20-59岁男性超重或肥胖的决定因素:基于2016年埃塞俄比亚人口与健康调查的病例对照研究

IF 3.8 Q2 ENDOCRINOLOGY & METABOLISM

Journal of Obesity Pub Date : 2021-01-01 DOI:10.1155/2021/6627328

Yohannes Tekalegn

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Bivariate and multivariate binary logistic regression was performed to assess the determinants of overweight or obesity among the study participants.Results: A total of 610 cases and 2440 controls were included in this study. Men aged 30-39 years (adjusted odds ratio (AOR) = 2.2, 95% CI: 1.6-3.0) and ≥40 years (AOR = 3.4, 95% CI: 2.5-4.7) had higher odds of being overweight or obese compared to men aged 20-29 years old. The likelihood of overweight or obesity was significantly higher among married men (AOR = 1.5, 95% CI: 1.1-2.0), living in urban areas (AOR = 3.1, 95% CI: 2.1-4.4), those in the rich wealth quintile (AOR = 1.9, 95% CI: 1.2-2.9), and those with primary (AOR = 1.6, 95% CI: 1.1-2.3), secondary (AOR = 2.6, 95% CI: 1.7-3.9), and higher education (AOR = 3.6, 95% CI: 2.4-5.6). 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引用次数: 10

摘要

背景:有证据表明，超重或肥胖已成为发达国家和发展中国家的一个主要公共卫生问题。然而，在埃塞俄比亚进行的确定超重或肥胖危险因素的研究有限。因此，本研究旨在评估埃塞俄比亚20-59岁男性超重或肥胖的决定因素。方法:本研究使用2016年埃塞俄比亚人口与健康调查(EDHS)数据。基于EDHS数据进行病例对照研究;病例是超重或肥胖的男性，这取决于他们的身体质量指数，对照组是身体质量指数正常的男性。采用双变量和多变量二元逻辑回归来评估研究参与者中超重或肥胖的决定因素。结果:本研究共纳入病例610例，对照组2440例。30-39岁男性(调整优势比(AOR) = 2.2, 95% CI: 1.6-3.0)和≥40岁男性(AOR = 3.4, 95% CI: 2.5-4.7)与20-29岁男性相比，超重或肥胖的几率更高。在已婚男性(AOR = 1.5, 95% CI: 1.1-2.0)、生活在城市地区的男性(AOR = 3.1, 95% CI: 2.1-4.4)、富裕五分之一人群(AOR = 1.9, 95% CI: 1.2-2.9)以及初等教育(AOR = 1.6, 95% CI: 1.1-2.3)、中等教育(AOR = 2.6, 95% CI: 1.7-3.9)和高等教育(AOR = 3.6, 95% CI: 2.4-5.6)中，超重或肥胖的可能性显著较高。此外，每周至少看一次电视的男性超重或肥胖的几率更高(AOR = 1.5, 95% CI: 1.1-2.1)。结论:高财富五分之一、年龄较大、已婚、受教育程度较高、每周至少看一次电视、城市居民、亚的斯亚贝巴和哈拉里等大城市居民以及阿法尔等低地居民的男性更容易超重或肥胖。因此，设计策略和计划来减少或预防超重或肥胖是至关重要的，并特别关注已确定的风险因素。

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Determinants of Overweight or Obesity among Men Aged 20-59 Years: A Case-Control Study Based on the 2016 Ethiopian Demographic and Health Survey.

Background: Evidence shows that overweight or obesity has become a major public health problem in both developed and developing countries. However, there are limited studies conducted to identify the risk factors of overweight or obesity in Ethiopia. Therefore, this study aimed to assess the determinants of overweight or obesity among men aged 20-59 years in Ethiopia.

Methods: This study used the 2016 Ethiopian Demographic and Health Survey (EDHS) data. A case-control study was conducted based on the EDHS data; cases were men who were overweight or obese, depending on their body mass index, and controls were men with normal body mass index. Bivariate and multivariate binary logistic regression was performed to assess the determinants of overweight or obesity among the study participants.

Results: A total of 610 cases and 2440 controls were included in this study. Men aged 30-39 years (adjusted odds ratio (AOR) = 2.2, 95% CI: 1.6-3.0) and ≥40 years (AOR = 3.4, 95% CI: 2.5-4.7) had higher odds of being overweight or obese compared to men aged 20-29 years old. The likelihood of overweight or obesity was significantly higher among married men (AOR = 1.5, 95% CI: 1.1-2.0), living in urban areas (AOR = 3.1, 95% CI: 2.1-4.4), those in the rich wealth quintile (AOR = 1.9, 95% CI: 1.2-2.9), and those with primary (AOR = 1.6, 95% CI: 1.1-2.3), secondary (AOR = 2.6, 95% CI: 1.7-3.9), and higher education (AOR = 3.6, 95% CI: 2.4-5.6). Additionally, men watching television at least once a week had higher odds (AOR = 1.5, 95% CI: 1.1-2.1) of being overweight or obese.

Conclusion: Men in the higher wealth quintile, older age, married, higher educational status, watching television at least once a week, urban dwellers, residents of big cities such as Addis Ababa and Harari, and residents of low land like Afar were more likely to be overweight or obese. Therefore, it is essential to design strategies and programs to reduce or prevent overweight or obesity with a special focus on the identified risk factors.

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来源期刊

Journal of Obesity ENDOCRINOLOGY & METABOLISM-

CiteScore

7.50

自引率

3.00%

发文量

审稿时长

21 weeks

期刊介绍： Journal of Obesity is a peer-reviewed, Open Access journal that provides a multidisciplinary forum for basic and clinical research as well as applied studies in the areas of adipocyte biology & physiology, lipid metabolism, metabolic syndrome, diabetes, paediatric obesity, genetics, behavioural epidemiology, nutrition & eating disorders, exercise & human physiology, weight control and health risks associated with obesity.