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Factors associated with underweight, overweight, and obesity in reproductive age Tanzanian women

Author

Listed:
  • Kedir Y Ahmed
  • Abdon G Rwabilimbo
  • Solomon Abrha
  • Andrew Page
  • Amit Arora
  • Fentaw Tadese
  • Tigistu Yemane Beyene
  • Abdulaziz Seiko
  • Abdulhafiz A Endris
  • Kingsley E Agho
  • Felix Akpojene Ogbo
  • on behalf of the Global Maternal and Child Health Research collaboration (GloMACH)

Abstract

Background: Underweight, overweight, and obesity are major public health challenges among reproductive-age women of lower- and middle-income countries (including Tanzania). In those settings, obesogenic factors (attributes that promote excessive body weight gain) are increasing in the context of an existing high burden of undernutrition. The present study investigated factors associated with underweight, overweight, and obesity among reproductive age women in Tanzania. Methods: This study used 2015–16 Tanzania Demographic and Health Survey data (n = 11735). To account for the hierarchical nature of the data (i.e., reproductive age women nested within clusters), multilevel multinomial logistic regression models were used to investigate the association between individual-level (socioeconomic, demographic and behavioural) and community-level factors with underweight, overweight, and obesity. Results: Reproductive age women who were informally employed (relative risk ratio [RRR] = 0.79; 95% confidence interval [CI]: 0.64, 0.96), those who were currently married (RRR = 0.59; 95% CI: 0.43, 0.82) and those who used contraceptives (RRR = 0.70; 95% CI: 0.54, 0.90) were less likely to be underweight. Reproductive age women who attained secondary or higher education (RRR = 1.48; 95% CI: 1.11, 1.96), those who resided in wealthier households (RRR = 2.31; 95% CI: 1.78, 3.03) and those who watched the television (RRR = 1.26; 95% CI: 1.06, 1.50) were more likely to be overweight. The risk of experiencing obesity was higher among reproductive age women who attained secondary or higher education (RRR = 1.79; 95% CI: 1.23, 2.61), those who were formally employed (RRR = 1.50; 95% CI: 1.14, 1.98), those who resided in wealthier households (RRR = 4.77; 95% CI: 3.03, 7.50), those who used alcohol (RRR = 1.43; 95% CI: 1.12, 1.82) and/or watched the television (RRR = 1.70; 95% CI: 1.35, 2.13). Conclusion: Our study suggests that relevant government jurisdictions need to identify, promote, and implement evidence-based interventions that can simultaneously address underweight and overweight/obesity among reproductive age women in Tanzania.

Suggested Citation

  • Kedir Y Ahmed & Abdon G Rwabilimbo & Solomon Abrha & Andrew Page & Amit Arora & Fentaw Tadese & Tigistu Yemane Beyene & Abdulaziz Seiko & Abdulhafiz A Endris & Kingsley E Agho & Felix Akpojene Ogbo & , 2020. "Factors associated with underweight, overweight, and obesity in reproductive age Tanzanian women," PLOS ONE, Public Library of Science, vol. 15(8), pages 1-16, August.
    • Handle: RePEc:plo:pone00:0237720
    DOI: 10.1371/journal.pone.0237720
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    References listed on IDEAS

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    1. Popkin, Barry M., 1999. "Urbanization, Lifestyle Changes and the Nutrition Transition," World Development, Elsevier, vol. 27(11), pages 1905-1916, November.
    2. Gillespie, Stuart & Harris, Jody & Kadiyala, Suneetha, 2012. "The Agriculture-Nutrition Disconnect in India: What Do We Know?:," IFPRI discussion papers 1187, International Food Policy Research Institute (IFPRI).
    3. Fernald, Lia C.H., 2007. "Socio-economic status and body mass index in low-income Mexican adults," Social Science & Medicine, Elsevier, vol. 64(10), pages 2030-2042, May.
    4. Jason M. Fletcher & David E. Frisvold, 2009. "Higher Education and Health Investments: Does More Schooling Affect Preventive Health Care Use?," Journal of Human Capital, University of Chicago Press, vol. 3(2), pages 144-176.
    5. Anjana Rai & Swadesh Gurung & Subash Thapa & Naomi M Saville, 2019. "Correlates and inequality of underweight and overweight among women of reproductive age: Evidence from the 2016 Nepal Demographic Health Survey," PLOS ONE, Public Library of Science, vol. 14(5), pages 1-16, May.
    6. repec:mpr:mprres:4039 is not listed on IDEAS
    7. Goryakin, Yevgeniy & Suhrcke, Marc, 2014. "Economic development, urbanization, technological change and overweight: What do we learn from 244 Demographic and Health Surveys?," Economics & Human Biology, Elsevier, vol. 14(C), pages 109-127.
    8. United Nations UN, 2015. "Transforming our World: the 2030 Agenda for Sustainable Development," Working Papers id:7559, eSocialSciences.
    9. Tarani Chandola & Paul Clarke & J. N. Morris & David Blane, 2006. "Pathways between education and health: a causal modelling approach," Journal of the Royal Statistical Society Series A, Royal Statistical Society, vol. 169(2), pages 337-359, March.
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