IntroductionOverweight and obesity are associated with increased rates of chronic disease and death globally. In Kenya, the prevalence of overweight and obesity among women is high and may be growing. This study aimed to determine the national prevalence and predictors of overweight and obesity among women in Kenya.MethodsWe used cross-sectional data from the 2014 Kenya Demographic and Health Survey (KDHS). Data on body mass index for 13,048 women (aged 15–49 y) were analyzed by using multivariable logistic regression models. Overweight and obesity were classified by using World Health Organization categories (normal weight, 18.5 to <24.9; overweight, 25.0 to <29.9; and obese, ≥30.0).ResultsThe prevalence of overweight was 20.5%, and the prevalence of obesity, 9.1%. Women aged 35 to 44 (odds ratio [OR] = 3.14; 95% confidence interval [CI], 2.58−3.81), with more than a secondary education (OR = 1.43; 95% CI, 1.05–1.95), married or living with a partner (OR = 1.73; 95% CI, 1.42−2.08), not working (OR = 1.27; 95% CI, 1.10–1.48), in the richest category (OR = 6.50; 95% CI, 5.08–8.30), and who used hormonal contraception (OR = 1.24; 95% CI, 1.07–1.43) were significantly more likely to be overweight or obese.ConclusionA high proportion of women in Kenya are overweight or obese. Our study indicates that women from urban areas and women with high socioeconomic status make up the largest proportion of women who are overweight or obese. Targeted and tailored studies and interventions are needed to identify evidence-based obesity prevention strategies for high-risk women in Kenya.
The aims of this study were to assess what sociodemographic characteristics are associated with cancer worry and what the influence of cancer worry is on four cancer-related protective health behaviors. Data from the Health Information National Trends Survey (HINTS) (4th cycle of the 4th iteration) were used. Multiple regression models were used for all analyses. Behaviors analyzed were as follows: physical activity, diets, smoking, and routine medical screening. Demographics controls included participant age, income, body mass index (BMI), race/ethnicity, and education. N = 2630, Older participants (OR = .99, p < .001), participants with higher BMI (OR = 1.01, p = .017), females (OR = 1.39, p < .001), and highly educated participants were more likely to worry about cancer. Cancer worry was not a significant predictor of exercise, healthy eating, or cancer screening behaviors. However, participants who worried about cancer were more likely to be current smokers (RRR = 1.20, p < .001) compared to participants who never smoked. Although, worry is only an emotional influence on health behavior and may be short-lived, the influence of worry on health-related decision making is likely to be lasting even when the emotions are no longer present.
Highlights Almost one third of the sample had overweight/obese. Women were 4 times more likely to have overweight/obesity. Middle and high income individuals were 2 times more likely to have overweight/obesity. The odds of having overweight/obesity increased with increasing age.
Objective The purpose of this study was to examine the nutritional adequacy and dietary composition among women residing in Zinder and Maradi of Niger, and the factors that affect the variety of their dietary intake. Methods Data from 3360 women of ages 15-49 were used in the analysis. The variable of interest was the Women Dietary Diversity Score (WDDS), which is the simple sum of scores of the 9 categorized food groups, ranging from 0 to 9. Lower values for WDDS indicate nutritionally inadequate dietary diversity. Analysis included descriptive, Mann-Whitney U test and linear regression. Results The majority of the participants were residing in the Maradi Region (56.7%) and were living in households with both male and female adults (94.9%). The mean WDDS was 3.5 in Zinder compared to 2.5 in Maradi (p < .05). The most frequently consumed food items in both Zinder and Maradi were starchy staple food (98.3%). Region of residence was one of the strong predictor of WDDS. A total number of farmers in the household and Household Dietary Diversity Score (HDDS) had positive and significant effects on WDDS whereas Household Hunger Scale (HHS) had a negative and significant effect on WDDS. Conclusion Niger has one of the highest concentrations of malnutrition in the world. In 2012, approximately 2.5 million Nigeriens were affected by malnutrition. Our study results reinforce the importance to conduct more studies that examine the nutritional intake of women in Niger.
Objective: Due to the disproportionately high rates of obesity within the US Hispanic community, there is a critical need to address this health disparity issue. The aim of this study is to examine the relationship between parents’ socio-demographic characteristics and their children’s food consumption. Design: Cross-sectional study. Setting: Participants were recruited from schools in a predominately Hispanic rural area of Texas, USA. Method: Parents ( n = 298) of fourth grade (9–10 years old) children completed the survey. The independent variables were parents’ socio-demographic characteristics (e.g. ethnicity and income). The outcome variable was a Healthy Eating Index that refleting children’s frequencies of food consumption measured as daily frequency of consumption for healthy foods (e.g. skimmed milk), less healthy foods (e.g. potato) and unhealthy foods (e.g. Coke). We performed multiple linear regression. Results: Regression analysis shows that 13.7% variance of children’s food consumption could be predicted by their parents’ gender, ethnicity, marital status, education and income ( R2 = .137, p < 0.01). Parents’ ethnicity, education and income variables were strong predictors for children’s food consumption. Conclusion: Healthy eating can help reduce childhood obesity; however, we found children of US Hispanic parents ate less healthily. Culturally specific education programmes should be adopted for parents or families of Hispanic or Latino origin.
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