The Role of Gender Inequality in the Obesity Epidemic: A Case Study from India

Abstract Recent empirical evidence emphasizes the higher prevalence of overweight and obesity for women, especially in developing countries. However, the potential link between gender inequality and obesity has rarely been investigated. Using longitudinal data from India (IHDS 2005–11), we implement Hausman-Taylor and fixed-effect models to estimate the effect of different dimensions of gender inequalities on female overweight. This study demonstrates that the form of gender inequality or women’s mistreatment differently affects female bodyweight. Indeed, we show that some forms of women’s mistreatments (such as perceived community violence and age difference with husband) increase the risk of female overweight, whereas more severe forms of abuse such as child marriage increase the risk of underweight. Moreover, we also find that higher decision-making power and autonomy about outings are risk factors of weight gain and obesity, especially in urban settings, perhaps indicating a higher exposure to urban obesogenic lifestyles. To conclude, our results suggest that, although improving women’s status in society may be a key action to address the epidemic of obesity, policies must also target hazardous habits that emancipation may imply in urban (obesogenic) environments.

[1]  P. Sarkar,et al.  Prevalence and determinants of isolated systolic and isolated diastolic hypertension in India: Insights from the national family health survey (NFHS)- 4 , 2022, Journal of family medicine and primary care.

[2]  Armando N. Meier Emotions and Risk Attitudes , 2022, American Economic Journal: Applied Economics.

[3]  Pierre Levasseur,et al.  Is overweight still a problem of rich in sub-Saharan Africa? Insights based on female-oriented demographic and health surveys , 2022, World Development Perspectives.

[4]  R. Donato,et al.  The dramatic rise in the prevalence of overweight and obesity in India: Obesity transition and the looming health care crisis , 2020 .

[5]  S. Sundari Structural Changes and Quality of Women’s Labour in India , 2020, The Indian Journal of Labour Economics.

[6]  S. Desai,et al.  Gender inequalities and household fuel choice in India , 2020, Journal of cleaner production.

[7]  H. Nagendra,et al.  Physical Activity Patterns in India Stratified by Zones, Age, Region, BMI and Implications for COVID-19: A Nationwide Study , 2020, Annals of neurosciences.

[8]  Seetha Menon The effect of marital endowments on domestic violence in India , 2020, Journal of Development Economics.

[9]  J. Swinnen,et al.  Obesity, income and gender: The changing global relationship , 2019 .

[10]  Ashley M. Fox,et al.  What is driving global obesity trends? Globalization or “modernization”? , 2019, Globalization and Health.

[11]  A. Shephard Marriage Market Dynamics, Gender, and the Age Gap , 2019, SSRN Electronic Journal.

[12]  Indra de Soysa,et al.  Gender empowerment, inequalities and the prevalence of adult female obesity: An empirical analysis using new data, 1990–2013 , 2018, Scandinavian journal of public health.

[13]  Gretchen A. Stevens,et al.  NCD Countdown 2030: worldwide trends in non-communicable disease mortality and progress towards Sustainable Development Goal target 3.4 , 2018, The Lancet.

[14]  Erin C. Lentz Complicating narratives of women’s food and nutrition insecurity: Domestic violence in rural Bangladesh , 2018 .

[15]  Aakanksha Sinha,et al.  Drivers of change: Examining the effects of gender equality on child nutrition , 2017 .

[16]  F. Ferretti,et al.  Gender discrimination, gender disparities in obesity and human development , 2017, Heliyon.

[17]  Raghav Gaiha,et al.  “Double Burden of Malnutrition” , 2017, International journal of health services : planning, administration, evaluation.

[18]  M. Pratt,et al.  Perceptions of barriers and facilitators in physical activity participation among women in Thiruvananthapuram City, India , 2016, Global health promotion.

[19]  J. Meenakshi Trends and patterns in the triple burden of malnutrition in India , 2016 .

[20]  J. Thakur,et al.  Urban rural differences in diet, physical activity and obesity in India: are we witnessing the great Indian equalisation? Results from a cross-sectional STEPS survey , 2016, BMC Public Health.

[21]  Tran Quoc Bao,et al.  Trends in adult body-mass index in 200 countries from 1975 to 2014: a pooled analysis of 1698 population-based measurement studies with 19·2 million participants , 2016, The Lancet.

[22]  T. Reio,et al.  Gender Inequality Issues in India , 2016 .

[23]  Samuel Stroope Seclusion, decision-making power, and gender disparities in adult health: Examining hypertension in India. , 2015, Social science research.

[24]  J. Cawley An economy of scales: A selective review of obesity's economic causes, consequences, and solutions. , 2015, Journal of health economics.

[25]  Tarun Jain,et al.  Intergenerational Transmission of Gender Attitudes: Evidence from India , 2015, The Journal of Development Studies.

[26]  Pierre Levasseur Causal Effects of Socioeconomic Status on Central Adiposity Risks: Evidence Using Panel Data from Urban Mexico , 2015, Social science & medicine.

[27]  K. Devries,et al.  Global differences between women and men in the prevalence of obesity: is there an association with gender inequality? , 2014, European Journal of Clinical Nutrition.

[28]  S. Jayachandran The Roots of Gender Inequality in Developing Countries , 2014 .

[29]  M. Evenhuis,et al.  'Just Married, Just a Child': Child Marriage in the Indo-Pacific Region , 2014 .

[30]  C. Bonnefond,et al.  Social class and body weight among Chinese urban adults: the role of the middle classes in the nutrition transition. , 2014, Social science & medicine.

[31]  L. Howard,et al.  Experiences of Domestic Violence and Mental Disorders: A Systematic Review and Meta-Analysis , 2012, PloS one.

[32]  T. Cole,et al.  Associations of economic and gender inequality with global obesity prevalence: understanding the female excess. , 2012, Social science & medicine.

[33]  O. Uthman,et al.  Are Individual and Community Acceptance and Witnessing of Intimate Partner Violence Related to Its Occurrence? Multilevel Structural Equation Model , 2011, PloS one.

[34]  Sarah G. Carmichael Marriage and power: Age at first marriage and spousal age gap in lesser developed countries , 2011 .

[35]  V. Moore,et al.  Telescoping the origins of obesity to women's bodies: How gender inequalities are being squeezed out of Barker's hypothesis , 2011, Annals of human biology.

[36]  A. Lleras-Muney,et al.  Child Gender and Parental Investments in India: Are Boys and Girls Treated Differently? , 2010, American economic journal. Applied economics.

[37]  S. Subramanian,et al.  Domestic violence and chronic malnutrition among women and children in India. , 2008, American journal of epidemiology.

[38]  A. Case,et al.  Sex Differences in Obesity Rates in Poor Countries: Evidence from South Africa , 2007, Economics and human biology.

[39]  Tarani Chandola,et al.  Prospective effect of job strain on general and central obesity in the Whitehall II Study. , 2007, American journal of epidemiology.

[40]  K. Ball,et al.  Socioeconomic status and weight change in adults: a review. , 2005, Social science & medicine.

[41]  Badi H. Baltagi,et al.  Fixed effects, random effects or Hausman–Taylor?: A pretest estimator , 2003 .

[42]  B. Swinburn,et al.  Dissecting obesogenic environments: the development and application of a framework for identifying and prioritizing environmental interventions for obesity. , 1999, Preventive medicine.

[43]  E. Rothblum The Stigma of Women's Weight: Social and Economic Realities , 1992 .

[44]  Jerry A. Hausman,et al.  Panel Data and Unobservable Individual Effects , 1981 .

[45]  K. Yount,et al.  Domestic violence and obesity in Egyptian women. , 2011, Journal of biosocial science.

[46]  A. Lleras-Muney,et al.  Child Gender and Parental Investments in India , 2010 .

[47]  Archana Parashar Gender inequality and religious personal laws in India , 2008 .

[48]  Jeffrey M. Woodbridge Econometric Analysis of Cross Section and Panel Data , 2002 .

[49]  A. Uutela,et al.  Cynical hostility, depression, and obesity: the moderating role of education and gender. , 2000, The International journal of eating disorders.