Department of Public Health, School of Health Science, Goba Referral Hospital, Madda Walabu University, Goba, Ethiopia.
Biocruces Bizkaia Health Research Institute, Barakaldo, Spain and IKERBASQUE Basque Foundation for Science, Bilbao, Spain.
PLoS One. 2021 Nov 4;16(11):e0259412. doi: 10.1371/journal.pone.0259412. eCollection 2021.
Overweight and obesity have become a serious public health problem in both developed and developing countries, particularly in urban areas. However, there are limited studies conducted to identify the risk factors of overweight and obesity in Ethiopia, especially among men. Therefore, this study aimed to assess individual and community level determinants of overweight and obesity among urban men in Ethiopia.
This study used the 2016 Ethiopian Demographic and Health Survey (EDHS) data. A weighted sample of 2259 urban men aged 15-59 years were included in this analysis. A multilevel logistic regression model was used to assess the determinants of overweight and obesity among the study participants.
Men aged 30-44 years old (AOR = 3.1, 95% CI: 2.3-4.11), 45-59 years old (AOR = 4.8, 95% CI: 3.4-6.9), married (AOR = 1.7, 95% CI: 1.3-2.2), with secondary education (AOR = 2.7, 95% CI: 1.6-4.7), with higher education (AOR = 3.6, 95% CI: 2.1-6.2), watching television at least once a week (AOR = 1.7, 95% CI: 1.1-2.7), being from high rich communities (AOR = 2.4, 95% CI: 1.5-3.7), and living in three metropolises (Addis Ababa, Harari, Diredawa) were more likely to be overweight or obese (AOR = 1.8, 95% CI: 1.1-2.9). However, currently unemployed men were less likely to be overweight or obese (AOR = 0.5, 95% CI: 0.3-0.7).
Being older age, being married, having higher educational status, having higher frequency of watching television, being residents of three metropolises (Addis Ababa, Harari, and Diredawa), and being from high rich communities were found to be predictors of overweight and obesity in Ethiopian men. Therefore, it is essential to design strategies and programs to reduce or prevent overweight and obesity with special focus on the identified risk factors.
超重和肥胖已成为发达国家和发展中国家，尤其是城市地区的严重公共卫生问题。然而，针对埃塞俄比亚超重和肥胖风险因素的研究有限，尤其是针对男性。因此，本研究旨在评估埃塞俄比亚城市男性超重和肥胖的个体和社区层面决定因素。
本研究使用了 2016 年埃塞俄比亚人口与健康调查（EDHS）数据。对 2259 名年龄在 15-59 岁的城市男性进行了加权抽样，纳入本分析。使用多水平逻辑回归模型评估研究参与者超重和肥胖的决定因素。
30-44 岁（AOR=3.1，95%CI：2.3-4.11）、45-59 岁（AOR=4.8，95%CI：3.4-6.9）、已婚（AOR=1.7，95%CI：1.3-2.2）、接受过中等教育（AOR=2.7，95%CI：1.6-4.7）、接受过高等教育（AOR=3.6，95%CI：2.1-6.2）、每周至少看一次电视（AOR=1.7，95%CI：1.1-2.7）、来自高收入社区（AOR=2.4，95%CI：1.5-3.7）和居住在三个大都市（亚的斯亚贝巴、哈拉里、德雷达瓦）的男性更有可能超重或肥胖（AOR=1.8，95%CI：1.1-2.9）。然而，目前失业的男性不太可能超重或肥胖（AOR=0.5，95%CI：0.3-0.7）。
年龄较大、已婚、教育程度较高、看电视频率较高、居住在三个大都市（亚的斯亚贝巴、哈拉里和德雷达瓦）以及来自高收入社区是埃塞俄比亚男性超重和肥胖的预测因素。因此，必须制定策略和方案，以减少或预防超重和肥胖，特别关注已确定的风险因素。
