Prevalence and factors associated with underweight among 15-49-year-old women in Sierra Leone: a secondary data analysis of Sierra Leone demographic health survey of 2019.
DHS-2019
Reproductive age (15–49 years)
Sierra Leone
Undernutrition
Underweight
Women
Journal
BMC women's health
ISSN: 1472-6874
Titre abrégé: BMC Womens Health
Pays: England
ID NLM: 101088690
Informations de publication
Date de publication:
22 04 2023
22 04 2023
Historique:
received:
29
01
2023
accepted:
14
04
2023
medline:
25
4
2023
pubmed:
22
4
2023
entrez:
21
04
2023
Statut:
epublish
Résumé
Women are at higher risks of being underweight than men due to biological, socio-economic, and cultural factors. Underweight women have high risks of poor obstetric outcomes. We aimed to determine the prevalence and factors associated with being underweight among women of reproductive age (15-49 years) in Sierra Leone. We used Sierra Leone Demographic and Health Survey (2019-SLDHS) data of 7,514 women aged 15 to 49 years, excluding pregnant, post-natal, lactating, and post-menopausal women. A multistage stratified sampling approach was used to select study participants, and data was collected using validated questionnaires. A multivariable logistic regression analysis was used to determine factors associated with underweight among 15-49-year-old women in Sierra Leone. Ethical approval for the study was obtained. The prevalence of underweight was 6.7% (502/7,514). Underweight was likely among age-group of 15-24 years, AOR = 2.50,95%CI:2.39-2.60;p < 0.001 compared to 25-34 year age-group and likely among women with parity of one to four, AOR = 1.48,95%CI:1.08-2.03;p = 0.015 compared to women who never gave birth. Underweight was unlikely among women who did not listen to radios AOR = 0.67,95%CI:0.55-0.83;p < 0.001 compared to those who did; women from the north AOR = 0.73,95%CI:0.56-0.96;p = 0.026 compared to the east, and not married women AOR = 0.59,95%CI:0.47-0.76;p < 0.001 compared to married. All household wealth indices were not significantly associated with underweight. The prevalence of underweight among women in the reproductive age (15-49 years) in Sierra Leone was 6.7% and it is lower compared to global and most sub-Saharan African data. Factors associated with underweight were 15-24-year age-group, and parity of one to four. Being underweight was unlikely among women who did not listen to radios, women from the north and not married. All household wealth indices were not significantly associated with underweight. Even though household wealth indices were not significantly associated with being underweight, most underweight women 68.7% (345/502) were in the poorest, poorer, and middle household wealth indices. The need to address socio-economic determinants of underweight among women (aged 15-49 years) due to household poverty is a priority in Sierra Leone.
Sections du résumé
BACKGROUND
Women are at higher risks of being underweight than men due to biological, socio-economic, and cultural factors. Underweight women have high risks of poor obstetric outcomes. We aimed to determine the prevalence and factors associated with being underweight among women of reproductive age (15-49 years) in Sierra Leone.
METHODS
We used Sierra Leone Demographic and Health Survey (2019-SLDHS) data of 7,514 women aged 15 to 49 years, excluding pregnant, post-natal, lactating, and post-menopausal women. A multistage stratified sampling approach was used to select study participants, and data was collected using validated questionnaires. A multivariable logistic regression analysis was used to determine factors associated with underweight among 15-49-year-old women in Sierra Leone. Ethical approval for the study was obtained.
RESULTS
The prevalence of underweight was 6.7% (502/7,514). Underweight was likely among age-group of 15-24 years, AOR = 2.50,95%CI:2.39-2.60;p < 0.001 compared to 25-34 year age-group and likely among women with parity of one to four, AOR = 1.48,95%CI:1.08-2.03;p = 0.015 compared to women who never gave birth. Underweight was unlikely among women who did not listen to radios AOR = 0.67,95%CI:0.55-0.83;p < 0.001 compared to those who did; women from the north AOR = 0.73,95%CI:0.56-0.96;p = 0.026 compared to the east, and not married women AOR = 0.59,95%CI:0.47-0.76;p < 0.001 compared to married. All household wealth indices were not significantly associated with underweight.
CONCLUSION
The prevalence of underweight among women in the reproductive age (15-49 years) in Sierra Leone was 6.7% and it is lower compared to global and most sub-Saharan African data. Factors associated with underweight were 15-24-year age-group, and parity of one to four. Being underweight was unlikely among women who did not listen to radios, women from the north and not married. All household wealth indices were not significantly associated with underweight. Even though household wealth indices were not significantly associated with being underweight, most underweight women 68.7% (345/502) were in the poorest, poorer, and middle household wealth indices. The need to address socio-economic determinants of underweight among women (aged 15-49 years) due to household poverty is a priority in Sierra Leone.
Identifiants
pubmed: 37085835
doi: 10.1186/s12905-023-02358-4
pii: 10.1186/s12905-023-02358-4
pmc: PMC10122406
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
192Informations de copyright
© 2023. The Author(s).
Références
J Environ Public Health. 2020 Jul 27;2020:9718714
pubmed: 32802085
BMC Public Health. 2015 Jul 16;15:670
pubmed: 26178521
Int J Obes (Lond). 2007 May;31(5):805-12
pubmed: 17060925
Int J Environ Res Public Health. 2018 Aug 17;15(8):
pubmed: 30126089
Matern Child Nutr. 2016 May;12 Suppl 1:72-90
pubmed: 27187909
Arch Public Health. 2015 Oct 28;73:44
pubmed: 26516456
J Adolesc Health. 2017 Feb;60(2S2):S15-S21
pubmed: 28109335
Ann Nutr Metab. 2018;72(4):316-328
pubmed: 29730657
Child Abuse Negl. 2017 Aug;70:303-314
pubmed: 28675814
Matern Child Nutr. 2017 Jul;13(3):
pubmed: 27650794
PLoS One. 2014 Jul 23;9(7):e102675
pubmed: 25054546
Obesity (Silver Spring). 2007 Nov;15(11):2797-808
pubmed: 18070771
Matern Child Nutr. 2013 Sep;9 Suppl 2:69-82
pubmed: 24074319
BMC Med Res Methodol. 2016 May 18;16:54
pubmed: 27193095
Lancet. 2013 Aug 3;382(9890):427-451
pubmed: 23746772
Glob Health Res Policy. 2019 Sep 06;4:24
pubmed: 31517064
Lancet Glob Health. 2018 Apr;6(4):e447-e459
pubmed: 29454554
BMC Womens Health. 2019 Jan 31;19(1):24
pubmed: 30704454
Am J Epidemiol. 1993 Dec 1;138(11):923-36
pubmed: 8256780
Eur Eat Disord Rev. 2013 May;21(3):202-8
pubmed: 23172786
BMC Res Notes. 2013 Jul 23;6:286
pubmed: 23880121
J Obstet Gynaecol Can. 2012 Jul;34(7):637-47
pubmed: 22742482
PLoS One. 2022 Feb 10;17(2):e0262999
pubmed: 35143506
J Glob Health. 2020 Dec;10(2):020423
pubmed: 33110582
BMJ Open. 2020 Feb 4;10(2):e034321
pubmed: 32024791
Front Nutr. 2014 Aug 15;1:13
pubmed: 25988116
BMC Public Health. 2016 Jul 26;16:636
pubmed: 27457223
PLoS One. 2020 Oct 29;15(10):e0241621
pubmed: 33119696
Epidemiol Infect. 2015 Aug;143(11):2287-98
pubmed: 25500189
BMJ Open. 2019 Jul 3;9(7):e029545
pubmed: 31272983
J Health Popul Nutr. 2015 Mar;33(1):92-105
pubmed: 25995726
AIMS Public Health. 2017 Dec 26;4(6):633-649
pubmed: 30155506
Ann Nutr Metab. 2018;72 Suppl 3:47-54
pubmed: 29635233
Public Health Nutr. 2017 Jan;20(1):1-11
pubmed: 27619162
Am J Epidemiol. 1989 Jan;129(1):125-37
pubmed: 2910056
Proc Nutr Soc. 2008 Feb;67(1):105-8
pubmed: 18234138
Int J Environ Res Public Health. 2013 Oct 11;10(10):4967-81
pubmed: 24157515
PLoS One. 2016 Jul 05;11(7):e0158308
pubmed: 27379521
Diabetes Metab Syndr Obes. 2019 May 03;12:647-653
pubmed: 31118726
Int J Obes (Lond). 2020 Mar;44(3):609-616
pubmed: 31852998
J Med Life. 2019 Apr-Jun;12(2):178-183
pubmed: 31406521
Pediatr Obes. 2015 Dec;10(6):428-35
pubmed: 25558987
BMJ. 2017 Apr 11;357:j1309
pubmed: 28400363
J Epidemiol. 2014;24(3):221-9
pubmed: 24614915
Int J Community Based Nurs Midwifery. 2020 Jan;8(1):73-83
pubmed: 32039281
BMC Public Health. 2020 Nov 3;20(1):1644
pubmed: 33143673
Int J Environ Res Public Health. 2021 Dec 23;19(1):
pubmed: 35010382