scholarly journals Regional Variation and Socioeconomic Inequalities in Obesity Prevalence Among Non-pregnant Women in Chad: Evidence From Three Waves of Chad Demographic and Health Surveys

2020 ◽  
Author(s):  
Gebretsadik Shibre ◽  
Betregiorgis Hailu Zegeye ◽  
Gashaw Woldeamanuiel Garedew ◽  
Wassie Negash ◽  
Gorems Lemma ◽  
...  
Keyword(s):  
Pregnant Women ◽  
Health Surveys ◽  
Population Attributable Fraction ◽  
Overweight And Obesity ◽  
World Health ◽  
Demographic And Health Surveys ◽  
Obesity Prevalence ◽  
Place Of Residence ◽  
Regional Inequalities ◽  
Urban Rural

Abstract Background: While the prevalence of obesity is increasing worldwide, the growing rates of overweight and obesity in developing countries are alarming. Obesity is widely recognized as a risk factor for non-communicable diseases (NCDs), including diabetes, cancer and cardiovascular diseases. Available evidence on whether obesity has been more prevalent among higher or lower socioeconomic groups, across regions and urban-rural women’s are inconsistent. This study examined socioeconomic, urban-rural and sub-national regional inequalities in obesity among non-pregnant women in Chad.Method: Using cross-sectional data from Demographic and Health Surveys (DHS) from Chad conducted between 1996 and 2014, we used the World Health Organization Health Equity Assessment Toolkit to analyze the socio-economic and regional inequalities in obesity prevalence among non-pregnant women aged 15-49 years. Inequalities are assessed using socioeconomic and demographic indicators such as wealth index, education level and place of residence. We presented inequalities using both simple and complex summary measures, namely Difference (D), Population Attributable Risk (PAR), Population Attributable Fraction (PAF) and Ratio (R).Results: Though constant pattern overtime, both wealth-driven and place of residence inequality were observed in all three surveys by Difference measure and in the first and last surveys by Ratio measure. Similarly, including the recent survey (D=-2.80%, 95% CI:-4.15, -1.45, R= 0.37%, 95% CI: 0.23, 0.50) absolute (in 1996 & 2014 survey) and relative (in all three surveys) educational status inequality with constant pattern were observed. Substantial absolute (PAR=-2.2%, 95% CI: -3.21, -1.34) and relative (PAF= -91.9%, 95% CI: -129.58, -54.29) regional inequality was observed with increasing and constant pattern by simple (D) and complex (PAR, PAF) measures. Conclusion: Both socioeconomic and area-based obesity inequalities disfavoring women in the higher socioeconomic status and residing in urban areas. Prevention of obesity prevalence should be government and stakeholders’ priority through organizing the evidence, health promotion and prevention interventions for at risk population and general population.

scholarly journals Observed magnitude and trends in socioeconomic and geographic area inequalities in obesity prevalence among non-pregnant women in Chad: evidence from three waves of Chad demographic and health surveys

2021 ◽  
Vol 79 (1) ◽  
Author(s):  
Gebretsadik Shibre ◽  
Betregiorgis Zegeye ◽  
Gashaw Garedew Woldeamanuiel ◽  
Wassie Negash ◽  
Gorems Lemma ◽  
...  
Keyword(s):  
Pregnant Women ◽  
Health Surveys ◽  
Population Attributable Risk ◽  
Population Attributable Fraction ◽  
Overweight And Obesity ◽  
World Health ◽  
Demographic And Health Surveys ◽  
Obesity Prevalence ◽  
Place Of Residence ◽  
Urban Rural

Abstract Background While the prevalence of obesity is increasing worldwide, the growing rates of overweight and obesity in developing countries are disquieting. Obesity is widely recognized as a risk factor for non-communicable diseases (NCDs), including diabetes, cancer and cardiovascular diseases. Available evidence on whether obesity has been more prevalent among higher or lower socioeconomic groups, across regions and urban-rural women’s are inconsistent. This study examined magnitude of and trends in socioeconomic, urban-rural and sub-national region inequalities in obesity prevalence among non-pregnant women in Chad. Method Using cross-sectional data from Chad Demographic and Health Surveys (DHSs) conducted in 1996, 2004 and 2014; we used the World Health Organization (WHO) Health Equity Assessment Toolkit (HEAT) to analyze socio-economic, urban-rural and regional inequalities in obesity prevalence among non-pregnant women aged 15–49 years. Inequalities were assessed using four equity stratifiers namely wealth index, educational level, place of residence and subnational region. We presented inequalities using simple and complex as well as relative and absolute summary measures such as Difference (D), Population Attributable Risk (PAR), Population Attributable Fraction (PAF) and Ratio (R). Results Though constant pattern overtime, both wealth-driven and place of residence inequality were observed in all three surveys by Difference measure and in the first and last surveys by Ratio measure. Similarly, including the recent survey (D = -2.80, 95% CI:-4.15, − 1.45, R = 0.37, 95% CI: 0.23, 0.50) absolute (in 1996 & 2014 survey) and relative (in all three surveys) educational status inequality with constant pattern were observed. Substantial absolute (PAR = -2.2, 95% CI: − 3.21, − 1.34) and relative (PAF = − 91.9, 95% CI: − 129.58, − 54.29) regional inequality was observed with increasing and constant pattern by simple (D) and complex (PAR, PAF) measures. Conclusion The study showed socioeconomic and area-based obesity inequalities that disfavored women in higher socioeconomic status and residing in urban areas. Prevention of obesity prevalence should be government and stakeholders’ priority through organizing the evidence, health promotion and prevention interventions for at risk population and general population.

scholarly journals Time trends in socio-economic, urban-rural and regional disparities in prevalence of obesity among non-pregnant women in Lesotho: evidence from Lesotho demographic and health surveys (2004–2014)

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Betregiorgis Zegeye ◽  
Gebretsadik Shibre ◽  
Gashaw Garedew Woldeamanuel
Keyword(s):  
Pregnant Women ◽  
Health Surveys ◽  
Educational Inequality ◽  
Statistical Significance ◽  
World Health ◽  
Demographic And Health Surveys ◽  
Obesity Prevalence ◽  
Urban Rural ◽  
Prevalence Of Obesity ◽  
Health Organization

Abstract Background The growing rates of obesity in developing countries are alarming. There is a paucity of evidence about disparities of obesity in Lesotho. This study examined socioeconomic and area-based inequalities in obesity among non-pregnant women in Lesotho. Methods Data were extracted from the 2004, 2009 and 2014 Lesotho Demographic and Health Surveys (LDHS) and analyzed through the recently updated Health Equity Assessment Toolkit (HEAT) of the World Health Organization. Obesity prevalence was disaggregated by four equity stratifiers, namely education, wealth, residence and sub-national region. For each equity stratifier, simple and complex as well as relative and absolute summary measures were calculated. A 95% confidence interval was used to measure statistical significance of findings. Results We noticed substantial wealth-driven (D = -21.10, 95% CI; − 25.94, − 16.26), subnational region (PAR = -11.82, 95%CI; − 16.09, − 7.55) and urban-rural (− 9.82, 95% CI; − 13.65, − 5.99) inequalities in obesity prevalence without the inequalities improved over time in all the studied years. However, we did not identify educational inequality in obesity. Conclusions Wealth-driven and geographical inequalities was identified in Lesotho in all the studied time periods while education related inequalities did not appear during the same time period. All population groups in the country need to be reached with interventions to reduce the burden of obesity in the country.

scholarly journals Changes over time in HIV testing and counselling uptake and associated factors among youth in Zambia: a cross-sectional analysis of demographic and health surveys from 2007 to 2018

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Aimé Bitakuya Heri ◽  
Francesca L. Cavallaro ◽  
Nurilign Ahmed ◽  
Maurice Mubuyaeta Musheke ◽  
Mitsuaki Matsui
Keyword(s):  
Pregnant Women ◽  
Hiv Testing ◽  
Health Surveys ◽  
Health Centre ◽  
Demographic And Health Surveys ◽  
Common Source ◽  
Cross Sectional ◽  
Government Health ◽  
Hiv Testing And Counselling ◽  
Testing Uptake

Abstract Introduction Zambia is among the countries with the highest HIV burden and where youth remain disproportionally affected. Access to HIV testing and counselling (HTC) is a crucial step to ensure the reduction of HIV transmission. This study examines the changes that occurred between 2007 and 2018 in access to HTC, inequities in testing uptake, and determinants of HTC uptake among youth. Methods We carried out repeated cross-sectional analyses using three Zambian Demographic and Health Surveys (2007, 2013–14, and 2018). We calculated the percentage of women and men ages 15–24 years old who were tested for HIV in the last 12 months. We analysed inequity in HTC coverage using indicators of absolute inequality. We performed bivariate and multivariate logistic regression analyses to identify predictors of HTC uptake in the last 12 months. Results HIV testing uptake increased between 2007 and 2018, from 45 to 92% among pregnant women, 10 to 58% among non-pregnant women, and from 10 to 49% among men. By 2018 roughly 60% of youth tested in the past 12 months used a government health centre. Mobile clinics were the second most common source reaching up to 32% among adolescent boys by 2018. Multivariate analysis conducted among men and non-pregnant women showed higher odds of testing among 20–24 year-olds than adolescents (aOR = 1.55 [95%CI:1.30–1.84], among men; and aOR = 1.74 [1.40–2.15] among women). Among men, being circumcised (aOR = 1.57 [1.32–1.88]) and in a union (aOR = 2.44 [1.83–3.25]) were associated with increased odds of testing. For women greater odds of testing were associated with higher levels of education (aOR = 6.97 [2.82–17.19]). Education-based inequity was considerably widened among women than men by 2018. Conclusion HTC uptake among Zambian youth improved considerably by 2018 and reached 65 and 49% tested in the last 12 months for women and men, respectively. However, achieving the goal of 95% envisioned by 2020 will require sustaining the success gained through government health centres, and scaling up the community-led approaches that have proven acceptable and effective in reaching young men and adolescent girls who are less easy to reach through the government facilities.

scholarly journals Urban–Rural Disparities in the Magnitude and Determinants of Stunting among Children under Five in Tanzania: Based on Tanzania Demographic and Health Surveys 1991–2016

2021 ◽  
Vol 18 (10) ◽  
pp. 5184
Author(s):  
Wenjun Zhu ◽  
Si Zhu ◽  
Bruno F. Sunguya ◽  
Jiayan Huang
Keyword(s):  
Urban Areas ◽  
Health Surveys ◽  
Demographic And Health Surveys ◽  
Household Level ◽  
Individual Level ◽  
Child Stunting ◽  
Rural And Urban Areas ◽  
Rural And Urban ◽  
Urban Rural ◽  
The Individual

Our study aims to examine the disparity of under-5 child stunting prevalence between urban and rural areas of Tanzania in the past three decades, and to explore factors affecting the rural–urban disparity. Secondary analyses of Tanzania Demographic and Health Surveys (TDHS) data drawn from 1991–1992, 1996, 1999, 2004–2005, 2009–2010, and 2015–2016 surveys were conducted. Under-5 child stunting prevalence was calculated separately for rural and urban children and its decline trends were examined by chi-square tests. Descriptive analyses were used to present the individual-level, household-level, and societal-level characteristics of children, while multivariable logistic regression analyses were performed to examine determinants of stunting in rural and urban areas, respectively. Additive interaction effects were estimated between residence and other covariates. The results showed that total stunting prevalence was declining in Tanzania, but urban–rural disparity has widened since the decline was slower in the rural area. No interaction effect existed between residence and other determinants, and the urban–rural disparity was mainly caused by the discrepancy of the individual-level and household-level factors between rural and urban households. As various types of determinants exist, multisector nutritional intervention strategies are required to address the child stunting problem. Meanwhile, the intervention should focus on targeting vulnerable children, rather than implementing different policies in rural and urban areas.

scholarly journals Contextual and Compositional Risk Factors of Overweight and Obesity in India over Two Decades: An Analysis of National Demographic and Health Surveys

2020 ◽  
Vol 4 (Supplement_2) ◽  
pp. 1607-1607
Author(s):  
Jeswin Baby ◽  
Jithin Sam Varghese ◽  
Tinku Thomas ◽  
Shruthi Cyriac ◽  
Shivani Patel
Keyword(s):  
Health Surveys ◽  
Labour Force ◽  
Participation Rate ◽  
Household Wealth ◽  
Individual Characteristics ◽  
Overweight And Obesity ◽  
Demographic And Health Surveys ◽  
Labour Force Participation Rate ◽  
Per Capita ◽  
The Impact

Abstract Objectives Identify contextual (state characteristics) and compositional (individual characteristics) drivers of changes in overweight in women from 1998–2016 across 26 states of India. Methods Nationally representative data on individual socio-demographics and objectively-measured anthropometry for non-pregnant and ever-married women 15–49y were obtained from the Indian National Family Health Surveys (NFHS-2, 1998–99, n = 61,979; NFHS-3, 2005–06, n = 66,694; and NFHS-4, 2015–16, n = 387,732). Individual-level data were merged with year-matched state-level nutritional and economic indicators obtained from multiple national databases. State indicators included per capita consumption of cereals, oils and sugar, per capita gross state domestic product (GDP), literacy rates, labour force participation rate, and population proportion engaged in sedentary employment. Cross-classified generalized linear mixed models (GLMM) with random effects classified each woman by state and round of survey. Models examined overweight/obesity trends as well as estimated the adjusted odds ratios and 95% Bayesian credible intervals for overweight/obesity associated with contextual and individual factors. Results From 1998 to 2016, the prevalence of overweight/obesity increased in all states of India. Higher household wealth (Quintile 5 vs 1: 4.18 [4.06–4.30]), education (post-secondary vs pre-school or less: 1.55 [1.51–1.60]), were associated with higher adjusted odds of overweight/obesity. State average sugar (g; 1.04 [1.03–1.05]) and oil (g; 1.04 [1.03–1.06]) intake, log (GDP per capita) (2.18 [2.14–2.21]) and literacy rates (1.01 [1.01–1.01]) were positively and independently associated with higher odds of overweight. The impact of state characteristics on prevalence of overweight/obesity decreased across rounds. Conclusions While the role of state economic and nutritional context as a driver of overweight has waned over time, contextual indicators remain salient correlates of an individual adult's likelihood of being overweight. Findings suggest that rising overweight in India must be understood and addressed from a socio-ecological lens that considers context alongside individual risks. Funding Sources None.

scholarly journals Measuring overweight and obesity in Chinese American children using US, international and ethnic-specific growth charts

2020 ◽  
Vol 23 (15) ◽  
pp. 2663-2670
Author(s):  
Jennifer D Lau ◽  
Laminasti Elbaar ◽  
Eda Chao ◽  
Olivia Zhong ◽  
Chihang Ray Yu ◽  
...  
Keyword(s):  
Specific Growth ◽  
Task Force ◽  
Health Centre ◽  
Chinese American ◽  
Overweight And Obesity ◽  
World Health ◽  
Specific Reference ◽  
Obesity Prevalence ◽  
American Children ◽  
Overweight Prevalence

AbstractObjective:The aim is to determine the disparity between the overweight and obesity prevalence of Chinese American school-aged children and adolescents as measured by the Centers for Disease Control and Prevention (CDC) growth reference and the prevalence as measured by international and ethnic-specific-growth references.Design:This retrospective, cross-sectional study measured overweight and obesity prevalence among a paediatric population using the CDC, International Obesity Task Force (IOTF), World Health Organization (WHO) and an ethnic Chinese growth curve.Setting:A community health centre in New York City, USA.Participants:Chinese American children aged 6–17 years in 2017 (N 9160).Results:The overweight prevalence was 24 % (CDC), 23 % (IOTF), 30 % (WHO) and 31 % (China). The obesity prevalence was 10 % (CDC), 5 % (IOTF), 10 % (WHO) and 10 % (China). When disaggregated by age and sex, the difference was the most prominent in girls; using the China reference compared with using the CDC reference almost doubles the overweight prevalence (school-aged: 31 v. 17 %, P < 0·001, adolescent: 27 v. 14 %, P < 0·001) and the obesity prevalence (school-aged: 11 v. 5 %, P < 0·001, adolescent: 7 v. 4 %, P < 0·001).Conclusions:Use of the CDC reference compared with the Chinese ethnic-specific reference results in lower overweight and obesity prevalence in Chinese American girls. Almost half of the girls who were overweight and half of the girls who were obese were not identified using the CDC reference. Using ethnic-specific references or ethnic-specific cut-points may help improve overweight identification for Chinese American children.

scholarly journals Trends, prevalence and risk factors of overweight and obesity among women of reproductive age in Bangladesh: a pooled analysis of five national cross-sectional surveys

BMJ Open ◽  
2018 ◽  
Vol 8 (7) ◽  
pp. e018468 ◽  
Author(s):  
Muhammad Abdul Baker Chowdhury ◽  
Md Mohiuddin Adnan ◽  
Md Zakiul Hassan
Keyword(s):  
Risk Factors ◽  
Rural Areas ◽  
Low Cost ◽  
Wealth Index ◽  
Overweight And Obesity ◽  
Reproductive Age ◽  
Demographic And Health Surveys ◽  
Obesity Prevalence ◽  
Women Of Reproductive Age ◽  
Cross Sectional

ObjectiveTo determine the trends, prevalence and risk factors of overweight and obesity among Bangladeshi women of reproductive age from 1999 to 2014.DesignWe analysed nationally representative data from the 1999, 2004, 2007, 2011 and 2014 cross-sectional Bangladesh Demographic and Health Surveys.SettingBangladesh.ParticipantsWomen aged 15–49 years.Primary outcomeOverweight/obesity.ResultsA total of 58 192 women were included in the analysis. The prevalence of overweight and obesity among women of reproductive age increased significantly from 7.53% (95% CI 6.83 to 8.29) and 1.82% (95% CI 1.48 to 2.24) in 1999 to 28.37% (95% CI 27.49 to 29.28) and 10.77% (95% CI 10.22 to 11.35) in 2014, respectively. Age, education, wealth index, watching television and contraceptive use were associated with overweight and obesity in both urban and rural areas.ConclusionsOverweight and obesity prevalence increased significantly among Bangladeshi women of reproductive age between 1999 and 2014. Development of effective low-cost strategies to address the increasing burden of obesity should be a high priority.

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