Urban social determinants of non-communicable diseases risk factors in Argentina

TUMAS, NATALIA; RODRÍGUEZ LÓPEZ, SANTIAGO; BILAL, USAMA; ORTIGOZA, ANA; DIEZ-ROUX, ANA V.

Health & Place

ELSEVIER

Año: 2022

1353-8292

We examined associations of individual-, neighborhood- and city-level education -as proxies of SES at different levels-, with diabetes, hypertension, obesity, smoking and binge drinking (non-communicable disease risk factors - NCD/RF) among Argentinian adults. We estimated mixed models based on 21,415 individuals from the 2013 National Survey of Risk Factors, living in 2,698 neighborhoods and 33 cities. Gradients by individual-level education differed by gender and NCD/RF, and some were modified by city education. In addition, we identified contextual effects of neighborhood and city education on some NCD/RF. Urban efforts to tackle NCD/RF in Argentina should be context- and gender-sensitive, and mainly focused on socially disadvantaged groups.