scholarly journals Emerging Nutritional Problem of Adult Population: Overweight/Obesity and Associated Factors in Addis Ababa City Communities, Ethiopia—A Community-Based Cross-Sectional Study

2020 ◽  
Vol 2020 ◽  
pp. 1-8
Author(s):  
Tsedeke Wolde Hailemariam ◽  
Samrawit Solomon Ethiopia ◽  
Andamlak Gizaw Alamdo ◽  
Haimanot Ewnetu Hailu

Background. Obesity is an emerging public health problem in developing countries. There is limited study conducted in Ethiopia to determine the prevalence of obesity and its associated factors among adult population. Therefore, this study aimed at determining the prevalence of overweight/obesity and the associated factors among adults aged 25–64 years in Addis Ababa city community residents, Ethiopia. Methods. A community-based cross-sectional study was conducted from April 10, 2017, to May 20, 2017, in Addis Ababa. A total of 512 adults were recruited. A two-stage cluster followed by a systematic random sampling technique was used for sample selection. Data were collected using questionnaires and anthropometric measurements. The adjusted odds ratio (AOR) with a 95% CI was reported to show the strength of association. A P value < 0.05 was considered statistically significant. Results. A total of 484 adults participated in the study with a response rate of 94.5%. The prevalence of overweight and obesity among study participants was found to be 99 (21.5%) and 14 (2.9%), respectively. Males were 90% less likely to be obese when compared to females (AOR = 0.10 (95% CI: 0.01–0.84)). Illiterate people were 94% less likely to be obese compared to those who were literate people (AOR = 0.06 (95% CI: 0.01–0.44)). Nonhypertensive individuals were 86% less likely to be obese when compared to hypertensive (AOR = 0.14 (95% CI: 0.03–0.69)). Conclusion. The combined prevalence of overweight and obesity was found to be considerably high in Addis Ababa city residents compared to the national figure. Being female, literate, and presence of hypertension are independent predictors of overweight/obesity in the study population. Thus, the concerned bodies should initiate efforts to tackle the newly emerging public health problem of the country and promote healthy lifestyle behaviors in the inhabitants of city settings.

2020 ◽  
Vol 2020 ◽  
pp. 1-8
Author(s):  
Biruk Bogale ◽  
Befikadu Tariku Gutema ◽  
Yilma Chisha

Introduction. Child stunting, which is a chronic length or height growth deficit, has been a devastating public health problem in developing countries. In Ethiopia, stunting remains severe public health problem. The aim of the study was to assess the prevalence of stunting and its associated factors among children of 6–59 months. Methods. The community-based cross sectional study was conducted in the Arba Minch Health and Demographic Surveillance Site, Southern Ethiopia. The simple random sampling method was used to recruit 656 mother-child pairs. Height for age Z score was computed using WHO Anthro version 3.2.2 software. Multivariable logistic regression model was fitted, and adjusted odds ratio (AOR) at p value <0.05 was used to determine statistically significant association between predictors and outcome variable. Result. The prevalence of stunting among children of 6–59 months in the study area was 47.9% (95% CI; 44.0–51.7). The likelihood of stunting was significantly higher among children who live in households with medium (AOR 2.20, 95% CI: 1.43–3.37) and poor (AOR 2.87, 95% CI: 1.72–4.81) wealth status. In addition, children who were not exclusively breast fed (AOR 1.55, 95% CI: 1.07–2.24), whose mothers had not participated in decision of major household purchases (AOR 2.27, 95% CI: 1.21–4.26), and whose mothers lacked decision on freedom of mobility (AOR 1.96, 95% CI: 1.05–3.66) were significantly stunted compared with counterparts. Conclusion. Stunting is a severe public health problem in the area. Therefore, efforts should be taken to enhance maternal empowerment, household wealth, and infant and young child feeding practice for reducing stunting among children.


2020 ◽  
Vol 2020 ◽  
pp. 1-11
Author(s):  
Ajebew Bantihun ◽  
Kedir Abdela Gonete ◽  
Azeb Atnafu Getie ◽  
Asmamaw Atnafu

Background. Night blindness (XN) is a condition in which a person cannot see in dim light and is the earliest clinical manifestation of vitamin A deficiency. Globally, vitamin A deficiency is a public health problem in 122 countries, of which 45 countries have moderate to severe child night blindness. Therefore, this study is aimed at assessing the prevalence and associated factors of night blindness and Bitot’s spot among children aged 24-59 months. Methods. A community-based cross-sectional study was employed from February to March 2019 among children aged 24-59 months in the Lay Armachiho District, Amhara region. A structured and pretested questionnaire was used for data collection. Descriptive summary statistics were used to describe the study population. Bivariate and multivariable logistic regression models were used to identify associated factors. Results. Out of 1007 children, 1.9% and 2.2% had night blindness and Bitot’s spot, respectively. Illiterate mothers ( AOR = 2.94 ; 95 % CI = 1.12 , 6.72 ), age of 48 to 59 months ( AOR = 9.81 ; 95 % CI = 1.24 , 77.36 ), ≥4 family sizes ( AOR = 4.52 ; 95 % CI = 1.02 , 19.90 ), had diarrhea ( AOR = 5.00 ; 95 % CI = 1.73 , 14.54 ), and had a respiratory tract infection ( AOR = 3.14 ; 95 % CI = 1.02 , 9.70 ) were significantly associated with night blindness. Age of 48-59 months ( AOR = 4.23 ; 95 % CI = 1.13 , 14.86 ) and mothers who did not wash their hands after using the toilet ( AOR = 3.02 ; 95 % CI = 1.01 , 9.13 ) were predictor variables for Bitot’s spots. Conclusion. The prevalence of night blindness and Bitot’s spots was high. Child’s age, mother’s educational status, family size, diarrhea in the last 2 weeks, and respiratory tract infection in the last 2 weeks were predictive variables for night blindness. Besides, handwashing practice after using the toilet and child’s age were significantly associated with Bitot’s spot among children. Therefore, both night blindness and Bitot’s spots are a public health problem and call for the attention of health professionals in primary health care facilities.


2020 ◽  
Author(s):  
Alehegn Bishaw Geremew ◽  
Abebaw Addis Gelagay ◽  
Telake Azale Bisetegn ◽  
Yohannes Ayanaw Habitu ◽  
Solomon Mekonen Abebe ◽  
...  

Abstract Background Violence as a known serious public health problem affects people in all stages of life, from childhood to the elderly. In society, one of the most visible forms of violence is young people violence, whereas they, adolescents and young adults, are the main victims of such violence. There was limited information on the burden of violence and factors among this age group. Therefore, this study aimed to determine the prevalence of violence and its associated factors among youth in Northwest, Ethiopia. Methods A community-based cross-sectional study design was conducted to estimate the magnitude of violence among youth in Northwest, Ethiopia. The calculated sample size was 1765. A structured and pretested interviewer administered questionnaire was used to collect the data. A multi-stage cluster sampling technique was employed to get the study participants. Data were entered using Epi Info version 7 and then exported to STATA 14 for data analysis. The bivariate logistic regression model was employed to identify associated factors. An adjusted odds ratio with a 95% confidence interval was used to determine factors associated with violence. Results From the total 1765 representatives of the youth population, 1597 (90.5%) youth participated in the study. Overall, the prevalence of violence among youth aged 15–24 years for the last 12 months was 21.5%. In the multivariate logistic regression model, factors significantly associated with violence were being married and divorced (AOR= 1.77, 95% CI: 1.13, 2.79) and (AOR=5.67, 95%CI: 2.93, 10.99), respectively, Living with mother’s only (AOR= 1.85, 95% CI: 1.28, 2.66) and father’s only (AOR=2.45, 95% CI: 1.30, 4.63), and substance use (AOR= 2.38, 95% CI: 1.56, 3.66). Conclusions The prevalence of violence among youth was high compared to other studies. Special emphasis should be given to reduce the burden of youth violence and preventing and controlling the identified factors by modifying the existing policies/strategies or developing new strategies and interventions program. Keywords: Violence, Youth, Physical violence, Sexual violence, Psychological violence


Author(s):  
C. Rajan Rushender ◽  
G. Dinesh Kumar ◽  
M. Logaraj

Background: Tuberculosis (TB) remains a major public health problem. It is reported that, globally, about 9 million people developed tuberculosis and about 1.5 million people died due to tuberculosis across the globe in 2013.Methods: A descriptive cross sectional study was conducted in the Rural Health Training Center, SRM Medical College to assess knowledge and practice regarding tuberculosis using a pretested Interview schedule. Adult population, who are residing in the field practice area were considered as study population. The study period was between August 2013 to February 2014.Results: A total of 246 study subjects were included in the final analysis with the majority of the participants to be between 21 to 40 years (39.40%). Cough and expectoration as symptom of TB was known to 82.5% of study subjects. Only 22.8% of the study subjects are aware of at least one extra pulmonary for of tuberculosis. The proportion of subjects with good overall knowledge about TB was highest in subjects aged 61 and above, lowest in 41 to 60-year age group. The proportion of subjects with good knowledge had gradually increased with increasing socio economic status.Conclusions: Culture specific IEC interventions and their delivery mechanisms need to be designed, considering the highly heterogeneous nature of population in India. 


2021 ◽  
Vol 47 (1) ◽  
Author(s):  
Ayechew Ademas ◽  
Metadel Adane ◽  
Awoke Keleb ◽  
Gete Berihun ◽  
Getu Tesfaw

Abstract Background Stunting was a significant public health problem for under-five in developing countries including Ethiopia. Globally, it was estimated 21.9% or 149 million (81.7 million in Asia and 58.8 million in Africa) under-five children stunted in 2018. In East Africa, 24 million are stunted which is the highest-burden from African regions. Hence, this study aimed to assess the prevalence of stunting and its association with Water Sanitation and Hygiene (WASH) in northwestern Ethiopia. Method A community-based cross-sectional study design was conducted among 630 participants from December to mid-January 2019. From five kebeles, two were selected by a simple random sampling technique for the study. To reach study participants a systematic sampling technique was used. Data were collected by using an observational checklist, pretested questionnaire, and anthropometric measurement. Anthropometric indicator, height-for-age was determined using the current World Health Organization (WHO) growth standards. Multivariable logistic regression analysis was computed to analyze the data. From the multivariable analysis the Adjusted Odds Ratio (AOR) with 95% Confidence Interval (CI) and P-value < 0.05 were used to declare statistical significance. Result The prevalence of stunting among under-five children was 35.6% (95%CI; 31.9–39.5%). The result from this study showed that having illiterate father and mother, give birth before marriage (single), large family size, short maternal height, unimproved drinking water source, unimproved sanitation, poor hygienic practice, having diarrhea in the previous 2 weeks before the data collection, method of child feeding, age at which complementary feeding started, frequency of feeding, not deworming and mothers who had antenatal care visit of fewer than three times were statistically associated with stunting. Conclusion In this study, stunting was an important public health problem among under-five children. It remains the same as the national average prevalence of Ethiopia. To alleviate this problem proper family planning utilization, good dietary intake, maternal and paternal education, and WASH interventions are critical.


PLoS ONE ◽  
2021 ◽  
Vol 16 (3) ◽  
pp. e0247960
Author(s):  
Samuel Dagne ◽  
Yonatan Menber ◽  
Pammela Petrucka ◽  
Yosef Wassihun

Background The prevalence of abdominal obesity has been dramatically increasing both in developed and developing countries, including Ethiopia. It is an independent risk factor for cardiovascular diseases, type-2 diabetes mellitus, high blood pressure, and cancer. However, there is inadequate data regarding the prevalence and associated factors of abdominal obesity among adult population in Ethiopia. Objective This study aimed to assess the prevalence and associated factors of abdominal obesity among the adult population in Woldia town, Northeast Ethiopia in 2020. Method A community-based cross-sectional study was conducted in Woldia town from March 20 to April 20, 2020. Data on socio-demographic, dietary history, and anthropometric characteristics were collected from 802 adults using the World Health Organization stepwise technique. Multi-stage sampling was employed to select the study subjects. Data were cleaned, coded, and entered by EPI-info Version 7 and were exported to SPSS Version 20 for further analysis. To indicate the strength of association, odds ratios (OR) and 95% confidence intervals (95% CI) were used. Result From a total of 823 respondents 802 were involved with a response rate of 97.4%. The overall prevalence of central obesity based on waist to hip ratio was 16.5% with 95% CI (14.2–19.2). Female sex [AOR = 13.3, 95% CI: 7.01–25.39), high wealth rank (AOR = 2.95, 95% CI: 1.21–7.17), single marital status (AOR = 0.16, 95%CI: 0.04–0.58), age from 35 to 55 years (AOR = 4.3, 95% CI: 2.22–7.99), age greater than 55 years (AOR = 3.8, 95%CI: 1.36–10.78), secondary educational level (AOR = 1.83, 95% CI: 1.05–3.18), eat more protein (AOR = 4.22, 95% CI: 1.26–14.22), and consumption of snacks (AOR = 2.78, 95% CI: 1.68–4.61) were significantly associated with abdominal obesity. Conclusion The prevalence of abdominal obesity among adults in Woldia town is high, and has become an emerging nutrition-related problem. Being female, older age, being in a high wealth rank, consuming more meat, having secondary education level, and consuming snacks were the risk factors of abdominal obesity. Nutrition interventions should target adults mainly focusing on the alarmingly increase in nutrition problems, such as abdominal obesity, in Ethiopia with specific attention to females.


2020 ◽  
Author(s):  
Agize Asfaw ◽  
Tefera Belachew

Abstract Background: Iodine deficiency disorder (IDD) is continued to be a major public health problem in Ethiopia. The problem is worse but the data is scarce in some pocket areas of the country. This study was aimed to assess the magnitude of IDD and associated factors in southwest Ethiopia by using different biochemical and clinical indicators. Methods: Both community and school based cross- sectional study was conducted on school age children (6-12 years) from March 1 to 24, 2017. Simple random and systematic sampling techniques were applied to select districts and eligible children respectively. Household data was collected from children’s primary care takers by using structured questionnaire. A trained surgeon examined all children (n=652) for goiter. Urine sample was collected from 20% of children (n=130). Results: A total of 652 school children were participated in the study. Total goiter rate and median urinary iodine concentration (UIC) was 54.8 % and 96.12μg/l respectively. In multivariable logistic regression analyses student’s age was significantly (P<0 05) associated with both goiter and median UIC. However; sex of students and family income were significantly (P<0.001) associated with goiter and cassava consumption was significantly (P<0.001) associated with UIC. Conclusion: As indicated by the median UIC, there was mild iodine deficiency in this study community. However; chronic iodine deficiency was still a severe public health problem (high goiter prevalence). In addition, there was low concentration of iodine in the salt and increased cassava cultivation and consumption indicating the potential risk in the area. Therefore, it is necessary to intensify IDD elimination activities along with teaching communities on techniques of cassava processing for household consumption. Trial registration: PACTR201809544276357. Retrospectively registered on 14, Sept 2018.


2021 ◽  
Author(s):  
Kessete Ayelgn ◽  
Tadesse Guadu ◽  
Atalay Getachew

Abstract BackgroundTrachoma is an infectious disease of the eye caused by Chlamydia trachomatis and transmitted via contact with eye discharge from infected persons and leading to blindness worldwide. Children less than 9 years of age affected more seriously. The disease is common where access to water and sanitation are limited.ObjectiveTo determine the prevalence of active trachoma and associated factors among children aged 1–9 years in rural communities of Metema District, West Gondar Zone, Northwest Ethiopia.MethodA community based cross-sectional study design was used to collect data from 792 children aged 1–9 years old in Metema district from April to May 2018. Multistage sampling technique was used to select the study participants. Pretested interviewer-administered structured questionnaire and eye examination using binocular loupe to differentiate trachoma cases was the data collection methods and tools. The bivariable and multivariable binary logistic regression model was employed for analysis. P-value < 0.05 was considered to declare statistical significance.ResultsA total of 752 children aged l-9 years were enrolled in this study with response rate of 94.9%. The overall prevalence of active trachoma among the study participants was 11.8% (95 % CI, 9.5–13.9). Unprotected source of water (AOR = 4.7; 95% CI: 2.5–8.9), lower household water consumption (AOR = 2.8; 95% CI: 1.3-6.0), improper latrine utilization (AOR = 3.2; 95% CI: 1.5–6.7), and frequency of face washing once per day (AOR = 5.3; 95% CI: 1.2–26.6) were the factors significantly associated with active trachoma.ConclusionThe current study revealed a lower overall prevalence of active trachoma (11.8%) than the WHO threshold prevalence (20%) used to declare it as a severe public health problem. All residents and health professional should collaborate on trachoma prevention by implementing the WHO SAFE strategy- surgery for trichiasis, antibiotics, facial cleanliness and environmental improvement for further trachoma elimination.


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