," Urban Studies, Urban Studies Journal Limited, vol. 50(5), pages 1049-1065, April.
    13. Samikshya Poudel & Timothy Dobbins & Husna Razee & Blessing Akombi-Inyang, 2023. "Adolescent Pregnancy in South Asia: A Pooled Analysis of Demographic and Health Surveys," IJERPH, MDPI, vol. 20(12), pages 1-14, June.
    14. Tuccio, Michele & Wahba, Jackline & Hamdouch, Bachir, 2016. "International Migration: Driver of Political and Social Change?," IZA Discussion Papers 9794, Institute of Labor Economics (IZA).
    15. Pritchett, Lant & Sumarto, Sudarno & Suryahadi, Asep, 2001. "Targeted Programs in an Economic Crisis: Empirical Findings from Indonesia’s Experience," MPRA Paper 58727, University Library of Munich, Germany.
    16. Derek Headey & David Stifel & Liangzhi You & Zhe Guo, 2018. "Remoteness, urbanization, and child nutrition in sub‐Saharan Africa," Agricultural Economics, International Association of Agricultural Economists, vol. 49(6), pages 765-775, November.
    17. Barik, Debasis & Desai, Sonalde & Vanneman, Reeve, 2018. "Economic Status and Adult Mortality in India: Is the Relationship Sensitive to Choice of Indicators?," World Development, Elsevier, vol. 103(C), pages 176-187.
    18. Laetitia Duval & François-Charles Wolff, 2016. "Emigration intentions of Roma: evidence from Central and South-East Europe," Post-Communist Economies, Taylor & Francis Journals, vol. 28(1), pages 87-107, January.
    19. Antonia Grohmann & Lukas Menkhoff & Helke Seitz, 2022. "The Effect of Personalized Feedback on Small Enterprises’ Finances in Uganda," Economic Development and Cultural Change, University of Chicago Press, vol. 70(3), pages 1197-1227.
    20. Paschalis Arvanitidis & Athina Economou & Christos Kollias, 2016. "Terrorism’s effects on social capital in European countries," Public Choice, Springer, vol. 169(3), pages 231-250, December.

    More about this item

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:plo:pone00:0208491. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: plosone (email available below). General contact details of provider: https://journals.plos.org/plosone/ .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.