scholarly journals Childhood Obesity and Overweight in Uganda: Evidence From the Uganda Demographic Health Survey 2016

2021 ◽  
Author(s):  
Quraish Sserwanja ◽  
Linet M. Mutisya ◽  
Emmanuel Olal ◽  
Milton W. Musaba ◽  
David Mukunya
Keyword(s):  
Childhood Obesity ◽  
Health Survey ◽  
Public Health Problem ◽  
Overweight And Obesity ◽  
Demographic And Health Survey ◽  
Middle Income ◽  
Factors Associated ◽  
The North ◽  
Obesity And Overweight ◽  
Using Data

Abstract Background: Childhood obesity is an emerging public health problem. Although previously a problem of high-income countries, low- and middle-income countries are now registering higher proportions of overweight and obese children. Studies in Africa have mainly focused on undernutrition among children. This paper explores the factors associated with childhood obesity and overweight in Uganda using data from the Uganda Demographic and Health Survey (UDHS) of 2016.Methods: We used Uganda Demographic and Health Survey (UDHS) 2016 data of 4,338 children less than five years. Multistage stratified sampling was used to select study participants and data were collected using validated questionnaires. We used multivariable logistic regression to determine factors associated with obesity and overweight among children under the age of five in Uganda.Results: The prevalence of overweight and obesity was 5.0% (217/4338) (95% CI: 4.3–5.6) with overweight at 3.9% (168/4338: 95% CI: 3.2–4.3) and obesity at 1.1% (49/4338: 95% CI: 0.8–1.5). Boys were more likely to be overweight or obese (adjusted odds ratio: aOR = 2.00; 95% CI 1.42–2.82) compared to girls. Furthermore, children from the Western region (aOR = 1.61; 95% CI 1.07–2.44) compared to those from the North, children below the age of 49 months and those with mothers who were overweight or obese (aOR = 3.36; 95% CI 1.53–7.34) were more likely to be obese or overweight compared to their counterparts who were above 48 months and those with underweight mothers respectively.Conclusion: The present study showed male sex, older age of the children, nutritional status of the mothers and region of residence were associated with overnutrition among under five children in Uganda.

scholarly journals Factors associated with childhood overweight and obesity in Uganda: a national survey

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Quraish Sserwanja ◽  
Linet M. Mutisya ◽  
Emmanuel Olal ◽  
Milton W. Musaba ◽  
David Mukunya
Keyword(s):  
Childhood Obesity ◽  
Nutritional Status ◽  
Health Survey ◽  
Public Health Problem ◽  
Overweight And Obesity ◽  
Demographic And Health Survey ◽  
Z Score ◽  
Factors Associated ◽  
Obesity And Overweight ◽  
Children Under 5

Abstract Background Childhood obesity is an emerging public health problem globally. Although previously a problem of high-income countries, overweight and obesity is on the rise in low- and middle-income countries. This paper explores the factors associated with childhood obesity and overweight in Uganda using data from the Uganda Demographic and Health Survey (UDHS) of 2016. Methods We used Uganda Demographic and Health Survey (UDHS) 2016 data of 4338 children less than 5 years. Multistage stratified sampling was used to select study participants and data were collected using validated questionnaires. Overweight and obesity were combined as the primary outcome. Children whose BMI z score was over two were considered as overweight while those with a BMI z score greater than three were considered as obese. We used multivariable logistic regression to determine factors associated with obesity and overweight among children under 5 years of age in Uganda. Results The prevalence of overweight and obesity was 5.0% (217/4338) (95% CI: 4.3–5.6), with overweight at 3.9% (168/4338: 95% CI: 3.2–4.3) and obesity at 1.1% (49/4338: 95% CI: 0.8–1.5). Mother’s nutritional status, sex of the child, and child’s age were associated with childhood obesity and overweight. Boys were more likely to be overweight or obese (aOR = 1.81; 95% CI 1.24 to 2.64) compared to girls. Children who were younger (36 months and below) and those with mothers who were overweight or obese were more likely to have obesity or overweight compared to those aged 49–59 months and those with underweight mothers respectively. Children from the western region were more likely to be overweight or obese compared to those that were from the North. Conclusion The present study showed male sex, older age of the children, nutritional status of the mothers and region of residence were associated with obesity and overweight among children under 5 years of age.

scholarly journals Factors associated with completion of childhood immunization in Malawi: a multilevel analysis of the 2015–16 Malawi demographic and health survey

2019 ◽  
Vol 113 (9) ◽  
pp. 534-544
Author(s):  
Peter Austin Morton Ntenda ◽  
Owen Nkoka ◽  
Andrè Wendindonde Nana ◽  
Precious Majoni ◽  
Thomas Gabriel Mhone ◽  
...  
Keyword(s):  
Health Survey ◽  
Contextual Factors ◽  
Oral Polio Vaccine ◽  
Demographic And Health Survey ◽  
Childhood Vaccination ◽  
Multilevel Regression ◽  
Childhood Immunization ◽  
Factors Associated ◽  
Using Data ◽  
To Receive

Abstract Background Between 2010 and 2015, the percentage of children 12–23 months of age who received full immunization in Malawi decreased from 81% to 76%, prompting us to investigate the factors associated with completion of childhood immunization in Malawi. Methods Using data from the 2015–16 Malawi Demographic and Health Survey, generalized linear mixed models were applied on 3145 children 12–23 months of age nested within 850 communities. Complete immunization was defined as the child having received a Bacillus Calmette-Guerin, three doses of pentavalent vaccine, four doses of oral polio vaccine, three doses of pneumococcal vaccine, two doses of rotavirus vaccine and one dose of measles vaccine before their first birthday. Results Adjusted multilevel regression showed that children born to mothers with either none or one antenatal care visit (adjusted odds ratio [aOR] 0.56 [95% confidence interval {CI} 0.32 to 0.93]) and whose mothers had no card or no longer had a vaccination card (aOR 0.06 [95% CI 0.04 to 0.07]) were less likely to receive complete immunization. In addition, children from the poorest households (aOR 0.60 [95% CI 0.40 to 0.92]) and who resided in communities with a medium (aOR 0.73 [95% CI 0.53 to 0.98]) or high percentage (aOR 0.73 [95% CI 0.53 to 0.99]) of households that perceived the distance to the nearest health facility as a big problem had reduced odds of achieving complete immunization. Furthermore, the findings showed evidence of clustering effects of childhood complete immunization at the community level. Conclusions Our findings show that a series of sociodemographic, health and contextual factors are associated with the completion of childhood vaccination. Therefore interventions that aim at increasing the completion of childhood immunization in Malawi should not only address individual needs, but should also consider contextual factors and the communities addressed in this study.

Prevalence and predictors of spousal violence against women in Afghanistan: evidence from Demographic and Health Survey data

2021 ◽  
pp. 1-18
Author(s):  
Bal Govind Chauhan ◽  
Suresh Jungari
Keyword(s):  
Violence Against Women ◽  
Health Survey ◽  
Lower Risk ◽  
Public Health Problem ◽  
Demographic And Health Survey ◽  
Spousal Violence ◽  
Social Interventions ◽  
Household Decisions ◽  
Women's Participation ◽  
Using Data

Abstract Spousal violence against women is a serious public health problem that is prevalent in all societies, with one in three women around the world experiencing violence in their lifetime. This study examined the prevalence of spousal violence, and its determinants, in Afghanistan using data from the 2015 Afghanistan Demographic and Health Survey. Univariate, bivariate and logistic regression statistical techniques were used to assess the association of socioeconomic variables with spousal violence. The study sample comprised 20,827 currently married women aged 15–49. Fifty-two per cent of women reported experiencing some form of violence by their husband. A significant association was found between women’s justification of violence, women’s participation in decision-making in their household (COR=0.476; CI=0.446–0.509) and lower risk of experiencing spousal violence. After adjustment for demographic and socioeconomic factors, women’s participation in all of four household decisions, either alone or jointly, was found to be associated with a lower risk of experiencing spousal violence (AOR=0.472; CI=0.431–0.516). In both the crude and adjusted models, the risk of experiencing spousal violence was high if the husband’s desire for children was different from that of his wife. In the case of inequality in property ownership, the risk of spousal violence was significantly higher (COR=1.263; CI=1.178–1.353; AOR=1.159; CI=1.051–1.278) when women were joint owners of property compared with when they did not own any property. The findings point to an immediate need for legal and social interventions to prevent spousal violence against women, or at least reduce its prevalence, in Afghanistan.

A system dynamics model of the nutritional stages of the Colombian population

Kybernetes ◽  
2016 ◽  
Vol 45 (4) ◽  
pp. 554-570 ◽  
Author(s):  
Jose D Meisel ◽  
Olga L. Sarmiento ◽  
Camilo Olaya ◽  
Juan A Valdivia ◽  
Roberto Zarama
Keyword(s):  
Urban Population ◽  
Public Health Problem ◽  
Population Level ◽  
Overweight And Obesity ◽  
Systemic Approach ◽  
Important Public Health Problem ◽  
Middle Income ◽  
Content Type ◽  
Using Data ◽  
Sd Model

Purpose – Overweight, obesity, and physical inactivity have in recent years become an important public health problem worldwide. Investigations that study obesity using a systemic approach in low- and middle-income countries (LMICs) are limited. Therefore, the purpose of this paper is to study the nutritional stages dynamics within the Colombian urban population. Design/methodology/approach – The authors used a population-level systems dynamics (SD) model that captures the transitions of population by body mass index (BMI) categories. The authors proposed a heuristic to estimate the transference rates (TRs) between BMI categories using data from the Colombian Demographic and Health Survey 2005 and 2010. Findings – The Colombian urban population is moving to overweight and obese categories. The TRs from not overweight to overweight and from overweight to obese (0.0076 and 0.0054, respectively) are higher than the TRs from obese to overweight and from overweight to not-overweight (1.025×10e−7 and 3.47×10e−7, respectively). The simulation results show that the prevalences of overweight and obesity will increase by 6.2 and 7.5 percent by 2015, and by 13.4 and 18.9 percent by 2030, respectively. Originality/value – Investigations that study obesity using a systemic approach in LMICs are limited. A SD model was proposed to examine changes in the population’s nutritional stages using population accumulation structures by BMI categories. The authors propose a heuristic to estimate the TRs of individuals between BMI categories. The proposed model can be used to study the effects of policy interventions to prevent overweight and obesity. The authors analyze a few policy intervention strategies.

scholarly journals Rural–urban variation in insecticide-treated net utilization among pregnant women: evidence from 2018 Nigeria Demographic and Health Survey

2020 ◽  
Vol 19 (1) ◽  
Author(s):  
Edward Kwabena Ameyaw ◽  
Kenneth Setorwu Adde ◽  
Shadrach Dare ◽  
Sanni Yaya
Keyword(s):  
Rural Communities ◽  
Pregnant Women ◽  
Health Survey ◽  
Binary Logistic Regression ◽  
Demographic And Health Survey ◽  
Insecticide Treated Nets ◽  
Lower Odds ◽  
North West ◽  
The North ◽  
Itn Use

Abstract Background In 2018, Nigeria accounted for the highest prevalence of malaria worldwide. Pregnant women and children under five years bear the highest risk of malaria. Geographical factors affect utilization of insecticide-treated nets (ITN), yet existing literature have paid little attention to the rural–urban dimension of ITN utilization in Nigeria. This study aimed at investigating the rural–urban variation in ITN utilization among pregnant women in Nigeria using data from the 2018 Demographic and Health Survey. Methods A total of 2909 pregnant women were included in the study. The prevalence of ITN utilization for rural and urban pregnant women of Nigeria were presented with descriptive statistics. Chi-square test was employed to assess the association between residence, socio-demographic characteristics and ITN utilization at 95% level of significance. Subsequently, binary logistic regression was used to assess the influence of residence on ITN utilization. Results Eight out of ten of the rural residents utilized ITN (86.1%) compared with 74.1% among urban residents. Relative to urban pregnant women, those in rural Nigeria had higher odds of utilizing ITNs both in the crude [cOR = 2.17, CI = 1.66–2.84] and adjusted models [aOR = 1.18, CI = 1.05–1.24]. Pregnant women aged 40–44 had lower odds of ITN utilization compared to those aged 15–19 [aOR = 0.63, CI = 0.44–0.92]. Poorer pregnant women had higher odds of ITN utilization compared with poorest pregnant women [aOR = 1.09, CI = 1.04–1.32]. Across regions, those in the south [aOR = 0.26, CI = 0.14–0.49] and south-west [aOR = 0.29, CI = 0.16–0.54] had lower odds of ITN use compared to their counterparts in the north-west region. Conclusion The high use of ITNs among pregnant women in Nigeria may be due to the prioritization of rural communities by previous interventions. This is a dimension worth considering to enhance the attainment of the national anti-malarial initiatives. Since possession of ITN is not a guarantee for utilization, women in urban locations need constant reminder of ITN use through messages delivered at ANC and radio advertisements. Moreover, subsequent mass ITN campaigns ought to take cognizance of variations ITN use across regions and pragmatic steps be taken to increase the availability of ITN in households since there is a moderately high use in households with at least one ITN in Nigeria.

Social and individual factors associated with condom use among single youths: an analysis of the 2018 Cameroon Demographic and Health Survey

2021 ◽  
pp. 1-27
Author(s):  
Jean-Robert Mburano Rwenge ◽  
Franklin Bouba Djourdebbe ◽  
Emmanuel Ekambi Ekambi
Keyword(s):  
Risk Factor ◽  
Condom Use ◽  
Sexual Intercourse ◽  
Health Survey ◽  
Protective Factor ◽  
Multivariate Logistic Regression Analysis ◽  
Demographic And Health Survey ◽  
Main Risk Factor ◽  
Factors Associated ◽  
Service Sectors

Abstract In Cameroon, two-fifths of the population is between the age of 15 and 24. Adolescents and youths are an important social group for the development of the country and the realization of the demographic dividend. The promotion of sexual and reproductive health will enable youth to transform their potential into development. This study aimed to identify the determinants of condom use at last sexual intercourse among single youths, highlight gender differences in the factors associated with condom use and identify the characteristics of youths who were less likely to use condoms. Data were taken from the 2018 Cameroon Demographic and Health Survey. The study sample comprised 1464 single females and 989 single males age 15–24. Multivariate logistic regression analysis was used to test the study hypotheses. Overall, 51% of the female and 66% of the male youths reported using condoms at last sexual intercourse. For both sexes, the protective factor was not having children. Among the females, belonging to the Bamileke or Mbo ethnic groups and delaying first sexual intercourse were also protective, while working in the modern or service sectors was the main risk factor. Among male youths, residing in households whose heads had a higher educational level was protective and household poverty was the main risk factor. These findings support Cameroon’s multi-sectoral approach to HIV/AIDS prevention among youths, and emphasize the importance of involving parents, teachers and youths in prevention strategies.

scholarly journals Exploring spatial variation in BCG vaccination among children 0–35 months in Ethiopia: spatial analysis of Ethiopian Demographic and Health Survey 2016

BMJ Open ◽  
2021 ◽  
Vol 11 (4) ◽  
pp. e043565
Author(s):  
Chilot Desta Agegnehu ◽  
Adugnaw Zeleke Alem
Keyword(s):  
Spatial Variation ◽  
Health Survey ◽  
Addis Ababa ◽  
Public Health Problem ◽  
Demographic And Health Survey ◽  
Scan Statistics ◽  
Major Public Health Problem ◽  
Hotspot Analysis ◽  
Bcg Vaccination ◽  
South West

ObjectiveTuberculosis is a major public health problem and is the second leading cause of death worldwide. BCG vaccination is a life-saving and important part of standard tuberculosis control measures, particularly in Ethiopia where tuberculosis is endemic. The End Tuberculosis Strategy targets of 2020 have not been achieved. Exploring spatial variations in BCG vaccination among children is vital to designing and monitoring effective intervention programmes. Therefore, this study aimed to explore the spatial variation in BCG vaccination among children in Ethiopia.DesignCross-sectional study design.SettingEthiopia.ParticipantsChildren aged 0–35 months.Primary outcomeBCG vaccination coverage.MethodsData from the 2016 Ethiopian Demographic and Health Survey were used and a total of 4453 children aged 0–35 months were included. Spatial autocorrelation analysis, cluster and outlier analysis, hotspot analysis, spatial interpolation, and spatial scan statistics were carried out to identify geographical risk areas for BCG vaccine utilisation. ArcGIS V.10.6 and SaTScan V.9.6 statistical software were employed to explore spatial pattern and significant hotspot areas for BCG vaccination among children.ResultsBCG vaccination was spatially clustered in Ethiopia at the regional level (Global Moran’s I=0.516, p<0.001). A total of 51 most likely clusters of low BCG vaccination were identified in the Somali and Afar regions (log-likelihood ratio=136.58, p<0.001). Significant secondary clusters were also identified in North West Gambela, South Amhara, South West Addis Ababa, North East Southern Nations, Nationalities, and People’s Region, and South West Oromia.ConclusionA low probability of receiving BCG vaccination was found among children in the Somali and Afar regions. Therefore, these areas should be given attention when designing effective immunisation strategies to improve BCG vaccination among children in order to reduce the burden of tuberculosis in Ethiopia.

scholarly journals Individual and contextual factors associated with barriers to accessing healthcare among women in Papua New Guinea: insights from a nationwide demographic and health survey

2020 ◽  
Author(s):  
Abdul-Aziz Seidu ◽  
Ebenezer Agbaglo ◽  
Louis Kobina Dadzie ◽  
Bright Opoku Ahinkorah ◽  
Edward Kwabena Ameyaw ◽  
...  
Keyword(s):  
Papua New Guinea ◽  
Health Survey ◽  
Rural Areas ◽  
Contextual Factors ◽  
Statistical Significance ◽  
New Guinea ◽  
Wealth Quintile ◽  
Demographic And Health Survey ◽  
Outcome Variable ◽  
Factors Associated

Abstract Background This study sought to assess the individual and contextual factors associated with barriers to accessing healthcare among women in Papua New Guinea. Methods The study was conducted among 14 653 women aged 15–49 y using data from the 2016–2018 Papua New Guinea Demographic and Health Survey. The outcome variable was barriers to accessing healthcare. Descriptive and multilevel logistic regression analyses were conducted. Statistical significance was declared at P &lt; 0.05. Results Women aged 15–19 y were more likely to experience at least one barrier compared with those aged 40–49 y (adjusted OR [AOR]=1.48; 95% CI 1.18 to 1.86). Women with secondary/higher education (AOR=0.68; 95% CI 0.57 to 0.81), women in the richest wealth quintile (AOR=0.36; 95% CI 0.28 to 0.46) and those in the least disadvantaged socioeconomic status (AOR=0.46; 95% CI 0.33 to 0.64) had lower odds of having challenges with at least one barrier to healthcare. However, living in rural areas increased the odds of facing at least one barrier to healthcare (AOR=1.87; 95% CI 1.27 to 2.77). Conclusions This study has demonstrated that both individual and contextual factors are associated with barriers to healthcare accessibility among women in Papua New Guinea. To enhance the achievement of the Sustainable Development Goals 3.1, 3.7 and 3.8, it is critical to deem these factors necessary and reinforce prevailing policies to tackle barriers to accessing healthcare among women in Papua New Guinea.

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