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

Tumas, Natalia; Rodríguez López, Santiago; Bilal, Usama; Ortigoza, Ana; Diez Roux, Ana V.

doi:http://dx.doi.org/10.1016/j.healthplace.2021.102611

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

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Tumas N, Rodríguez S, Bilal U, Ortigoza AF, Diez AV. Urban social determinants of non-communicable diseases risk factors in Argentina. Health & Place. 2022 Sep;77:102611. DOI: 10.1016/j.healthplace.2021.102611

Abstract

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.