Health Lit Res Pract. 2024 Apr;8(2):e102-e112. doi: 10.3928/24748307-20240521-01. Epub 2024 Jun 6.
In Abidjan, Côte d'Ivoire's largest city, obesity rates among women are increasing, posing a major health challenge, especially for the working generation. Merchants represent 64.3% of working women and are a typical occupation for women with low- and middle-income. Health literacy is used to prevent and overcome chronic diseases and can be used as anti-obesity measures.
The aim of this study was to examine the relationship between obesity, health literacy, and weight perception among women merchants in Abidjan.
In this cross-sectional study, we conducted a complete enumeration survey among women merchants in a market in Abidjan from December 2020 to December 2021. In addition to anthropometric measurements, structured face-to-face interviews were conducted. The participants were asked about their weight perception, weight management behaviors, and sociodemographic attributes. They also responded to the Health Literacy Questionnaire (HLQ). Data were tabulated using descriptive statistics, and multiple logistic regression analysis was performed to examine obesity's association with HLQ scales, weight perception, and weight management behaviors.
Of the 873 participants, 259 (29.7%) were obese; 82% of them underestimated their weight. Obesity was associated with a higher rate of HLQ1 (Feeling understood and supported by health care providers) (odds ratio [OR] = 2.926, confidence interval [CI]:1.450-5.901, = .03), a lower score of HLQ3 (Actively managing my health) ( = 0.343, CI:0.165-0.716, = 0.004), a lower rate of accurate weight perception ( = 0.145, CI: 0.093-0.224, < .001), and a lower rate of eating at least three meals per day ( = 0.401, CI:0.260-0.617, < .001).
Findings from this study of Abidjan women merchants include obese participants' lack of a proactive attitude toward personal health management, and the association of factors such as inaccurate weight perception and eating fewer than three meals per day with obesity. These finding have important implications for future anti-obesity measures. [].
在科特迪瓦最大的城市阿比让，女性肥胖率不断上升，这对育龄女性构成了重大健康挑战。商人占女性劳动力的 64.3%，是低、中收入女性的典型职业。健康素养可用于预防和克服慢性病，也可作为防治肥胖的措施。
本研究旨在探讨阿比让女性商人肥胖、健康素养与体重感知之间的关系。
本横断面研究于 2020 年 12 月至 2021 年 12 月对阿比让一个市场的女性商人进行了完全列举调查。除了人体测量学测量外，还进行了面对面的结构化访谈。参与者被问及体重感知、体重管理行为和社会人口学特征。他们还回答了健康素养问卷（HLQ）。数据采用描述性统计进行制表，采用多因素逻辑回归分析肥胖与 HLQ 量表、体重感知和体重管理行为的相关性。
在 873 名参与者中，259 名（29.7%）肥胖；82%的人低估了自己的体重。肥胖与 HLQ1（感到医护人员理解和支持）（比值比[OR] = 2.926，置信区间[CI]：1.450-5.901， =.03）的发生率较高、HLQ3（积极管理我的健康）（ = 0.343，CI：0.165-0.716， =.004）的得分较低、体重感知准确率较低（ = 0.145，CI：0.093-0.224， <.001）和每天进食少于三餐的比例较低（ = 0.401，CI：0.260-0.617， <.001）相关。
这项对阿比让女性商人的研究结果表明，肥胖参与者缺乏积极主动的个人健康管理态度，体重感知不准确和每天进食少于三餐等因素与肥胖有关。这些发现对未来的抗肥胖措施具有重要意义。
