Obezitenin Sosyo-Ekonomik Belirleyicileri: OECD Ülkeleri Analizi

Araştırmanın amacı küresel anlamda artan bir sağlık problemi olan obezitenin sosyal ve ekonomik hayatta meydana gelen değişimlerden ne derece etkilendiğinin belirlenmesidir. Bu amaç ile 29 OECD ve partner ülkesinin 2000-2013 yılları için obezite, sağlık harcamaları, işsizlik, kentleşme, sigara ve alkol kullanımı ile alınan kalori miktarlarına ait veriler alınmıştır. Alınan veriler ile bu ülkelerde obezite oranlarında meydana gelen artış üzerinde sosyo-ekonomik faktörlerin etki düzeyleri araştırılmıştır. Elde edilen bulgulara göre alınan kalori miktarında meydana gelen artış, değişen sosyolojik yapının bir sonucu olarak artan kentleşme, kentleşme ile birlikte artan işsizlik oranı ve alkol kullanımının artması araştırmamızda ele alınan ülkeler için 2000-2013 yılları arasında obezite oranını arttırmaktadır. Ayrıca sağlık harcamalarında meydana gelen artış, aynı ülkelerde aynı dönem için obezite oranını azaltıcı bir etki göstermektedir. Son olarak sigara kullanımının artması ise sağlıklı beslenmeyi olumsuz etkilediğinden dolayı bireylerin kilo kaybına neden olup obezite oranlarını düşürmektedir. Fakat obezite oranlarında görülen bu düşüş sağlıklı bir düşüş olmayıp tam aksine çok daha büyük sağlık problemlerine sebep olabilmektedir.

Socio-Economic Determinants of Obesity: Analysis of OECD Countries

The aim of the study is to determine the extent to which obesity, a globally increasing health problem, is affected by changes in social and economic life. For this purpose, data on the obesity, health expenditures, unemployment, urbanization, smoking and alcohol consumption and calorie intake of 29 OECD and partner countries for the years 2000-2013 were obtained. With the data obtained, the effect levels of socio-economic factors on the increase in obesity rates in these countries were investigated. According to the findings, the increase in calorie intake, increasing urbanization as a result of changing sociological structure, increasing unemployment rate with urbanization and increasing alcohol use increase the obesity rate for the countries studied in our research between 2000-2013. In addition, the increase in health expenditures has a decreasing effect on obesity rate for the same period in the same countries. Finally, the increase in cigarette smoking causes individuals to lose weight due to their negative effects on healthy nutrition and decreases obesity rates. However, this decrease in obesity rates is not a healthy decrease, but on the contrary, it can cause much greater health problems. 

___

  • Agrawal, P., ve Agrawal, S. (2015). Health care expenditure associated with overweight/obesity: a study among urban married women in Delhi, India. International journal of community medicine and public health, 2(3), 308-317.
  • Baltagi. B.H., (2005). Econometrics analysis of panel data, 3. Baskı, Chichester: John Wiley ve Sons.
  • Baltagi B.H. (2011). Econometrics . Fifth edition. Berlin: Springer Verlag,.
  • Bansal, S., ve Zilberman, D. (2016, November). Does health care expenditure counter adverse effects of obesity on health: Evidence from global data. In 2017 Allied Social Science Association (ASSA) Annual Meeting, January 6-8, 2017, Chicago, Illinois (No. 250115). Agricultural and Applied Economics Association.
  • Chou, S. Y., Grossman, M., ve Saffer, H. (2004). An economic analysis of adult obesity: results from the Behavioral Risk Factor Surveillance System. Journal of health economics, 23(3), 565-587.
  • Driscoll, J. ve Kraay, A. C. 1998. Consistent covariance matrix estimation with spatially dependent data. Review of Economics and Statistics, 80, 549–560.
  • Finkelstein, E. A., ve Strombotne, K. L. (2010). The economics of obesity. The American journal of clinical nutrition, 91(5), 1520S-1524S.
  • Greene, W. H. (2003), Econometric Analysis(5. Edition), New Jersey: Prentice Hall,
  • Georgiou, M. N. (February 28, 2013). Obesity and income distribution: A panel data analysis for Western World. Available at SSRN: https://ssrn.com/abstract=2226391 or http://dx.doi.org/10.2139/ssrn.2226391
  • Halicioglu, F. (2013). Dynamics of obesity in Finland. Journal of Economic Studies, 40(5), 644-657.
  • Hayes, A., Chevalier, A., D'Souza, M., Baur, L., Wen, L. M., ve Simpson, J. (2016). Early childhood obesity: Association with healthcare expenditure in Australia. Obesity, 24(8), 1752-1758.
  • Hsiao, C., (2002). Analysis of panel data (2. Edition), Cambridge University Press, New York.
  • Huffman, S. K., ve Rizov, M. (2007). Determinants of obesity in transition economies: the case of Russia. Economics ve Human Biology, 5(3), 379-391.
  • Komlos, J., ve Baur, M. (2004). From the tallest to (one of) the fattest: the enigmatic fate of the American population in the 20th century. Economics ve Human Biology, 2(1), 57-74.
  • Laitinen, J., Ek, E., ve Sovio, U. (2002). Stress-related eating and drinking behavior and body mass index and predictors of this behavior. Preventive medicine, 34(1), 29-39
  • Laitinen, J., Power, C., Ek, E., Sovio, U., ve Järvelin, M. R. (2002). Unemployment and obesity among young adults in a northern Finland 1966 birth cohort. International journal of obesity, 26(10), 1329.
  • Lakdawalla, D., ve Philipson, T. (2002). The growth of obesity and technological change: a theoretical and empirical examination(No. w8946). National Bureau of Economic Research.
  • Loureiro, M. L., ve Nayga, R. M. (2004, August). Analyzing cross-country differences in obesity rates: some policy implications. In American Agricultural Economists Meetings, Denver, CO, August(pp. 1-4).
  • Maheshwari, N., Robinson, J. G., Kohatsu, N., ve Zimmerman, B. (2005). Obesity Prevalence Increasing 3 Times Faster in High than Low Income Groups: National Health and Nutrition Examination Surveys 1971 to 2002: 26. Circulation, 111(14), e190.
  • Maillard, G., Charles, M. A., Thibult, N., Forhan, A., Sermet, C., Basdevant, A., ve Eschwege, E. (1999). Trends in the prevalence of obesity in the French adult population between 1980 and 1991. International journal of obesity, 23(4), 389-394.
  • Mohan, R., ve Mirmirani, S. (2007). An assessment of OECD health care system using panel data analysis. Southwest Business ve Economics Journal, 16, 1-20.
  • Nestle, M., ve Jacobson, M. F. (2000). Halting the obesity epidemic: a public health policy approach. Public health reports, 115(1), 12-24.
  • Özçiçek, F., Bilen, H., Yıldız, G., Özçiçek, A., Ünüvar, N., ve Yılmaz, A. (2007). Sigaranın bırakılmasından sonra görülen kilo alımı ile serum leptin düzeyleri arasındaki ilişki. CÜ Tıp Fakültesi Dergisi, 29(4), 141-48.
  • Paola, M., Marotta, G., Nazzaro, C., ve Simonetti, B. (2012). A statistical approach to evaluate the effects of obesity on healthcare expenditure. Electronic Journal of Applied Statistical Analysis, 5(3), 418-424.
  • Pesaran, M. (2004). General diagnostic tests for cross section dependence in panels (No. 1240). Institute for the Study of Labor (IZA).
  • Philipson, T. J., ve Posner, R. A. (1999). The long-run growth in obesity as a function of technological change(No. w7423). National bureau of economic research.
  • Philipson, T. (2001). The world-wide growth in obesity: an economic research agenda. Health economics, 10(1), 1-7.
  • Popkin, B. M. (1999). Urbanization, lifestyle changes and the nutrition transition. World development, 27(11), 1905-1916.
  • Rashad, I. (2006). Structural estimation of caloric intake, exercise, smoking, and obesity. The Quarterly Review of Economics and Finance, 46(2), 268-283.
  • Rosin, O. (2008). The economic causes of obesity: a survey. Journal of Economic Surveys, 22(4), 617-647.
  • Sturm, R., An, R., Maroba, J., ve Patel, D. (2013). The effects of obesity, smoking, and excessive alcohol intake on healthcare expenditure in a comprehensive medical scheme. South African Medical Journal, 103(11), 840-844.
  • Wardle, J., Waller, J., ve Jarvis, M. J. (2002). Sex differences in the association of socioeconomic status with obesity. American journal of public health, 92(8), 1299-1304.
  • World Health Organization. (2018). Global status report on alcohol and health 2018. World Health Organization.