Türkiye’s position in socio-economic inequalities in adult obesity: a gender-specific and regional assessment
Makaleler > Tam Makale · 2026
Yazarlar: Işıl ERGİN
PUBLIC HEALTH NUTRITION, SCI İndekslerine Giren Dergi, Uluslararası, Wos, 2026, cilt 29, ss 1-10
DOI: 10.1017/S1368980026102031
Özet
OBJECTIVE: This study aims to determine the current status of the obesity epidemic in Türkiye from a global perspective by examining gender-specific socio-economic inequalities at national and regional socio-economic development (SED) levels. DESIGN: A cross-sectional analysis was conducted using data from the 2022 Türkiye Health Survey, employing weighted binary logistic regression models, age-standardised prevalence estimates for national obesity prevalence and model-based age-adjusted prevalence estimates for regional comparisons, with analyses stratified by sex. SETTING: Türkiye. PARTICIPANTS: Data included 20 725 nationally representative adults aged 20 years and older (10 808 women and 9917 men). RESULTS: The national age-standardised obesity prevalence was substantially higher (OR: 1·558; 95 % CI: 1·556, 1·560) in women (28·0 %) than men (18·4 %). In low-SED regions, the gender disparity (women 28·4 %, men 17·9 %) was larger. Higher education was consistently associated with lower obesity risk, more pronounced in women and low-SED regions. The income-obesity relationship was complex. An inverted U-shaped pattern across income quintiles was observed among men in high regional SED and among women both nationwide and across all levels of regional SED. CONCLUSIONS: As of 2022, Türkiye maintains a high obesity prevalence reflecting socio-economic patterns typical of developing countries experiencing nutritional transition. The epidemic stage varies by regional SED, emphasising the necessity for prevention strategies designed with a focus on socio-economic determinants, regional and gender sensitivity.