SAMRC/Wits Developmental Pathways for Health Research Unit, Department of Paediatrics, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa.
Institute for Developmental Science and Global Health Research Institute, School of Human Development and Health, Faculty of Medicine, University of Southampton, Southampton, UK.
J Community Health. 2021 Feb;46(1):156-164. doi: 10.1007/s10900-020-00861-5.
Women in Soweto in their prime reproductive years (18-25 years) report being exposed to an obesogenic environment that makes it difficult to lead a healthy lifestyle. This study aimed to determine individual and community level predictors of these behaviours, as well as whether these behaviours were related to obesity status. Women (n = 1698) were recruited from their households as part of a survey study. Physical activity and sitting time was assessed using the Global Physical Activity Questionnaire (GPAQ). Participants were asked how frequently they used street vendors in a normal month, and dietary practices in the home and food insecurity were assessed using a questionnaire. Height and weight were measured. Individual and community level predictors were included in a series of linear regressions with either activity behaviours, or dietary practices as the outcomes. BMI was then treated as the outcome in a multinomial logistics regression. The majority of participants were normal weight, yet 44% were overweight or obese. Most participants were meeting the physical activity guidelines, yet less than half participated in leisure time physical activity. Most participants were meeting the sitting time guidelines, yet TV time was high. Age was positively associated with being overweight (ß = 0.145, p < 0.01) or obese (ß = 0.179, p < 0.01). Street vendor use was negatively associated with being obese (ß = - 0.236, p < 0.05), as was the community area in which women lived (ß = - 0.1098, p < 0.05). Both physical activity and sedentary behaviours were positively associated with higher socioeconomic status. Socioeconomic status was also negatively related to food insecurity and dietary behaviours. The environment in which young women live plays a significant role in the development of certain health behaviours, as well as in obesity prevalence.
在生育高峰期(18-25 岁)的索韦托妇女报告称,她们所处的环境容易导致肥胖,难以保持健康的生活方式。本研究旨在确定这些行为的个体和社区水平预测因素,以及这些行为是否与肥胖状况有关。女性(n=1698)从他们的家庭中招募,作为一项调查研究的一部分。使用全球体力活动问卷(GPAQ)评估体力活动和久坐时间。参与者被问及在正常月份中,他们经常使用街头小贩的频率,并且通过问卷评估家庭中的饮食实践和食物不安全状况。测量身高和体重。将个体和社区水平预测因素纳入一系列线性回归中,其中活动行为或饮食实践是结果。然后将 BMI 作为多变量逻辑回归的结果。大多数参与者体重正常,但 44%超重或肥胖。大多数参与者符合体力活动指南,但只有不到一半的人参加了休闲时间的体力活动。大多数参与者符合久坐时间指南,但看电视时间很长。年龄与超重(β=0.145,p<0.01)或肥胖(β=0.179,p<0.01)呈正相关。街头小贩的使用与肥胖呈负相关(β=-0.236,p<0.05),女性居住的社区区域也是如此(β=-0.1098,p<0.05)。体力活动和久坐行为均与较高的社会经济地位呈正相关。社会经济地位也与食物不安全和饮食行为呈负相关。年轻女性生活的环境在某些健康行为的发展以及肥胖症的流行中起着重要作用。