@article{fdi:010061203,
  title = {{O}besity and association with area of residence, gender and socio-economic factors in {A}lgerian and {T}unisian adults},
  author = {{A}tek, {M}. and {T}raissac, {P}ierre and {E}l {A}ti, {J}. and {L}aid, {Y}. and {A}ounallah-{S}khiri, {H}. and {E}ymard-{D}uvernay, {S}abrina and {M}ezimeche, {N}. and {B}ougatef, {S}. and {B}eji, {C}. and {B}outekdjiret, {L}. and {M}artin-{P}r{\'e}vel, {Y}ves and {L}ebcir, {H}. and {G}artner, {A}gn{\`e}s and {K}olsteren, {P}. and {D}elpeuch, {F}rancis and {B}en {R}omdhane, {H}. and {M}aire, {B}ernard},
  editor = {},
  language = {{ENG}},
  abstract = {{I}ntroduction: {T}he epidemiological transition has resulted in a major increase in the prevalence of obesity in {N}orth {A}frica. {T}his study investigated differences in obesity and its association with area of residence, gender and socio-economic position among adults in {A}lgeria and {T}unisia, two countries with socio-economic and socio-cultural similarities. {M}ethods: {C}ross-sectional studies used stratified, three-level, clustered samples of 35-70 year old adults in {A}lgeria, (women n = 2741, men n = 2004) and {T}unisia (women n = 2964, men n = 2379). {T}hinness was defined as {B}ody {M}ass {I}ndex ({BMI}) = weight/height,< 18.5 kg/m(2), obesity as {BMI} >= 30, and abdominal obesity as waist circumference/height >= 0.6. {A}ssociations with area of residence, gender, age, education, profession and household welfare were assessed. {R}esults: {P}revalence of thinness was very low except among men in {A}lgeria (7.3% {C}.{I}.[5.9-8.7]). {P}revalence of obesity among women was high in {A}lgeria (30.1% {C}.{I}.[27.8-32.4]) and {T}unisia (37.0% {C}.{I}.[34.4-39.6]). {I}t was less so among men (9.1% {C}.{I}.[7.1-11.0] and 13.3% {C}.{I}.[11.2-15.4]). {T}he results were similar for abdominal obesity. {I}n both countries women were much more obesity-prone than men: the women versus men obesity {O}dds-{R}atio was 4.3 {C}.{I}.[3.4-5.5] in {A}lgeria and 3.8 {C}.{I}.[3.1-4.7] in {T}unisia. {O}besity was more prevalent in urban versus rural areas in {T}unisia, but not in {A}lgeria (e. g. for women, urban versus rural {O}dds-{R}atio was 2.4 {C}.{I}.[1.9-3.1] in {T}unisia and only 1.2 {C}.{I}.[1.0-5.5] in {A}lgeria). {O}besity increased with household welfare, but more markedly in {T}unisia, especially among women. {N}evertheless, in both countries, even in the lowest quintile of welfare, a fifth of the women were obese. {C}onclusion: {T}he prevention of obesity, especially in women, is a public health issue in both countries, but there were differences in the patterning of obesity according to area of residence and socio-economic position. {T}hese specificities must be taken into account in the management of obesity inequalities.},
  keywords = {{ALGERIE} ; {TUNISIE}},
  booktitle = {},
  journal = {{P}los {O}ne},
  volume = {8},
  numero = {10},
  pages = {e75640},
  ISSN = {1932-6203},
  year = {2013},
  DOI = {10.1371/journal.pone.0075640},
  URL = {https://www.documentation.ird.fr/hor/fdi:010061203},
}