Trends and determinants of underweight and overweight/obesity among urban Ethiopian women from 2000 to 2016

Kedir Y. Ahmed; Solomon Abrha; Andrew Page; Amit Arora; Soloman Shiferaw; Fentaw Tadese; Canaan Negash Seifu; Tebikew Yeneabat; Emana Alemu; Delelegn Yilma Gebremichael; Abdulaziz Seiko; Felix Akpojene Ogbo

doi:10.1186/s12889-020-09345-6

Trends and determinants of underweight and overweight/obesity among urban Ethiopian women from 2000 to 2016

Kedir Y. Ahmed, Solomon Abrha, Andrew Page, Amit Arora, Soloman Shiferaw, Fentaw Tadese, Canaan Negash Seifu, Tebikew Yeneabat, Emana Alemu, Delelegn Yilma Gebremichael, Abdulaziz Seiko, Felix Akpojene Ogbo

Western Sydney University

Research output: Contribution to journal › Article › peer-review

20 Citations (Scopus)

Abstract

Background: Nutritional, epidemiological and demographic transitions have been associated with the emergence of the double burden of malnutrition globally. In Ethiopia, there has been no nationally representative investigation of trends and determinants of both underweight and overweight/obesity among urban women. This study examined the trends and determinants of underweight and overweight/obesity in urban Ethiopian women from 2000 to 2016. Methods: Trends in the prevalence of underweight and overweight/obesity were investigated based on a series of the Ethiopia Demographic and Health Survey (EDHS) data for the years 2000 (n = 2559), 2005 (n = 1112), 2011 (n = 3569), and 2016 (n = 3106). Multivariable multinomial logistic regression was used to investigate the association between socioeconomic, demographic, behavioural, and community-level factors with underweight and overweight/obesity. Results: The prevalence of underweight in urban Ethiopian women reduced significantly from 23.2% (95% confidence interval [CI]: 20.3, 26.3%) in 2000 to 14.8% (95% CI: 13.1, 16.7%) in 2016, while overweight/obesity increased significantly from 10.9% (95% CI: 9.1, 13.0%) in 2000 to 21.4% (95% CI: 18.2, 25.1%) in 2016. Urban women from rich households and those who had never married were less likely to be underweight. Urban women who were from wealthy households and those who attained at least secondary education were more likely to be overweight/obese. Women who were informally employed and listened to the radio were less likely to be overweight/obese compared to those who were unemployed and did not listen to the radio, respectively. Conclusion: The prevalence of overweight/obesity increased from 2000 to 2016, with a concurrent reduction in the prevalence of underweight. Interventions aiming to reduce overweight and obesity should target urban women with higher education, those who resided in wealthier households and those who watched the television.

Original language	English
Article number	1276
Number of pages	13
Journal	BMC Public Health
Volume	20
DOIs	https://doi.org/10.1186/s12889-020-09345-6
Publication status	Published - 2020

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Keywords

Ethiopia
leanness
malnutrition
obesity
urban women

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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10.1186/s12889-020-09345-6

Cite this

@article{418fefec6ede404c8dc3e5e85af2d04d,

title = "Trends and determinants of underweight and overweight/obesity among urban Ethiopian women from 2000 to 2016",

abstract = "Background: Nutritional, epidemiological and demographic transitions have been associated with the emergence of the double burden of malnutrition globally. In Ethiopia, there has been no nationally representative investigation of trends and determinants of both underweight and overweight/obesity among urban women. This study examined the trends and determinants of underweight and overweight/obesity in urban Ethiopian women from 2000 to 2016. Methods: Trends in the prevalence of underweight and overweight/obesity were investigated based on a series of the Ethiopia Demographic and Health Survey (EDHS) data for the years 2000 (n = 2559), 2005 (n = 1112), 2011 (n = 3569), and 2016 (n = 3106). Multivariable multinomial logistic regression was used to investigate the association between socioeconomic, demographic, behavioural, and community-level factors with underweight and overweight/obesity. Results: The prevalence of underweight in urban Ethiopian women reduced significantly from 23.2% (95% confidence interval [CI]: 20.3, 26.3%) in 2000 to 14.8% (95% CI: 13.1, 16.7%) in 2016, while overweight/obesity increased significantly from 10.9% (95% CI: 9.1, 13.0%) in 2000 to 21.4% (95% CI: 18.2, 25.1%) in 2016. Urban women from rich households and those who had never married were less likely to be underweight. Urban women who were from wealthy households and those who attained at least secondary education were more likely to be overweight/obese. Women who were informally employed and listened to the radio were less likely to be overweight/obese compared to those who were unemployed and did not listen to the radio, respectively. Conclusion: The prevalence of overweight/obesity increased from 2000 to 2016, with a concurrent reduction in the prevalence of underweight. Interventions aiming to reduce overweight and obesity should target urban women with higher education, those who resided in wealthier households and those who watched the television.",

keywords = "Ethiopia, leanness, malnutrition, obesity, urban women",

author = "Ahmed, {Kedir Y.} and Solomon Abrha and Andrew Page and Amit Arora and Soloman Shiferaw and Fentaw Tadese and Seifu, {Canaan Negash} and Tebikew Yeneabat and Emana Alemu and Gebremichael, {Delelegn Yilma} and Abdulaziz Seiko and Ogbo, {Felix Akpojene}",

year = "2020",

doi = "10.1186/s12889-020-09345-6",

language = "English",

volume = "20",

journal = "BMC Public Health",

issn = "1471-2458",

publisher = "BioMed Central Ltd.",

}

TY - JOUR

T1 - Trends and determinants of underweight and overweight/obesity among urban Ethiopian women from 2000 to 2016

AU - Ahmed, Kedir Y.

AU - Abrha, Solomon

AU - Page, Andrew

AU - Arora, Amit

AU - Shiferaw, Soloman

AU - Tadese, Fentaw

AU - Seifu, Canaan Negash

AU - Yeneabat, Tebikew

AU - Alemu, Emana

AU - Gebremichael, Delelegn Yilma

AU - Seiko, Abdulaziz

AU - Ogbo, Felix Akpojene

PY - 2020

Y1 - 2020

N2 - Background: Nutritional, epidemiological and demographic transitions have been associated with the emergence of the double burden of malnutrition globally. In Ethiopia, there has been no nationally representative investigation of trends and determinants of both underweight and overweight/obesity among urban women. This study examined the trends and determinants of underweight and overweight/obesity in urban Ethiopian women from 2000 to 2016. Methods: Trends in the prevalence of underweight and overweight/obesity were investigated based on a series of the Ethiopia Demographic and Health Survey (EDHS) data for the years 2000 (n = 2559), 2005 (n = 1112), 2011 (n = 3569), and 2016 (n = 3106). Multivariable multinomial logistic regression was used to investigate the association between socioeconomic, demographic, behavioural, and community-level factors with underweight and overweight/obesity. Results: The prevalence of underweight in urban Ethiopian women reduced significantly from 23.2% (95% confidence interval [CI]: 20.3, 26.3%) in 2000 to 14.8% (95% CI: 13.1, 16.7%) in 2016, while overweight/obesity increased significantly from 10.9% (95% CI: 9.1, 13.0%) in 2000 to 21.4% (95% CI: 18.2, 25.1%) in 2016. Urban women from rich households and those who had never married were less likely to be underweight. Urban women who were from wealthy households and those who attained at least secondary education were more likely to be overweight/obese. Women who were informally employed and listened to the radio were less likely to be overweight/obese compared to those who were unemployed and did not listen to the radio, respectively. Conclusion: The prevalence of overweight/obesity increased from 2000 to 2016, with a concurrent reduction in the prevalence of underweight. Interventions aiming to reduce overweight and obesity should target urban women with higher education, those who resided in wealthier households and those who watched the television.

AB - Background: Nutritional, epidemiological and demographic transitions have been associated with the emergence of the double burden of malnutrition globally. In Ethiopia, there has been no nationally representative investigation of trends and determinants of both underweight and overweight/obesity among urban women. This study examined the trends and determinants of underweight and overweight/obesity in urban Ethiopian women from 2000 to 2016. Methods: Trends in the prevalence of underweight and overweight/obesity were investigated based on a series of the Ethiopia Demographic and Health Survey (EDHS) data for the years 2000 (n = 2559), 2005 (n = 1112), 2011 (n = 3569), and 2016 (n = 3106). Multivariable multinomial logistic regression was used to investigate the association between socioeconomic, demographic, behavioural, and community-level factors with underweight and overweight/obesity. Results: The prevalence of underweight in urban Ethiopian women reduced significantly from 23.2% (95% confidence interval [CI]: 20.3, 26.3%) in 2000 to 14.8% (95% CI: 13.1, 16.7%) in 2016, while overweight/obesity increased significantly from 10.9% (95% CI: 9.1, 13.0%) in 2000 to 21.4% (95% CI: 18.2, 25.1%) in 2016. Urban women from rich households and those who had never married were less likely to be underweight. Urban women who were from wealthy households and those who attained at least secondary education were more likely to be overweight/obese. Women who were informally employed and listened to the radio were less likely to be overweight/obese compared to those who were unemployed and did not listen to the radio, respectively. Conclusion: The prevalence of overweight/obesity increased from 2000 to 2016, with a concurrent reduction in the prevalence of underweight. Interventions aiming to reduce overweight and obesity should target urban women with higher education, those who resided in wealthier households and those who watched the television.

KW - Ethiopia

KW - leanness

KW - malnutrition

KW - obesity

KW - urban women

UR - https://hdl.handle.net/1959.7/uws:58783

U2 - 10.1186/s12889-020-09345-6

DO - 10.1186/s12889-020-09345-6

M3 - Article

SN - 1471-2458

VL - 20

JO - BMC Public Health

JF - BMC Public Health

M1 - 1276

ER -

Trends and determinants of underweight and overweight/obesity among urban Ethiopian women from 2000 to 2016

Abstract

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Keywords

UN SDGs

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