DO SOCIOECONOMIC AND DEMOGRAPHIC INEQUALITY IN BODY MASS INDEX VARY BY NUTRITION BEHAVIORS AND PHYSICAL ACTIVITY? THE CASE OF TURKEY

Duzgun Oncel, Burcu

DO SOCIOECONOMIC AND DEMOGRAPHIC INEQUALITY IN BODY MASS INDEX VARY BY NUTRITION BEHAVIORS AND PHYSICAL ACTIVITY? THE CASE OF TURKEY

Burcu DÜZGÜN ÖNCEL (Marmara Üniversitesi, İngilizce İktisat, İstanbul, Türkiye)

Finans Politik ve Ekonomik Yorumlar Dergisi

4 1

Yıl: 2021 Cilt: 58 Sayı: 655 Sayfa Aralığı: 161 - 178 Metin Dili: İngilizce İndeks Tarihi: 12-12-2021

DO SOCIOECONOMIC AND DEMOGRAPHIC INEQUALITY IN BODY MASS INDEX VARY BY NUTRITION BEHAVIORS AND PHYSICAL ACTIVITY? THE CASE OF TURKEY

Öz:

Differences in body mass index (BMI) is essential for public health policies. In this respect the objective of this paper is on inequalities in BMI across different nutrition behaviors and physical activities along with socioeconomic status and demographic characteristics. Data is from TURKSTAT Turkish Health Survey for the years 2014 and 2016. We control the differences in groups such as age, gender and family characteristics. We use education as the indicator of socio-economic status (SES). To answer how much of gap is due to nutrition and physical activity, we perform Blinder-Oaxaca type decomposition. Descriptive results show that probability of being obese or underweight decreases with level of education, individuals with low level of nutrition are more likely to be underweight, and individuals with high level of physical activity are less likely to become obese. According to decomposition results, physical activity accounts for the greater difference in mean BMI than nutrition when we control for education and demographic characteristics for females.

Anahtar Kelime:

BESLENME ALIġKANLIKLARI VE FĠZĠKSEL AKTĠVĠTE, SOSYOEKONOMĠK VE DEMOGRAFĠK DEĞĠġKENLERE GÖRE VÜCUT KĠTLE ĠNDEKSĠ EġĠTSĠZLĠĞĠNĠ DEĞĠġTĠRĠYOR MU? TÜRKĠYE ÖRNEĞĠ

Öz:

Vücut kitle indeksindeki (VKĠ) farklılıklar halk sağlığı politikaları için önemlidir. Bu bağlamda, bu makalenin amacı, sosyoekonomik durum ve demografik özelliklerin yanı sıra farklı beslenme davranıĢlarının ve fiziksel aktivitenin VKĠ‘inde yarattığı eĢitsizlikler üzerinedir. Veriler 2014 ve 2016 yıllarına ait TÜĠK Türkiye Sağlık AraĢtırması'ndan alınmıĢtır. ÇalıĢmada yaĢ, cinsiyet ve aile özellikleri gibi grup farklılıklarını da kontrol etmekteyiz. Eğitimi sosyo-ekonomik durumun göstergesi olarak kullanmaktayız. VKĠ‘indeki eĢitsizliğin ne kadarının beslenme ve fiziksel aktiviteden kaynaklandığını anlamak için Blinder-Oaxaca tipi ayrıĢtırma yapmaktayız. Betimsel sonuçlar eğitim düzeyiyle birlikte obez veya düĢük kiloda olma olasılığının azaldığını, düĢük beslenme düzeyine sahip bireylerin düĢük kiloda olma olasılığının daha yüksek olduğunu, yüksek fiziksel aktivite düzeyine sahip bireylerin de obez olma olasılığının daha düĢük olduğunu göstermektedir. AyrıĢtırma sonuçlarına göre, eğitim ve demografik özellikleri kontrol ettiğimizde, fiziksel aktivite, beslenme alıĢkanlıklarına göre kadınlarda ortalama VKĠ'indeki daha büyük farkı açıklamaktadır.

Anahtar Kelime:

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık

ANKARA, Hasan Giray; (2016), ―Inequality Analyses of Obesity in Turkey.‖ International Journal of Social Science and Humanity, 6, pp.742-755.
AL-HANAWI, Mohammed Khaled, CHIRWA, Gowokani, C., and Tony M. KAMNINGA; (2020), Decomposition of Gender Differences in Body Mass Index in Saudi Arabia us-ing Unconditional Quantile Regression: Analysis of National-Level Survey Data‖, Int. J. Environ. Res. Public Health, 17, pp.1-15.
AZAGBA, Sunday and Mesbah Fathy SHARAF; (2012), Fruit and Vegetable Consumption and Body Mass Index: A Quantile Regression Approach‖, Journal of Primary Care & Community Health; 3(3), 210-220.
BANN, David, JOHNSON, William, LI, Leah, KUH, Diana, and Rebecca HARDY; (2018), ―Socioeconomic Inequaltiesin Childhood and Adolescent Body-Mass Index, Weight, and Height from 1953 to 2015: An Analysis of Four Longitudinal, Observa-tional, British Cohort Studies‖, Lancet Public Health, 3, pp.194-203.
BOSTROM; G. and DIDERĠCHSEN, F.; (1997), ―Socioeconomic Differential in Misclas-sification of Height, Weight and Body Mass Index Based on Questionnaire Data‖, J. Epidemiol, 26; Fpp.860-866.
CHARLTON, Karen, KOWALi Paul, SORIANO, Melinda M., WILLIAMS, Sharon, VO, Kho and Julie BYLES; (2014), ―Fruit and Vegetable Intake and Body Mass Index in a Large Sample of Middle-Aged Australian Men and Women, Nutrients, 6, pp..2305-2319.
EMANIAN, Mohammad Hassan, FATEH, M, HOSSEINPOOR, Ahmad Reza, ALAMĠ, Ali, and Akbar FOTOUHI; (2017), ―Obesity and its Socioeconomic Determinants in Iran.‖ Economics and Human Biology, 26, pp.144-150.
DUTTON, Daniel J., and Lindsay MCLAREN; (2016), ―How Important are Determinants of Obesity Measured at the Individual Level for Explaining Geopraphic Variation in Body Mass Index Distributions? Observational Evidence from Canada Using Quantile Regression and Blinder-Oaxaca Decomposition‖, Journal of Epidemiology and Com-munitiy Health, 70(4), pp.367-373.
DÜZGÜN ÖNCEL, Burcu and Deniz KARAOĞLAN; (2019), Socioeconomic Determi-nants of Adult Obesity: Decomposition Analysis on Turkey In: C. Yurtseven and M. Tkce (eds.) Current Issues in Turkish Economics: Problems and Policy Suggestions. Berlin; Peter Lang Publishing.
FIELD, A.E., GILLMAN, M.W., ROSNER, B., ROCKETTAND; H.R and G.A Colditz; (2003), ―Association between Fruit and Vegetable Intake and Change in Body Mass In-dex among a Large Sample of Children and Adolescents in the United States‖, Interna-tional Journal of Obesity, 27, pp. 821-826.
ERGĠN, Isil, HASSOY, Hur, and Anton KUNST; (2011), ―Socioeconomic Inequalities in Overweight among Adults in Turkey: A Regional Evaluation.‖ Public Health Nutrition, 15, pp.58-66.
HAJIZADEH, Mohammed, CAMPBELL, M. Karen, and Sisira SARMA; (2014), ―Socio-economic Inequalities in Adult Obesity Risk in Canada: TRends and DEcomposition Analyses‖, European Journal of Health Economics, 15, pp.203-221.
HRUBY, Adela and Frank B. HU; (2015), ―The Epidomiology of Obesity: A Big Picture‖, Pharmaeconomics, 33(7), pp.673-689.
JANN, Ben; (2008) ―The Blinder Oaxaca Decomposition for Linear Regression Models‖, The Stata Journal, 8(4), pp. 453-479.
KARAOĞLAN, Deniz and Aysit TANSEL; (2018), ―Determinants of Body Mass Index in Turkey: A Quantile Regression Analysis form a Middle Income Country‖, Boğaziçi Journal Review of Social, Economic and Administrative Studies, 32(2), pp.01-17.
KESKĠN ÖZBERK, Deniz; (2020), ―How Dietary Pattern Influence Our Health‖, Journal of Research in Economics, 4(2), pp.84-95.
KRISHNA, Aditi, RAZAK, Fahad, LEBEL, Alexandre, SMITH, George D., and Sv SUBRAMANIAN; (2015), ―Trends in Group Inequalities and Interindividual Inequali-ties in BMI in the United States, 1993-2012‖, Am J Clin Nutr, 101, pp.598-605.
MOLINI, Vasco, NUBE, Maarten, and Bart VAN DEN BOOM; (2010), ―Adult BMI as a Health and Nutritional Inequality Measure: Applications at Macro and Miceo Levels‖, World Development, 38(7), pp.1012-1023.
NORMAN, A., BELLOCCO, R., BERGSTROM, A. and A. Wolk; (2001) ―Validity and reproducibility of Self-Reported Tota Physical Activity Differences by Relative Weight‖, Int J Obes Relat Metab Disord, 25, pp.682-688. OAXACA, R. L., (1973), ―Male-Female Wage Differentials in Urban Labor Markets‖, In-ternational Economic Review, 9, pp.693-930.
ROY, T. K., KULKARNI, Sumati, and Y. VAIDEHI; (2004), ―Social Inequalities in Health and Nutrition in Selected States‖, Economic and Political Weekly, 39(7), pp. 677-683.
SALLIS, J.F. and B. E. SAELENS; (2000), ―Assessment of Physical Activity by Self- Re-port: Status, Limitations, and Future Directions‖, Res Q Exer Sport, 71(2), pp.1-14.
SANCHEZ, Emma V., KAWACHI, Ichiro, SUBRAMANIAN, S. V., SANCHEZ, Brisa N. and Dolores ACEVEDO-GARCIA, (2009), ―Do Socioeconomic Gradients in Body Mass Index Vary by Race/Ethnicity, Gender and Birthplace?‖, American Journal of Epidemiology, 169(9), pp. 1102-1112.
SEN, Bisakha; (2014); ―Using the Oaxaca-Blinder Decomposition as an Empirical Tool to Analyze Racial Disparities in Obesity‖, Obesity, 22(7), pp.1750-1755.
TANSEL, Aysit and Deniz KARAOĞLAN; (2014), ―Health Behaviors and Education in Turkey‖, Bonn, Germany: Institute for the Study of Labor (IZA) Discussion Paper No.8262.
TANSEL, Aysit and Deniz KARAOĞLAN; (2019a), ―The Effect of Education on Health Behaviors and Obesity in Turkey: Instrumental Variable Estimates from a Developing Country‖, The European Journal of Development Research, 31(5), pp.1416-1448.
TANSEL, Aysit and Deniz KARAOĞLAN; (2019b), ―Determinants of Health Behaviors and Obesity in Turkey‖ Sosyoekonomi, 41, pp.11-40.
XIAOXING, Z. He and David W. BAKER; (2004), ―Body Mass Index, Physical Activity, and the Risk of Decline in Overall Health and Physical Functioning in Late Middle Age‖, American Journal of Public Health, 94(9), pp.1567-1573.
VENTOSA, Maria Merino, and Rosa M. URBANOS GARRIDO; (2014), ―Disentangling Effects of Socioeconomic Status on Obesity‖, Economics and Human Biology, 22, pp.216-224.
WALSH, Brendan and John CULLINAN; (2015), ―Decomposing Sociooeconomic Ine-qualities in Childhood Obesity: Evidence from Ireland‖, Economics and Human Biol-ogy, 16, pp.60-72. YUMUK, Volkan. D.; (2005); "Prevalence of Obesity in Turkey." Obesity Reviews, 6(1), pp. 9-10.

APA	Duzgun Oncel B (2021). DO SOCIOECONOMIC AND DEMOGRAPHIC INEQUALITY IN BODY MASS INDEX VARY BY NUTRITION BEHAVIORS AND PHYSICAL ACTIVITY? THE CASE OF TURKEY. , 161 - 178.
Chicago	Duzgun Oncel Burcu DO SOCIOECONOMIC AND DEMOGRAPHIC INEQUALITY IN BODY MASS INDEX VARY BY NUTRITION BEHAVIORS AND PHYSICAL ACTIVITY? THE CASE OF TURKEY. (2021): 161 - 178.
MLA	Duzgun Oncel Burcu DO SOCIOECONOMIC AND DEMOGRAPHIC INEQUALITY IN BODY MASS INDEX VARY BY NUTRITION BEHAVIORS AND PHYSICAL ACTIVITY? THE CASE OF TURKEY. , 2021, ss.161 - 178.
AMA	Duzgun Oncel B DO SOCIOECONOMIC AND DEMOGRAPHIC INEQUALITY IN BODY MASS INDEX VARY BY NUTRITION BEHAVIORS AND PHYSICAL ACTIVITY? THE CASE OF TURKEY. . 2021; 161 - 178.
Vancouver	Duzgun Oncel B DO SOCIOECONOMIC AND DEMOGRAPHIC INEQUALITY IN BODY MASS INDEX VARY BY NUTRITION BEHAVIORS AND PHYSICAL ACTIVITY? THE CASE OF TURKEY. . 2021; 161 - 178.
IEEE	Duzgun Oncel B "DO SOCIOECONOMIC AND DEMOGRAPHIC INEQUALITY IN BODY MASS INDEX VARY BY NUTRITION BEHAVIORS AND PHYSICAL ACTIVITY? THE CASE OF TURKEY." , ss.161 - 178, 2021.
ISNAD	Duzgun Oncel, Burcu. "DO SOCIOECONOMIC AND DEMOGRAPHIC INEQUALITY IN BODY MASS INDEX VARY BY NUTRITION BEHAVIORS AND PHYSICAL ACTIVITY? THE CASE OF TURKEY". (2021), 161-178.

APA	Duzgun Oncel B (2021). DO SOCIOECONOMIC AND DEMOGRAPHIC INEQUALITY IN BODY MASS INDEX VARY BY NUTRITION BEHAVIORS AND PHYSICAL ACTIVITY? THE CASE OF TURKEY. Finans Politik ve Ekonomik Yorumlar Dergisi, 58(655), 161 - 178.
Chicago	Duzgun Oncel Burcu DO SOCIOECONOMIC AND DEMOGRAPHIC INEQUALITY IN BODY MASS INDEX VARY BY NUTRITION BEHAVIORS AND PHYSICAL ACTIVITY? THE CASE OF TURKEY. Finans Politik ve Ekonomik Yorumlar Dergisi 58, no.655 (2021): 161 - 178.
MLA	Duzgun Oncel Burcu DO SOCIOECONOMIC AND DEMOGRAPHIC INEQUALITY IN BODY MASS INDEX VARY BY NUTRITION BEHAVIORS AND PHYSICAL ACTIVITY? THE CASE OF TURKEY. Finans Politik ve Ekonomik Yorumlar Dergisi, vol.58, no.655, 2021, ss.161 - 178.
AMA	Duzgun Oncel B DO SOCIOECONOMIC AND DEMOGRAPHIC INEQUALITY IN BODY MASS INDEX VARY BY NUTRITION BEHAVIORS AND PHYSICAL ACTIVITY? THE CASE OF TURKEY. Finans Politik ve Ekonomik Yorumlar Dergisi. 2021; 58(655): 161 - 178.
Vancouver	Duzgun Oncel B DO SOCIOECONOMIC AND DEMOGRAPHIC INEQUALITY IN BODY MASS INDEX VARY BY NUTRITION BEHAVIORS AND PHYSICAL ACTIVITY? THE CASE OF TURKEY. Finans Politik ve Ekonomik Yorumlar Dergisi. 2021; 58(655): 161 - 178.
IEEE	Duzgun Oncel B "DO SOCIOECONOMIC AND DEMOGRAPHIC INEQUALITY IN BODY MASS INDEX VARY BY NUTRITION BEHAVIORS AND PHYSICAL ACTIVITY? THE CASE OF TURKEY." Finans Politik ve Ekonomik Yorumlar Dergisi, 58, ss.161 - 178, 2021.
ISNAD	Duzgun Oncel, Burcu. "DO SOCIOECONOMIC AND DEMOGRAPHIC INEQUALITY IN BODY MASS INDEX VARY BY NUTRITION BEHAVIORS AND PHYSICAL ACTIVITY? THE CASE OF TURKEY". Finans Politik ve Ekonomik Yorumlar Dergisi 58/655 (2021), 161-178.