Mengesha Kassie Ayelign, Beletew Abate Biruk, Wudu Kassaw Mesfin
College of Health Sciences, Department of Nursing, Woldia University, Woldia, Ethiopia.
BMC Public Health. 2020 Jul 31;20(1):1189. doi: 10.1186/s12889-020-08941-w.
Globally, the prevalence of overweight and obesity is escalating, particularly among women and wealthier people. In many developed countries, overweight and obesity are more prevalent in persons with lower socioeconomic status. In contrast, studies in developing countries have reported a higher prevalence rate of overweight and obesity among women with higher educational status. Hence, this study aimed to assess the association between education and the prevalence of overweight and obesity among reproductive age group women in Ethiopia.
This cross-sectional study was done based on the 2016 Ethiopian demographic and health survey (EDHS) data. From the total 15,683 women participants of the 2016 EDHS, 2848 reproductive age group women aged 15-49 years old who had a complete response to all variables of interest were selected and retained for analysis. Data were analyzed using SPSS version 20 software program. Both descriptive and logistic regression models were used for analysis.
The prevalence of overweight and obesity among the study participants was 11.5 and 3.4% respectively. The combined prevalence of overweight and obesity was 14.9%. From the total participants who are overweight and, or obese, majority, 83.3% were urban dwellers and the remaining 16.7% were rural dwellers. Education was positively associated with overweight and obesity among women. Besides, increased age, region, living in urban areas, being in rich quintile, increased frequency of watching television, and frequency of using internet were significantly associated with the odds of being overweight and obese among reproductive age group women in Ethiopia.
The prevalence of overweight and obesity among reproductive age group women in Ethiopia is increasing compared to previous studies. Education was found to be a risk factor for overweight and obesity among women. Hence, context based interventions on the prevention and control methods of overweight and obesity are required.
在全球范围内,超重和肥胖的患病率正在上升,尤其是在女性和较富裕人群中。在许多发达国家,社会经济地位较低的人群中超重和肥胖更为普遍。相比之下,发展中国家的研究报告显示,教育程度较高的女性中超重和肥胖的患病率更高。因此,本研究旨在评估埃塞俄比亚育龄妇女的教育程度与超重和肥胖患病率之间的关联。
本横断面研究基于2016年埃塞俄比亚人口与健康调查(EDHS)数据进行。从2016年EDHS的15683名女性参与者中,选取并保留了2848名年龄在15至49岁之间、对所有感兴趣变量都有完整回答的育龄妇女进行分析。使用SPSS 20版软件程序进行数据分析。描述性和逻辑回归模型均用于分析。
研究参与者中超重和肥胖的患病率分别为11.5%和3.4%。超重和肥胖的合并患病率为14.9%。在所有超重和/或肥胖的参与者中,大多数(83.3%)是城市居民,其余16.7%是农村居民。教育程度与女性超重和肥胖呈正相关。此外,年龄增加、地区、居住在城市地区、处于富裕五分位数、看电视频率增加以及使用互联网频率增加与埃塞俄比亚育龄妇女超重和肥胖的几率显著相关。
与以往研究相比,埃塞俄比亚育龄妇女中超重和肥胖的患病率正在上升。研究发现教育是女性超重和肥胖的一个风险因素。因此,需要针对超重和肥胖的预防和控制方法进行基于具体情况的干预。