Section of Population Health, School of Medicine and Dentistry, University of Aberdeen, Foresterhill, Aberdeen, United Kingdom.
Asia Pac J Public Health. 2011 Jul;23(4):507-17. doi: 10.1177/1010539509348662. Epub 2009 Oct 12.
Obesity threatens developing countries as urbanization increases, with civil servants being particularly vulnerable. The authors assess overweight/obesity prevalence among Nepalese civil servants along with their knowledge and attitudes. A cross-sectional questionnaire survey conducted among 341 participants (97.4% response rate) also recorded height and weight. Participants were 40 ± 6.6 years, mostly males, married, and from a single ethnic group. Overweight/obesity prevalence was 33.4%. Knowledge of obesity was good. However, some attitudes toward obese people were negative, despite half of the participants believing obesity to indicate prosperity. Logistic regression indicated marriage and/or having a better job increased the overweight/obese risk by nearly 8 and 9 times, respectively. Heavier people were more likely to disagree with attitudes that obese people were "lazier" and "untidy." Obesity prevalence among Nepalese civil servants is already higher than the general population level. Health education and interventions are needed to translate knowledge into attitude and behavior changes in order to prevent this becoming an epidemic.
肥胖问题在城市化进程中威胁着发展中国家，公务员尤其容易受到影响。作者评估了尼泊尔公务员的超重/肥胖流行情况以及他们的知识和态度。一项针对 341 名参与者（响应率为 97.4%）的横断面问卷调查还记录了参与者的身高和体重。参与者的年龄为 40 ± 6.6 岁，主要为男性、已婚，来自单一族群。超重/肥胖的患病率为 33.4%。对肥胖的了解较好。然而，一些人对肥胖者的态度是负面的，尽管有一半的参与者认为肥胖表明繁荣。逻辑回归表明，婚姻和/或更好的工作使超重/肥胖的风险分别增加了近 8 倍和 9 倍。体重较重的人更可能不同意肥胖者“懒惰”和“不整洁”的态度。尼泊尔公务员的肥胖患病率已经高于一般人群水平。需要进行健康教育和干预，将知识转化为态度和行为的改变，以防止肥胖成为一种流行疾病。
