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

This article was published in BMJ Open [ © 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.] and the definite version is available at: http://dx.doi.org/10.1136/bmjopen-2019-034321 The Journal's website i...

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Autors principals: Hashan, Mohammad Rashidul, Gupta, Rajat Das, Day, Brendan, Al Kibria, Gulam Muhammed
Altres autors: Brac James P. Grant School of Public Health
Format: Journal Article
Idioma:en_US
Publicat: BMJ 2022
Matèries:
Accés en línia:http://hdl.handle.net/10361/16562
http://dx.doi.org/10.1136/bmjopen-2019-034321
id 10361-16562
record_format dspace
spelling 10361-165622022-04-24T21:04:01Z 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 Gupta, Rajat Das Day, Brendan Al Kibria, Gulam Muhammed Brac James P. Grant School of Public Health Bangladesh Obesity Overweight Underweight This article was published in BMJ Open [ © 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.] and the definite version is available at: http://dx.doi.org/10.1136/bmjopen-2019-034321 The Journal's website is at: https://bmjopen.bmj.com/content/10/2/e034321 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/m2), normal weight (18.5 to <23.0) kg/m2 and overweight/obese (≥23.0 kg/m2) 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. Published 2022-04-24T06:08:15Z 2022-04-24T06:08:15Z 2020 2020-02-04 Journal Article Hashan, M. R., Das Gupta, R., Day, B., & Al Kibria, G. M. (2020). 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. BMJ Open, 10(2) doi:10.1136/bmjopen-2019-034321 http://hdl.handle.net/10361/16562 http://dx.doi.org/10.1136/bmjopen-2019-034321 en_US https://bmjopen.bmj.com/content/10/2/e034321 application/pdf BMJ
institution Brac University
collection Institutional Repository
language en_US
topic Bangladesh
Obesity
Overweight
Underweight
spellingShingle Bangladesh
Obesity
Overweight
Underweight
Hashan, Mohammad Rashidul
Gupta, Rajat Das
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
description This article was published in BMJ Open [ © 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.] and the definite version is available at: http://dx.doi.org/10.1136/bmjopen-2019-034321 The Journal's website is at: https://bmjopen.bmj.com/content/10/2/e034321
author2 Brac James P. Grant School of Public Health
author_facet Brac James P. Grant School of Public Health
Hashan, Mohammad Rashidul
Gupta, Rajat Das
Day, Brendan
Al Kibria, Gulam Muhammed
format Journal Article
author Hashan, Mohammad Rashidul
Gupta, Rajat Das
Day, Brendan
Al Kibria, Gulam Muhammed
author_sort Hashan, Mohammad Rashidul
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_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_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_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
publisher BMJ
publishDate 2022
url http://hdl.handle.net/10361/16562
http://dx.doi.org/10.1136/bmjopen-2019-034321
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