Socioecological Approach to Understanding Overnutrition Among Married and Cohabiting Women in Nigeria

Q2 Social Sciences

Journal of Population and Social Studies Pub Date : 2024-01-26 DOI:10.25133/jpssv322024.027

O. Badru, T. Alabi, Kenneth Enwerem

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Abstract

Overweight and obesity are currently an epidemic affecting both developed and developing countries. Sub-Saharan Africa has a double burden of being underweight and obese and has recently been battling an alarming increase in the prevalence of overweight. This study investigates the predictors of overnutrition among married women of reproductive age in Nigeria using the socioecological model (SEM) as a framework. The study hypothesizes that the Southern region will have a higher burden of overnutrition than the Northern region. The 2018 Nigeria Demographic and Health Survey (NDHS) was analyzed. A total of 8,531 non-pregnant married women met the inclusion criteria. Hierarchical multilevel logistic regression models were fitted, informed by the SEM framework. The occurrence of overnutrition was found to be 31.4%, with regional variations showing 31.7% in the South and 31.3% in the North. When all covariates were fitted in a model, being older, being a Christian, having tertiary education, having an older partner with tertiary education, being wealthy, and living in the urban area were predictors of overnutrition in multivariate analysis. Overnutrition among Nigerian married women was high, especially in the Southern region. Predictors of overweight are at all the SEM levels; therefore, it is better to consider all the levels when planning public health interventions.

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从社会生态学角度理解尼日利亚已婚和同居妇女营养过剩问题

超重和肥胖是目前影响发达国家和发展中国家的一种流行病。撒哈拉以南非洲地区承受着体重不足和肥胖的双重负担，近来超重率的增长速度令人震惊。本研究以社会生态模型（SEM）为框架，调查尼日利亚已婚育龄妇女营养过剩的预测因素。研究假设，南部地区的营养过剩负担将高于北部地区。研究分析了 2018 年尼日利亚人口与健康调查（NDHS）。共有 8531 名已婚未孕妇女符合纳入标准。根据 SEM 框架拟合了分层多级逻辑回归模型。结果发现，营养过剩发生率为 31.4%，地区差异显示南方为 31.7%，北方为 31.3%。在多变量分析中，当所有协变量都被纳入一个模型时，年龄较大、信奉基督教、受过高等教育、伴侣年龄较大且受过高等教育、富有和居住在城市地区是营养过剩的预测因素。尼日利亚已婚妇女营养过剩的比例很高，尤其是在南部地区。超重的预测因素存在于所有的 SEM 水平；因此，在规划公共卫生干预措施时，最好考虑到所有的水平。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Population and Social Studies Social Sciences-Anthropology

CiteScore

1.40

自引率

0.00%

发文量

期刊介绍： Journal of Population and Social Studies (JPSS) is an open access peer-reviewed journal that is published by the Institute for Population and Social Research, Mahidol University. Journal of Population and Social Studies (JPSS) has ceased its hard copy publication in 2013, became an online only journal since 2014 and currently publishes 4 issues per year. Yet, Journal of Population and Social Studies (JPSS) continues to be a free* of charge journal for publication. Journal of Population and Social Studies (JPSS) welcomes contributions from the fields of demography, population studies and other related disciplines including health sciences, sociology, anthropology, population economics, population geography, human ecology, political science, statistics, and methodological issues. The subjects of articles range from population and family changes, population ageing, sexuality, gender, reproductive health, population and environment, population and health, migration, urbanization and Labour, determinants and consequences of population changes to social and behavioral aspects of population. Our aim is to provide a platform for the researchers, academicians, professional, practitioners and graduate students from all around the world to share knowledge on the empirical and theoretical research papers, case studies, literature reviews and book reviews that are of interest to the academic community, policy-makers and practitioners.