柬埔寨在生育年龄段的妇女中超重和肥胖症情况:柬埔寨2014年人口与健康调查的数据分析。
Overweight and obesity among women at reproductive age in Cambodia: Data analysis of Cambodia Demographic and Health Survey 2014.
发表日期:2023
作者:
Samnang Um, An Yom, Jonathan A Muir, Heng Sopheab
来源:
DIABETES & METABOLISM
摘要:
超重和肥胖增加心血管疾病、二型糖尿病、高血压、中风和某些癌症以及全球产妇健康的风险。在柬埔寨,15-49岁女性超重和肥胖的患病率从2000年的6%增加到2014年的18%,成为公共卫生负担。我们研究了与柬埔寨生育年龄妇女超重和/或肥胖相关的社会人口学和行为因素。我们分析了2014年柬埔寨人口和健康调查(CDHS)的数据,该调查采用两阶段分层整群抽样设计。数据分析仅限于非怀孕妇女,最终分析样本为10,818名妇女。使用STATA V16进行多因素 logistic 回归分析,以检验与超重和肥胖相关的因素。生殖年龄非怀孕妇女的超重和肥胖患病率分别为15.2%和2.8%。与超重和/或肥胖的增加几率独立相关的因素包括年龄在20-29岁 [AOR = 2.4;95%CI:1.6-3.6]、30-39岁 [AOR = 4.6;95%CI:3.0-6.9]和40-49岁的妇女 [AOR = 6.6;95%CI:4.3-10.1]、已婚妇女 [AOR = 1.8;95%CI:1.3-2.7]、城市居住 [AOR = 1.3;95%CI:1.1-1.5],以及已生育至少四个孩子的妇女 [AOR = 1.7;95%CI:1.2-2.5]。与超重和肥胖的减少几率相关的因素有:完成至少初中教育 [AOR = 0.7;95%CI:0.6-0.8],从事农业工作[AOR = 0.7;95%CI:0.5-0.8]和从事体力劳动工作[AOR = 0.7;95%CI:0.6-0.9]。年龄增加、已婚妇女、居住在城市、已生育至少四个孩子是与超重和/或肥胖相关的主要风险因素。相反,高等教育、农业工作和体力劳动工作与超重和/或肥胖呈负相关。柬埔寨非传染性疾病(NCD)公共卫生计划应考虑这些特征,以定向干预,进一步减少未来的超重和/或肥胖。版权所有:©2023 Um等人。本文由创作共用许可证发布,允许在任何媒体上不受限制地使用、分发和再现原作者和来源。
Overweight and obesity increase the risk of cardiovascular disease, type 2 diabetes mellitus, hypertension, stroke, and some type of cancers, and maternal health globally. In Cambodia, the prevalence of overweight and obesity among women aged 15-49 years increased from 6% in 2000 to 18% in 2014, becoming a public health burden. We examined socio-demographic and behavioral factors associated with overweight and/or obesity among women of reproductive age (WRA) in Cambodia. We analyzed data from the 2014 Cambodia Demographic and Health Survey (CDHS) that used a two-stage stratified cluster sampling design. Data analysis was restricted to non-pregnant women, resulting in an analytic sample of 10,818 women. Multivariable logistic regressions were performed using STATA V16 to examine factors associated with overweight and obesity. Prevalence of overweight and obesity among non-pregnant women of reproductive age were 15.2% and 2.8% respectively. Factors independently associated with increased odds of overweight and/or obesity including women aged 20-29 years with adjusted odds ratio [AOR = 2.4; 95% CI: 1.6-3.6], 30-39 years [AOR = 4.6; 95% CI: 3.0-6.9], and 40-49 years [AOR = 6.6; 95% CI: 4.3-10.1], married women [AOR = 1.8; 95% CI: 1.3-2.7], urban residence [AOR = 1.3; 95% CI: 1.1-1.5], and women having at least 4 children [AOR = 1.7; 95% CI: 1.2-2.5]. The factors were associated with decreased odds of overweight and obesity: completed at least secondary education [AOR = 0.7; 95% CI: 0.6-0.8], agricultural work [AOR = 0.7; 95% CI: 0.5-0.8], and manual labor work [AOR = 0.7; 95% CI: 0.6-0.9]. Increased age, married women, living in urban residence, and having at least four children were the main risk factors associated with overweight and/or obesity. Conversely, higher education, working in agriculture, and working in manual labor were negatively associated with overweight and/or obesity. Cambodia's non-communicable disease (NCD) public health programs should consider these characteristic for targeting interventions to further reduce overweight and/or obesity in the coming years.Copyright: © 2023 Um et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.