Factors associated with underweight, overweight, and obesity in reproductive age Tanzanian women.
<h4>Background</h4>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...
| Main Authors: | , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Public Library of Science (PLoS)
2020-01-01
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| Series: | PLoS ONE |
| Online Access: | https://doi.org/10.1371/journal.pone.0237720 |
| _version_ | 1818590752994754560 |
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| author | Kedir Y Ahmed Abdon G Rwabilimbo Solomon Abrha Andrew Page Amit Arora Fentaw Tadese Tigistu Yemane Beyene Abdulaziz Seiko Abdulhafiz A Endris Kingsley E Agho Felix Akpojene Ogbo Global Maternal and Child Health Research collaboration (GloMACH) |
| author_facet | Kedir Y Ahmed Abdon G Rwabilimbo Solomon Abrha Andrew Page Amit Arora Fentaw Tadese Tigistu Yemane Beyene Abdulaziz Seiko Abdulhafiz A Endris Kingsley E Agho Felix Akpojene Ogbo Global Maternal and Child Health Research collaboration (GloMACH) |
| author_sort | Kedir Y Ahmed |
| collection | DOAJ |
| description | <h4>Background</h4>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.<h4>Methods</h4>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.<h4>Results</h4>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).<h4>Conclusion</h4>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. |
| first_indexed | 2024-12-16T10:01:33Z |
| format | Article |
| id | doaj.art-e046f2552b4a4b4bb14413d5dab12a81 |
| institution | Directory Open Access Journal |
| issn | 1932-6203 |
| language | English |
| last_indexed | 2024-12-16T10:01:33Z |
| publishDate | 2020-01-01 |
| publisher | Public Library of Science (PLoS) |
| record_format | Article |
| series | PLoS ONE |
| spelling | doaj.art-e046f2552b4a4b4bb14413d5dab12a812022-12-21T22:35:47ZengPublic Library of Science (PLoS)PLoS ONE1932-62032020-01-01158e023772010.1371/journal.pone.0237720Factors associated with underweight, overweight, and obesity in reproductive age Tanzanian women.Kedir Y AhmedAbdon G RwabilimboSolomon AbrhaAndrew PageAmit AroraFentaw TadeseTigistu Yemane BeyeneAbdulaziz SeikoAbdulhafiz A EndrisKingsley E AghoFelix Akpojene OgboGlobal Maternal and Child Health Research collaboration (GloMACH)<h4>Background</h4>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.<h4>Methods</h4>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.<h4>Results</h4>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).<h4>Conclusion</h4>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.https://doi.org/10.1371/journal.pone.0237720 |
| spellingShingle | Kedir Y Ahmed Abdon G Rwabilimbo Solomon Abrha Andrew Page Amit Arora Fentaw Tadese Tigistu Yemane Beyene Abdulaziz Seiko Abdulhafiz A Endris Kingsley E Agho Felix Akpojene Ogbo Global Maternal and Child Health Research collaboration (GloMACH) Factors associated with underweight, overweight, and obesity in reproductive age Tanzanian women. PLoS ONE |
| title | Factors associated with underweight, overweight, and obesity in reproductive age Tanzanian women. |
| title_full | Factors associated with underweight, overweight, and obesity in reproductive age Tanzanian women. |
| title_fullStr | Factors associated with underweight, overweight, and obesity in reproductive age Tanzanian women. |
| title_full_unstemmed | Factors associated with underweight, overweight, and obesity in reproductive age Tanzanian women. |
| title_short | Factors associated with underweight, overweight, and obesity in reproductive age Tanzanian women. |
| title_sort | factors associated with underweight overweight and obesity in reproductive age tanzanian women |
| url | https://doi.org/10.1371/journal.pone.0237720 |
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