Um Samnang, An Yom
National Institute of Public Health, Phnom Penh, Cambodia.
Faculty of Social Science and Humanities, Royal University of Phnom Penh, Phnom Penh, Cambodia.
PLOS Glob Public Health. 2024 Jan 31;4(1):e0002537. doi: 10.1371/journal.pgph.0002537. eCollection 2024.
Overweight and obesity are associated with increased chronic disease and death rates globally. In Cambodia, the prevalence of overweight and obesity among women is high and increasing. This study aimed to determine the prevalence and factors associated with overweight and obesity among women of reproductive age (WRA) in Cambodia. We analyzed data from the 2021-22 Cambodia Demographic and Health Survey (CDHS). Data analysis was restricted to non-pregnant women, resulting in an analytic sample of 9,417 WRA. Multiple logistic regressions were performed using STATA V17 to examine factors associated with overweight and obesity. The prevalence of overweight and obesity among WRA was 22.56% and 5.61%, respectively. Factors independently associated with increased odds of overweight and obesity included women aged 20-29 years [AOR = 1.85; 95% CI: 1.22-2.80], 30-39 years [AOR = 3.34; 95% CI: 2.21-5.04], and 40-49 years [AOR = 5.57; 95% CI: 3.76-8.25], women from rich wealth quintile [AOR = 1.44; 95% C: 1.19-1.73], having three children or more [AOR = 1.40; 95% CI: 1.00-1.95], ever drink alcohol [AOR = 1.24; 95% CI: 1.04-1.47], and current drink alcohol [AOR = 1.2; 95% CI: 1.01-1.45]. Women completed at least secondary education were less likely being overweight and obese [AOR = 0.73; 95% CI: 0.58-0.91]. Overweight and obesity remains highly prevalent among WRA in Cambodia. Therefore, there is an urgent need to take interventions that target women from higher socio-demographic status to reduce the risk of life-threatening caused by being overweight and obese through raising awareness of important changing lifestyles.
超重和肥胖在全球范围内与慢性病发病率和死亡率的上升相关。在柬埔寨，女性超重和肥胖的患病率很高且呈上升趋势。本研究旨在确定柬埔寨育龄妇女超重和肥胖的患病率及其相关因素。我们分析了2021 - 2022年柬埔寨人口与健康调查（CDHS）的数据。数据分析仅限于非孕妇，最终得到9417名育龄妇女的分析样本。使用STATA V17进行多因素逻辑回归分析，以检验与超重和肥胖相关的因素。育龄妇女中超重和肥胖的患病率分别为22.56%和5.61%。与超重和肥胖几率增加独立相关的因素包括年龄在20 - 29岁的女性[AOR = 1.85；95%置信区间：1.22 - 2.80]、30 - 39岁的女性[AOR = 3.34；95%置信区间：2.21 - 5.04]以及40 - 49岁的女性[AOR = 5.57；95%置信区间：3.76 - 8.25]、来自最富有财富五分位数组的女性[AOR = 1.44；95%置信区间：1.19 - 1.73]、育有三个或更多子女的女性[AOR = 1.40；95%置信区间：1.00 - 1.95]、曾经饮酒的女性[AOR = 1.24；95%置信区间：1.04 - 1.47]以及当前饮酒的女性[AOR = 1.2；95%置信区间：1.01 - 1.45]。完成至少中等教育的女性超重和肥胖的可能性较小[AOR = 0.73；95%置信区间：0.58 - 0.91]。超重和肥胖在柬埔寨育龄妇女中仍然非常普遍。因此，迫切需要采取针对社会人口学地位较高女性的干预措施，通过提高对重要生活方式改变的认识，降低超重和肥胖导致的危及生命的风险。
