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Differences in prevalence and associated factors of underweight and overweight/obesity according to rural–urban residence strata among women of reproductive age in Bangladesh: evidence from a cross-sectional national survey

OBJECTIVES: This study aimed to investigate the differences in prevalence and factors influencing underweight and overweight/obesity stratified by region of residence among women of reproductive age in Bangladesh. DESIGN: Secondary analysis of cross-sectional nationwide data. SETTING: This study use...

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Autores principales: Hashan, Mohammad Rashidul, Das Gupta, Rajat, Day, Brendan, Al Kibria, Gulam Muhammed
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BMJ Publishing Group 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7045126/
https://www.ncbi.nlm.nih.gov/pubmed/32024791
http://dx.doi.org/10.1136/bmjopen-2019-034321
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author Hashan, Mohammad Rashidul
Das Gupta, Rajat
Day, Brendan
Al Kibria, Gulam Muhammed
author_facet Hashan, Mohammad Rashidul
Das Gupta, Rajat
Day, Brendan
Al Kibria, Gulam Muhammed
author_sort Hashan, Mohammad Rashidul
collection PubMed
description OBJECTIVES: This study aimed to investigate the differences in prevalence and factors influencing underweight and overweight/obesity stratified by region of residence among women of reproductive age in Bangladesh. DESIGN: Secondary analysis of cross-sectional nationwide data. SETTING: This study used Bangladesh Demographic and Health Survey 2014 data. PARTICIPANTS: A weighted sample of 16 478 women of reproductive age (15–49 years) were included in the analysis. PRIMARY AND SECONDARY OUTCOME MEASURES: Using the Asian-specific cut-off for body mass index, the primary outcome of this study was categorised as: underweight (<18.5 kg/m(2)), normal weight (18.5 to <23.0) kg/m(2) and overweight/obese (≥23.0 kg/m(2)) stratified according to rural–urban residence. RESULTS: More than half of urban women (53%, n=2493) and one-third of rural women (33%, n=3968) were found to be overweight/obese. Around one-fifth of rural women (21%, n=2490) and almost one in eight urban women (12%, n=571) were reported as underweight. In the final multivariable analyses, increasing age, higher educational status and higher order wealth quintile, each had a significant positive association with being overweight/obese and an inverse association with being underweight. Urban unmarried women had lower odds of being overweight/obese compared with their married counterparts. Rural women who used contraceptives had significantly decreased odds (adjusted OR (AOR) 0.8, 95% CI 0.7 to 0.9) of being underweight compared with contraceptive non-users; no such association was noted in urban women. Women from Sylhet division in both urban (AOR 1.7, 95% CI 1.2 to 2.5) and rural regions (AOR 1.5, 95% CI 1.2 to 1.8) had increased odds of being underweight compared with women in Barisal division. CONCLUSIONS: This study found association of multiple factors with both overweight/obesity and underweight among Bangladeshi women of reproductive age. Public health programmes in Bangladesh aiming to prevent the double burden of malnutrition should focus these factors through comprehensive public awareness and cost-effective operational health interventions.
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spelling pubmed-70451262020-03-09 Differences in prevalence and associated factors of underweight and overweight/obesity according to rural–urban residence strata among women of reproductive age in Bangladesh: evidence from a cross-sectional national survey Hashan, Mohammad Rashidul Das Gupta, Rajat Day, Brendan Al Kibria, Gulam Muhammed BMJ Open Public Health OBJECTIVES: This study aimed to investigate the differences in prevalence and factors influencing underweight and overweight/obesity stratified by region of residence among women of reproductive age in Bangladesh. DESIGN: Secondary analysis of cross-sectional nationwide data. SETTING: This study used Bangladesh Demographic and Health Survey 2014 data. PARTICIPANTS: A weighted sample of 16 478 women of reproductive age (15–49 years) were included in the analysis. PRIMARY AND SECONDARY OUTCOME MEASURES: Using the Asian-specific cut-off for body mass index, the primary outcome of this study was categorised as: underweight (<18.5 kg/m(2)), normal weight (18.5 to <23.0) kg/m(2) and overweight/obese (≥23.0 kg/m(2)) stratified according to rural–urban residence. RESULTS: More than half of urban women (53%, n=2493) and one-third of rural women (33%, n=3968) were found to be overweight/obese. Around one-fifth of rural women (21%, n=2490) and almost one in eight urban women (12%, n=571) were reported as underweight. In the final multivariable analyses, increasing age, higher educational status and higher order wealth quintile, each had a significant positive association with being overweight/obese and an inverse association with being underweight. Urban unmarried women had lower odds of being overweight/obese compared with their married counterparts. Rural women who used contraceptives had significantly decreased odds (adjusted OR (AOR) 0.8, 95% CI 0.7 to 0.9) of being underweight compared with contraceptive non-users; no such association was noted in urban women. Women from Sylhet division in both urban (AOR 1.7, 95% CI 1.2 to 2.5) and rural regions (AOR 1.5, 95% CI 1.2 to 1.8) had increased odds of being underweight compared with women in Barisal division. CONCLUSIONS: This study found association of multiple factors with both overweight/obesity and underweight among Bangladeshi women of reproductive age. Public health programmes in Bangladesh aiming to prevent the double burden of malnutrition should focus these factors through comprehensive public awareness and cost-effective operational health interventions. BMJ Publishing Group 2020-02-04 /pmc/articles/PMC7045126/ /pubmed/32024791 http://dx.doi.org/10.1136/bmjopen-2019-034321 Text en © Author(s) (or their employer(s)) 2020. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. http://creativecommons.org/licenses/by-nc/4.0/This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/.
spellingShingle Public Health
Hashan, Mohammad Rashidul
Das Gupta, Rajat
Day, Brendan
Al Kibria, Gulam Muhammed
Differences in prevalence and associated factors of underweight and overweight/obesity according to rural–urban residence strata among women of reproductive age in Bangladesh: evidence from a cross-sectional national survey
title Differences in prevalence and associated factors of underweight and overweight/obesity according to rural–urban residence strata among women of reproductive age in Bangladesh: evidence from a cross-sectional national survey
title_full Differences in prevalence and associated factors of underweight and overweight/obesity according to rural–urban residence strata among women of reproductive age in Bangladesh: evidence from a cross-sectional national survey
title_fullStr Differences in prevalence and associated factors of underweight and overweight/obesity according to rural–urban residence strata among women of reproductive age in Bangladesh: evidence from a cross-sectional national survey
title_full_unstemmed Differences in prevalence and associated factors of underweight and overweight/obesity according to rural–urban residence strata among women of reproductive age in Bangladesh: evidence from a cross-sectional national survey
title_short Differences in prevalence and associated factors of underweight and overweight/obesity according to rural–urban residence strata among women of reproductive age in Bangladesh: evidence from a cross-sectional national survey
title_sort differences in prevalence and associated factors of underweight and overweight/obesity according to rural–urban residence strata among women of reproductive age in bangladesh: evidence from a cross-sectional national survey
topic Public Health
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7045126/
https://www.ncbi.nlm.nih.gov/pubmed/32024791
http://dx.doi.org/10.1136/bmjopen-2019-034321
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