The impact of economic, political and social globalization on overweight and obesity in the 56 low and middle income countries

被引:114
作者
Goryakin, Yevgeniy [1 ,2 ]
Lobstein, Tim [3 ]
James, W. Philip T. [4 ]
Suhrcke, Marc [2 ,5 ]
机构
[1] Univ E Anglia, Norwich Med Sch, Hlth Econ Grp, Norwich NR4 7TJ, Norfolk, England
[2] Inst Publ Hlth, UKCRC Ctr Diet & Act Res CEDAR, Cambridge, England
[3] World Obes Federat, London, England
[4] London Sch Hyg & Trop Med, London WC1, England
[5] Univ York, Ctr Hlth Econ, York YO10 5DD, N Yorkshire, England
基金
英国惠康基金; 英国经济与社会研究理事会; 英国医学研究理事会;
关键词
Developing countries; Globalization; Obesity; Overweight; FOREIGN DIRECT-INVESTMENT; NUTRITION TRANSITION; SOCIOECONOMIC-STATUS; DETERMINANTS; GROWTH; HEALTH; URBANIZATION; EXPENDITURES; AFRICA; TRADE;
D O I
10.1016/j.socscimed.2015.03.030
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Anecdotal and descriptive evidence has led to the claim that globalization plays a major role in inducing overweight and obesity in developing countries, but robust quantitative evidence is scarce. We undertook extensive econometric analyses of several datasets, using a series of new proxies for different dimensions of globalization potentially affecting overweight in up to 887,000 women aged 15-49 living in 56 countries between 1991 and 2009. After controlling for relevant individual and country level factors, globalization as a whole is substantially and significantly associated with an increase in the individual propensity to be overweight among women. Surprisingly, political and social globalization dominate the influence of the economic dimension. Hence, more consideration needs to be given to the forms of governance required to shape a more health-oriented globalization process. (C) 2015 The Authors. Published by Elsevier Ltd.
引用
收藏
页码:67 / 76
页数:10
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