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Lisa Pawloski

Lisa Pawloski

George Mason Univeristy, USA

Title: nderstanding obesity among women in Erbil, the autonomous region of Kurdistan, Iraq using nutritional indicators and geographic data

Biography

Biography: Lisa Pawloski

Abstract

Public health challenges in low-income countries often focus on issues of undernutrition, however, as countries transition, we often see a trend of increasing obesity and chronic diseases. One specific region which has undergone recent significant economic transition is the Autonomous Region of Kurdistan. Few studies have examined adult populations here, and none have explored related geographic components. Thus this paper presents nutritional status and geographic data collected from 1023 adult women aged 18 to 63 years working/studying at two universities in Erbil, Kurdistan. Nutritional status data included height, weight, body mass index, waist/hip circumference and percent body fat. Geographic data were collected by asking participants to locate their residence on large scanned maps which were georeferenced to known GIS layers of Erbil and then digitized. The local Getis-Ord spatial clustering statistic was used to identify spatial clusters of high and low BMI values. Indicators of underweight were found in 3.4% of the sample and 44% were found to be either overweight or obese. Spatial cluster analysis found a persistent cluster of low BMI values in the southwest quadrant of the city over a range of critical distances. Clusters of high BMI values were discernible across the central and eastern areas of the city, but varied with critical distances. These data suggest higher BMI to be associated with wealthier neighborhoods within Erbil. The findings are significant in that they represent one of the first descriptive and geographic analyses of the nutritional situation among women in Erbil, Kurdistan