撒哈拉以南非洲地区超重/肥胖的居住不平等:多变量非线性分解分析
Priscilla Atsu1, Aliu Mohammed2, Collins Adu3
1Department of Health Promotion, Education and Disability Studies, School of Public Health, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana.
Tropical medicine and health
|April 7, 2024
概括
在城市的撒哈拉以南非洲妇女中,超重和肥胖的比例更高,这是由于电视观看,财富和教育. 解决这些因素可以减少差距.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 全球健康 全球健康
背景情况:
- 超重/肥胖是撒哈拉以南非洲 (SSA) 非传染性疾病的重要危险因素.
- 有限的研究全面检查了SSA女性超重/肥胖的农村和城市差异.
- 本研究通过使用全国代表性数据来分解这些差异来解决这个差距.
研究的目的:
- 在撒哈拉以南非洲地区的妇女中分解农村和城市的超重/肥胖差异.
- 确定导致这些差异的关键因素.
主要方法:
- 从23个SAS国家 (2015-2022) 进行的人口和健康调查的横截面分析.
- 其中包括177329名女性.
- 多变量非线性分解分析以确定导致差异的因素.
主要成果:
- 在大多数SSA国家,城市地区 (38.9%) 的超重/肥胖总体患病率高于农村地区 (19.1%).
- 南非的农村地区是一个例外,城市的流行率更高.
- 大约54%的差异是由女性的特征解释的,电视观看 (29.03%),财富指数 (26.59%) 和教育 (9.40%) 是主要的贡献者.
结论:
- 超重/肥胖的患病率很高,集中在城市SSA妇女中.
- 越来越多的电视观看,更高的财富和更高的教育水平显著促进了农村和城市之间的差异.
- 干预措施应针对减少电视观看,并促进富裕,受过教育的城市女性的体育活动.
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