Trends and determinants of underweight and overweight/obesity among urban Ethiopian women from 2000 to 2016

被引:19
|
作者
Ahmed, Kedir Y. [1 ,2 ]
Abrha, Solomon [3 ]
Page, Andrew [1 ]
Arora, Amit [1 ,4 ,5 ,6 ]
Shiferaw, Solomon [7 ]
Tadese, Fentaw [8 ]
Seifu, Canaan Negash [9 ]
Yeneabat, Tebikew [10 ]
Alemu, Emana [11 ]
Gebremichael, Delelegn Yilma [12 ]
Seiko, Abdulaziz [13 ,14 ]
Ogbo, Felix Akpojene [1 ,15 ]
机构
[1] Western Sydney Univ, Translat Hlth Res Inst, Campbelltown Campus, Sydney, NSW, Australia
[2] Samara Univ, Coll Med & Hlth Sci, Samara, Ethiopia
[3] Wolayta Sodo Univ, Coll Med & Hlth Sci, Sch Publ Hlth, Wolayta Sodo, Ethiopia
[4] Western Sydney Univ, Sch Hlth Sci, Campbelltown Campus, Sydney, NSW, Australia
[5] NSW Hlth, Oral Hlth Serv, Sydney Local Hlth Dist & Sydney Dent Hosp, Sydney, NSW, Australia
[6] Univ Sydney, Fac Med & Hlth, Sydney Med Sch, Discipline Child & Adolescent Hlth, Sydney, NSW, Australia
[7] Addis Ababa Univ, Coll Med & Hlth Sci, Sch Publ Hlth, Addis Ababa, Ethiopia
[8] Wollo Univ, Coll Med & Hlth Sci, Sch Publ Hlth, Dessie, Ethiopia
[9] Western Sydney Univ, Sch Nursing & Midwifery, Campbelltown Campus, Sydney, NSW, Australia
[10] Univ Technol Sydney, Fac Hlth, Sydney, NSW, Australia
[11] Ethiopian Publ Hlth Inst, Addis Ababa, Ethiopia
[12] Ambo Univ, Coll Med & Hlth Sci, Dept Publ Hlth, Ambo, Ethiopia
[13] CARE Ethiopia, Samara, Ethiopia
[14] Resilience Project, Samara, Ethiopia
[15] Prescot Specialist Med Ctr, Gen Practice Unit, Makurdi, Benue State, Nigeria
关键词
Double burden of malnutrition; Underweight; Overweight; Obesity; Urban women; Ethiopia; BBCS FIGHTING FAT; BODY-MASS INDEX; DOUBLE BURDEN; SOCIOECONOMIC-STATUS; EDUCATIONAL-ATTAINMENT; PHYSICAL-ACTIVITY; MARRIED-WOMEN; OBESITY; ASSOCIATION; INCOME;
D O I
10.1186/s12889-020-09345-6
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Background Nutritional, epidemiological and demographic transitions have been associated with the emergence of the double burden of malnutrition globally. In Ethiopia, there has been no nationally representative investigation of trends and determinants of both underweight and overweight/obesity among urban women. This study examined the trends and determinants of underweight and overweight/obesity in urban Ethiopian women from 2000 to 2016. Methods Trends in the prevalence of underweight and overweight/obesity were investigated based on a series of the Ethiopia Demographic and Health Survey (EDHS) data for the years 2000 (n = 2559), 2005 (n = 1112), 2011 (n = 3569), and 2016 (n = 3106). Multivariable multinomial logistic regression was used to investigate the association between socioeconomic, demographic, behavioural, and community-level factors with underweight and overweight/obesity. Results The prevalence of underweight in urban Ethiopian women reduced significantly from 23.2% (95% confidence interval [CI]: 20.3, 26.3%) in 2000 to 14.8% (95% CI: 13.1, 16.7%) in 2016, while overweight/obesity increased significantly from 10.9% (95% CI: 9.1, 13.0%) in 2000 to 21.4% (95% CI: 18.2, 25.1%) in 2016. Urban women from rich households and those who had never married were less likely to be underweight. Urban women who were from wealthy households and those who attained at least secondary education were more likely to be overweight/obese. Women who were informally employed and listened to the radio were less likely to be overweight/obese compared to those who were unemployed and did not listen to the radio, respectively. Conclusion The prevalence of overweight/obesity increased from 2000 to 2016, with a concurrent reduction in the prevalence of underweight. Interventions aiming to reduce overweight and obesity should target urban women with higher education, those who resided in wealthier households and those who watched the television.
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页数:13
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