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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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 |
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Bangladesh Obesity Overweight Underweight |
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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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