Trend in overweight and obesity among women of reproductive age in Uganda: 1995–2016

Yaya, Sanni; Bishwajit, Ghose

doi:10.1002/osp4.351

Cited by 35 publications

(37 citation statements)

References 40 publications

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“…The poverty level in the region is higher than the national average (32.5 versus 21.4%), and therefore the participants overall are poor, resulting in no difference. Although earlier studies suggest that obesity is a predictor of perinatal mortality [ 15 , 35 ], our results showed no such association, but this may be due to the low prevalence of obesity in the study region [ 49 ].…”

Section: Discussioncontrasting

confidence: 99%

Perinatal death in Northern Uganda: incidence and risk factors in a community-based prospective cohort study

Arach

Tumwine

Nakasujja

et al. 2021

Global Health Action

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Background : Perinatal mortality in Uganda remains high at 38 deaths/1,000 births, an estimate greater than the every newborn action plan (ENAP) target of ≤24/1,000 births by 2030. To improve perinatal survival, there is a need to understand the persisting risk factors for death. Objective : We determined the incidence, risk factors, and causes of perinatal death in Lira district, Northern Uganda. Methods : This was a community-based prospective cohort study among pregnant women in Lira district, Northern Uganda. Female community volunteers identified pregnant women in each household who were recruited at ≥28 weeks of gestation and followed until 50 days postpartum. Information on perinatal survival was gathered from participants within 24 hours after childbirth and at 7 days postpartum. The cause of death was ascertained using verbal autopsies. We used generalized estimating equations of the Poisson family to determine the risk factors for perinatal death. Results : Of the 1,877 women enrolled, the majority were ≤30 years old (79.8%), married or cohabiting (91.3%), and had attained only a primary education (77.7%). There were 81 perinatal deaths among them, giving a perinatal mortality rate of 43/1,000 births [95% confidence interval (95% CI: 35, 53)], of these 37 were stillbirths (20 deaths/1,000 total births) and 44 were early neonatal deaths (23 deaths/1,000 live births). Birth asphyxia, respiratory failure, infections and intra-partum events were the major probable contributors to perinatal death. The risk factors for perinatal death were nulliparity at enrolment (adjusted IRR 2.7, [95% CI: 1.3, 5.6]) and maternal age >30 years (adjusted IRR 2.5, [95% CI: 1.1, 5.8]). Conclusion : The incidence of perinatal death in this region was higher than had previously been reported in Uganda. Risk factors for perinatal mortality were nulliparity and maternal age >30 years. Pregnant women in this region need improved access to care during pregnancy and childbirth.

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Section: Discussioncontrasting

confidence: 99%

Perinatal death in Northern Uganda: incidence and risk factors in a community-based prospective cohort study

Arach

Tumwine

Nakasujja

et al. 2021

Global Health Action

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“…Along with this growth are changes in lifestyles, as the population becomes more urbanized, sedentary, with changes in diet away from home produce toward purchased items. Consumption of animal proteins is increasing, 8 prevalence of overweight and obesity is increasing, 9 and fertility rates have been declining (since 1990) 10 . This demographic transition is accompanied by familiar trends in patterns of health and illness, with a decrease in maternal and infant mortality and a rise in the importance on noncommunicable diseases 11 .…”

Section: Discussionmentioning

confidence: 99%

Trends in the incidence of cancer in Kampala, Uganda, 1991 to 2015

Bukirwa

Wabinga

Nambooze

et al. 2020

Intl Journal of Cancer

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Trends in the incidence of cancer in the population of Kyadondo County, Uganda—which comprises the city of Kampala and a peri‐urban hinterland—are presented for a period of 25 years (1991‐2015) based on data collected by the Kampala Cancer Registry. Incidence rates have risen overall—age‐adjusted rates are some 25% higher in 2011 to 2015 compared with 1991 to 1995. The biggest absolute increases have been in cancers of the prostate, breast and cervix, with rates of some 100% (prostate), 70% (breast) and 45% (cervix) higher in 2010 to 2015 than in 1991 to 1995. There were also increases in the incidence of cancers of the esophagus and colon‐rectum (statistically significant in men), while the incidence of liver cancer—the fifth most common in this population—increased until 2007, and subsequently declined. By far the most commonly registered cancer over the 25‐year period was Kaposi sarcoma, but the incidence has declined, consistent with the decreasing population‐prevalence of HIV. Non‐Hodgkin lymphomas, also AIDS‐related, increased in incidence until 2006/2007 and then declined—possibly as a result of availability of antiretroviral therapy. The trends reflect the changing lifestyles of this urban African population, as well as the consequences of the epidemic of HIV/AIDS and the availability of treatment with ARVs. At the same time, it highlights the fact that the decreases in cancer of the cervix observed in high and upper‐middle income countries are not a consequence of changes in lifestyle, but demand active intervention through screening (and, in the longer term, vaccination).

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“…In addition, the surveys used crosssectional design which only permits associations but not causalities. Moreover, DHS surveys were conducted in different years, comparison of results from different surveys should be done with caution [46,47].…”

Section: Strengths and Limitationsmentioning

confidence: 99%

What does women’s empowerment have to do with malnutrition in Sub-Saharan Africa? Evidence from demographic and health surveys from 30 countries

Yaya

Odusina

Uthman

et al. 2020

glob health res policy

103

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Background: The reduction of childhood malnutrition has been identified as a priority for health and development in sub Saharan African countries. The association between women's empowerment and children's nutritional status is of policy interest due to its effect on human development, labour supply, productivity, economic growth and development. This study aimed to determine the association between women's empowerment and childhood nutritional status in sub Saharan African countries. Methods: The study utilized secondary datasets of women in their child bearing age (15-49 years) from the latest Demographic and Health Survey (DHS) conducted in 2011-2017 across 30 sub Saharan Africa countries. The outcome variable of the study was childhood nutritional status while the exposure variable was women's empowerment indicators such as decision making and attitude towards violence. Analyses were performed at bivariate level with the use of chi square to determine association between outcome and exposure variables and at multivariate level with the use of regression models to examine the effect of women's empowerment on childhood nutritional status. Results: Women's socio-demographic and other selected characteristics were statistically significantly associated with childhood nutritional status (stunted and underweight) at p < 0.001. These characteristics were also statistically significantly associated with empowerment status of women (Decision-making, Violence attitudes and Experience of violence) at p < 0.001 except for child age and sex. The association between childhood nutritional statuses and women's empowerment (all three empowerment measures) was significant after controlling for other covariates that could also influence childhood nutrition statuses at p < 001. Two of the empowerment measures (attitudes towards violence and experience of violence) showed positive association with childhood nutritional statuses while the third (decision-making) showed negative association. Conclusion: There is an independent relationship between childhood nutrition status and women's empowerment in sub Saharan African countries. Women's empowerment was found to be related to childhood nutritional status. Policies and programmes aiming at reducing childhood malnutrition should include interventions designed to empower women in Sub-Saharan Africa.

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Trend in overweight and obesity among women of reproductive age in Uganda: 1995–2016

Cited by 35 publications

References 40 publications

Perinatal death in Northern Uganda: incidence and risk factors in a community-based prospective cohort study

Perinatal death in Northern Uganda: incidence and risk factors in a community-based prospective cohort study

Trends in the incidence of cancer in Kampala, Uganda, 1991 to 2015

What does women’s empowerment have to do with malnutrition in Sub-Saharan Africa? Evidence from demographic and health surveys from 30 countries

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