Factors associated with underweight, overweight, and obesity in reproductive age Tanzanian women

被引：31

作者：

Ahmed, Kedir Y. ^{[1
,2
]}

Rwabilimbo, Abdon G. ^{[2
,3
]}

Abrha, Solomon ^{[4
]}

Page, Andrew ^{[2
]}

Arora, Amit ^{[2
,5
,6
,7
]}

Tadese, Fentaw ^{[8
]}

Beyene, Tigistu Yemane ^{[9
]}

Seiko, Abdulaziz ^{[10
]}

Endris, Abdulhafiz A. ^{[11
]}

Agho, Kingsley E. ^{[2
]}

Ogbo, Felix Akpojene ^{[2
,12
]}

机构：

[1] Samara Univ, Coll Med & Hlth Sci, Samara, Ethiopia

[2] Western Sydney Univ, Translat Hlth Res Inst, Sydney, NSW, Australia

[3] Chato Dist Council, Chato Dist, Geita Region, Tanzania

[4] Wolayta Sodo Univ, Coll Med & Hlth Sci, Sch Publ Hlth, Wolayta Sodo, Ethiopia

[5] Western Sydney Univ, Sch Hlth Sci, Sydney, NSW, Australia

[6] Sydney Local Hlth Dist & Sydney Dent Hosp, NSW Hlth, Oral Hlth Serv, Surry Hills, NSW, Australia

[7] Univ Sydney, Fac Med & Hlth, Sydney Med Sch, Discipline Child & Adolescent Hlth, Westmead, NSW, Australia

[8] Wollo Univ, Coll Med & Hlth Sci, Dessie, Ethiopia

[9] Addis Ababa Univ, Coll Hlth Sci, CDT Africa, Addis Ababa, Ethiopia

[10] CARE Ethiopia, Afar, Ethiopia

[11] Ethiopian Publ Hlth Inst, Addis Ababa, Ethiopia

[12] Prescot Specialist Med Ctr Makurdi, Gen Practice Unit, Makurdi, Benue State, Nigeria

来源：

PLOS ONE | 2020年 / 15卷 / 08期

关键词：

BODY-MASS INDEX; MIDDLE-INCOME COUNTRIES; SOCIOECONOMIC-STATUS; DOUBLE BURDEN; NUTRITION TRANSITION; LIFE-STYLE; HEALTH; MULTILEVEL; UNDERNUTRITION; URBANIZATION;

D O I：

10.1371/journal.pone.0237720

中图分类号：

O [数理科学和化学]; P [天文学、地球科学]; Q [生物科学]; N [自然科学总论];

学科分类号：

07 ; 0710 ; 09 ;

摘要：

Background Underweight, overweight, and obesity are major public health challenges among reproductive-age women of lower- and middle-income countries (including Tanzania). In those settings, obesogenic factors (attributes that promote excessive body weight gain) are increasing in the context of an existing high burden of undernutrition. The present study investigated factors associated with underweight, overweight, and obesity among reproductive age women in Tanzania. Methods This study used 2015-16 Tanzania Demographic and Health Survey data (n = 11735). To account for the hierarchical nature of the data (i.e., reproductive age women nested within clusters), multilevel multinomial logistic regression models were used to investigate the association between individual-level (socioeconomic, demographic and behavioural) and community-level factors with underweight, overweight, and obesity. Results Reproductive age women who were informally employed (relative risk ratio [RRR] = 0.79; 95% confidence interval [CI]: 0.64, 0.96), those who were currently married (RRR = 0.59; 95% CI: 0.43, 0.82) and those who used contraceptives (RRR = 0.70; 95% CI: 0.54, 0.90) were less likely to be underweight. Reproductive age women who attained secondary or higher education (RRR = 1.48; 95% CI: 1.11, 1.96), those who resided in wealthier households (RRR = 2.31; 95% CI: 1.78, 3.03) and those who watched the television (RRR = 1.26; 95% CI: 1.06, 1.50) were more likely to be overweight. The risk of experiencing obesity was higher among reproductive age women who attained secondary or higher education (RRR = 1.79; 95% CI: 1.23, 2.61), those who were formally employed (RRR = 1.50; 95% CI: 1.14, 1.98), those who resided in wealthier households (RRR = 4.77; 95% CI: 3.03, 7.50), those who used alcohol (RRR = 1.43; 95% CI: 1.12, 1.82) and/or watched the television (RRR = 1.70; 95% CI: 1.35, 2.13). Conclusion Our study suggests that relevant government jurisdictions need to identify, promote, and implement evidence-based interventions that can simultaneously address underweight and overweight/obesity among reproductive age women in Tanzania.

引用

页数：16

共 75 条

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