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2022年埃塞俄比亚西北部贡德尔镇育龄妇女(15 - 49岁)超重/肥胖的患病率及相关因素:一项横断面研究

Prevalence and Associated Factors of Overweight/Obesity Among Women in the Reproductive Age Group (15-49) in Gondar Town, Northwest Ethiopia, 2022: A Cross-Sectional Study.

作者信息

Dagnaw Mequanente, Mekonnen Melkie, Muhammad Esmeal Ali, Abebe Solomon Mekonnen

机构信息

Department of Epidemiology and Biostatistics, Institute of Public Health University of Gondar Gondar Ethiopia.

Department of Medical Biotechnology, Institute of Biotechnology University of Gondar Gondar Ethiopia.

出版信息

Health Sci Rep. 2025 May 6;8(5):e70810. doi: 10.1002/hsr2.70810. eCollection 2025 May.

Abstract

BACKGROUND AND AIMS

Overweight/obesity is increasing at an alarming rate throughout the world and has now become a global epidemic. According to a recent research report, the burden of obesity is increasing in developing countries; however, no significant reduction has been seen in developed countries over the past few decades. Furthermore, there is limited information about overweight/obesity. The main objective of this study was to assess the prevalence and associated factors of overweight/obesity among reproductive age women.

METHODS

A total of 866 reproductive women participated in the study. The collected data were coded and entered into Epi-Data version 4.6.0 and exported to STATA version 17 software packages for analysis. Binary logistic regression was used to identify factors associated with overweight/obesity among reproductive age women. Variables with a -value < 0.2 in the bivariate analysis was further fitted into multivariate analysis for controlling the possible effect of confounders, and finally the variables that were a -value of < 0.05 on the bases of odd ratio (OR) with 95% confidence interval (CI) was considered significantly associated with overweight/obesity and identified based on odds ratio (OR), with 95% confidence interval (CI) and -value ( < 0.05).

RESULT

The study's response rate was 96% and the overall prevalence of overweight/obesity was 21% [95% CI: 18.00, 24.00]. Being parity [AOR = 3.75, 95% CI: 2.06, 6.81], parity (≥ 2) [AOR = 8.16, 95% CI: 4.63, 14.37], late age at menarche (≥ 14 years) [AOR = 1.65, 95% CI: 1.13, 2.41], and ever used family planning [AOR = 1.50, 95% CI: 1.01, 2.23] were factors significantly associated overweight/obesity.

CONCLUSION

In this study, overweight/obesity was high. Late age of menarche, parity, and ever using family planning were factors affecting overweight/obesity in reproductive age women. Healthcare workers should raise awareness among reproductive-age women about the impacts of overweight/obesity.

摘要

背景与目的

超重/肥胖在全球正以惊人的速度增长,现已成为一种全球流行病。根据最近的一份研究报告,发展中国家的肥胖负担在增加;然而,在过去几十年里,发达国家并未出现显著下降。此外,关于超重/肥胖的信息有限。本研究的主要目的是评估育龄妇女中超重/肥胖的患病率及相关因素。

方法

共有866名育龄妇女参与了本研究。收集到的数据进行编码后录入Epi - Data 4.6.0版本,并导出到STATA 17软件包进行分析。采用二元逻辑回归来确定育龄妇女中超重/肥胖的相关因素。在双变量分析中P值<0.2的变量进一步纳入多变量分析,以控制混杂因素的可能影响,最后基于比值比(OR)及95%置信区间(CI)且P值<0.05的变量被认为与超重/肥胖显著相关,并根据比值比(OR)、95%置信区间(CI)和P值(<0.05)进行确定。

结果

本研究的应答率为96%,超重/肥胖的总体患病率为21%[95%CI:18.00,24.00]。生育次数[AOR = 3.75,95%CI:2.06,6.81]、生育次数(≥2次)[AOR = 8.16,95%CI:4.63,14.37]、初潮年龄较晚(≥14岁)[AOR = 1.65,95%CI:1.13,2.41]以及曾经使用过计划生育措施[AOR = 1.50,95%CI:1.01,2.23]是与超重/肥胖显著相关的因素。

结论

在本研究中,超重/肥胖的患病率较高。初潮年龄较晚、生育次数以及曾经使用过计划生育措施是影响育龄妇女超重/肥胖的因素。医护人员应提高育龄妇女对超重/肥胖影响的认识。

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