Trends and determinants of underweight and overweight/obesity among urban Ethiopian women from 2000 to 2016
Abstract 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/obe...
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| Format: | Article |
| Language: | English |
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BMC
2020-08-01
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| Series: | BMC Public Health |
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| Online Access: | http://link.springer.com/article/10.1186/s12889-020-09345-6 |
| _version_ | 1819059573435138048 |
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| author | Kedir Y. Ahmed Solomon Abrha Andrew Page Amit Arora Solomon Shiferaw Fentaw Tadese Canaan Negash Seifu Tebikew Yeneabat Emana Alemu Delelegn Yilma Gebremichael Abdulaziz Seiko Felix Akpojene Ogbo |
| author_facet | Kedir Y. Ahmed Solomon Abrha Andrew Page Amit Arora Solomon Shiferaw Fentaw Tadese Canaan Negash Seifu Tebikew Yeneabat Emana Alemu Delelegn Yilma Gebremichael Abdulaziz Seiko Felix Akpojene Ogbo |
| author_sort | Kedir Y. Ahmed |
| collection | DOAJ |
| description | Abstract 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. |
| first_indexed | 2024-12-21T14:13:15Z |
| format | Article |
| id | doaj.art-5173f5265f7249f4af55cb9f104799af |
| institution | Directory Open Access Journal |
| issn | 1471-2458 |
| language | English |
| last_indexed | 2024-12-21T14:13:15Z |
| publishDate | 2020-08-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Public Health |
| spelling | doaj.art-5173f5265f7249f4af55cb9f104799af2022-12-21T19:00:59ZengBMCBMC Public Health1471-24582020-08-0120111310.1186/s12889-020-09345-6Trends and determinants of underweight and overweight/obesity among urban Ethiopian women from 2000 to 2016Kedir Y. Ahmed0Solomon Abrha1Andrew Page2Amit Arora3Solomon Shiferaw4Fentaw Tadese5Canaan Negash Seifu6Tebikew Yeneabat7Emana Alemu8Delelegn Yilma Gebremichael9Abdulaziz Seiko10Felix Akpojene Ogbo11Translational Health Research Institute, Western Sydney UniversitySchool of Public Health, College of Medicine and Health Sciences, Wolayta Sodo UniversityTranslational Health Research Institute, Western Sydney UniversityTranslational Health Research Institute, Western Sydney UniversitySchool of Public Health, College of Medicine and Health Sciences, Addis Ababa UniversityCollege of Medicine and Health Sciences, School of Public Health, Wollo UniversitySchool of Nursing and Midwifery, Western Sydney University, Campbelltown CampusFaculty of Health, University of Technology SydneyEthiopian Public Health InstituteDepartment of Public Health, College of Medicine and Health Sciences, Ambo UniversityCARE Ethiopia, Partner for The Resilience ProjectTranslational Health Research Institute, Western Sydney UniversityAbstract 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.http://link.springer.com/article/10.1186/s12889-020-09345-6Double burden of malnutritionUnderweightOverweightObesityUrban womenEthiopia |
| spellingShingle | Kedir Y. Ahmed Solomon Abrha Andrew Page Amit Arora Solomon Shiferaw Fentaw Tadese Canaan Negash Seifu Tebikew Yeneabat Emana Alemu Delelegn Yilma Gebremichael Abdulaziz Seiko Felix Akpojene Ogbo Trends and determinants of underweight and overweight/obesity among urban Ethiopian women from 2000 to 2016 BMC Public Health Double burden of malnutrition Underweight Overweight Obesity Urban women Ethiopia |
| title | Trends and determinants of underweight and overweight/obesity among urban Ethiopian women from 2000 to 2016 |
| title_full | Trends and determinants of underweight and overweight/obesity among urban Ethiopian women from 2000 to 2016 |
| title_fullStr | Trends and determinants of underweight and overweight/obesity among urban Ethiopian women from 2000 to 2016 |
| title_full_unstemmed | Trends and determinants of underweight and overweight/obesity among urban Ethiopian women from 2000 to 2016 |
| title_short | Trends and determinants of underweight and overweight/obesity among urban Ethiopian women from 2000 to 2016 |
| title_sort | trends and determinants of underweight and overweight obesity among urban ethiopian women from 2000 to 2016 |
| topic | Double burden of malnutrition Underweight Overweight Obesity Urban women Ethiopia |
| url | http://link.springer.com/article/10.1186/s12889-020-09345-6 |
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