Socio-economic And Individual Factors Associated With Overweigth And Obesity Among Women Of Reproductive Age In Bushenyi District, Western Uganda.

ABSTRACT

Background: Overweight and obesity is an escalating problem worldwide, yet extensive data especially in Africa is still lacking. The main objective of the study was to determine the prevalence of overweight and obesity and associated factors among women aged 18-49in Bushenyi District, Uganda. Objectives: The The objectives of the study were to determine the prevalence, socio-economic and individual factors associated with overweight and obesity among women of reproductive age in Bushenyi town, Bushenyi district. Methods: A cross-sectional analytical study design was used. Data on prevalence was collected through anthropometric measurements using the BMI(Body Mass Index) while those of socioeconomic and individual factors were collected with a structured questionnaires. 271 women aged 18-49 years from Bushenyi District were sampled. Results: The prevalence of overweight and obesity among women of the women of reproductive age in Bushenyi town was 47.24% and 19.92% respectively. The rest of the sampled women were normal (32.84%). The results show that house wives were twice more likely to be overweighed and obese (AOR= 2.006). Also, women who are unemployed (AOR=1.233), who earn >700000 shillings (AOR=1.0263) and owned houses (AOR= 1.0452) are more likely to be overweighed and obese. Women in Bushenyi town who live sedentarily (AOR=2.455), those who take more milk (AOR = 2.710), consume alcohol (AOR = 2.134) and do moderate physical exercise are more likely to be overweighed and obese. Women who take ghee (AOR = 1.969) and eat rice (AOR= 1.453) are likely to also be overweighed and obese. Conclusion/Recommendation: The high prevalence of overweight and obesity in Beshenyi town as shown in this calls for behaviour change related towards lifestyle, occupation and diet. Hence public health interventions through awareness programmes about the consequences of overall and abdominal obesity should be propagated by government and health partners.

Table of Contents

DECLARATION................................................................................................................................................................ i APPROVAL ................................................................................................................................... ii DEDICATION...............................................................................................................................iii ACKNOWLEDGEMENT............................................................................................................. iv                                      LIST OF ACRONYMS AND ABBREVIATION.......................................................................... v                        OPERATIONAL DEFINITIONS.................................................................................................. vi ABSTRACT.................................................................................................................................. vii                                           LIST OF TABLES........................................................................................................................ xii                              CHAPTER ONE ........................................................................................................................... 1 INTRODUCTION......................................................................................................................... 1                                        1.0: Background of the Study ......................................................................................................... 1                                1.1 Problem Statement............................................................................................................... 4                                      1.2 Research Objectives.................................................................................................................. 4                                1.2.1 Broad Objective (Purpose of the Study)................................................................................ 4                           1.2.2 Specific Objectives........................................................................................................... 4                                      1.3 Research Questions.............................................................................................................. 5                                      1.4 Significance of the Study.......................................................................................................... 5                                 1.5 Scope of the Study ................................................................................................................. 5                                1.5.1 Content Scope ........................................................................................................................ 5                                 1.5.2 Geographical Scope ............................................................................................................... 5                             1.5.3 Time Scope ............................................................................................................................ 6                                   1.6 Conceptual Framework............................................................................................................. 7                            CHAPTER TWO .......................................................................................................................... 9                                  REVIEW OF LITERATURE...................................................................................................... 9                                            2.0 Introduction............................................................................................................................... 9                                    2.1 Prevalence of Overweight and Obesity .................................................................................... 9                            2.2 Socioeconomic Factors Associated with Overweight and Obesity ........................................ 10                   2.3 Individual factors associated with Overweight and Obesity .................................................. 11                  CHAPTER THREE.................................................................................................................... 13                            METHODOLOGY ..................................................................................................................... 13                                            3.0 Introduction............................................................................................................................. 13 3.1 Study Design........................................................................................................................... 13 3.2 Study Area .............................................................................................................................. 13 3.3 Study Population..................................................................................................................... 13 3.3.1 Inclusion Criteria............................................................................................................ 13 3.8.2 Exclusion Criteria........................................................................................................... 13 3.4 Sample Size Determination .................................................................................................. 14 3.5 Study Variables....................................................................................................................... 14 3.5.1 Dependent Variable ............................................................................................................. 14 3.5.2 Independent variables.......................................................................................................... 14 3.6 Sampling Procedure................................................................................................................ 14 3.7 Data Collection Tools and Methods ....................................................................................... 15 3.7.1 Determination of prevalence of Overweight and Obesity among women aged 18-49 years in Bushenyi town. ......................................................................................................................... 15 3.7.2 Socio-economic and individual factors associated with Overweight and Obesity among women aged 18-49 years in Bushenyi town ................................................................................. 15 3.8 Data Quality Control............................................................................................................... 16 3.9 Validity of Data Collection Tools...................................................................................... 16 3.9 Data Processing and Analysis................................................................................................. 16 3.10 Ethical Consideration............................................................................................................ 17 x 3.12 Limitations of the study ........................................................................................................ 17 CHAPTER FOUR....................................................................................................................... 18 RESULTS .................................................................................................................................... 18 4.0 Introduction............................................................................................................................. 18 4.1: Demographic characteristics of the respondents ................................................................... 18 4.2 Prevalence of overweight and obesity among women of reproductive age in Bushenyi Town using BMI ..................................................................................................................................... 19 4.3 Socio-economic factors associated with overweight and obesity among women of reproductive age in Bushenyi town............................................................................................... 19 4.3. Individual factors associated with overweight and obesity among women of reproductive age in Bushenyi Town......................................................................................................................... 23 CHAPTER FIVE ........................................................................................................................ 25 DISCUSSION.............................................................................................................................. 25 5.0 Introduction............................................................................................................................. 25 5.1 Prevalence of overweight and obesity among women of reproductive age in Bushenyi. ...... 25 5.2 Socio-economic factors associated overweight and obesity among women of reproductive age in Bushenyi town.................................................................................................................... 25 5.3: Individual factors associated overweight and obesity among women of reproductive age in Bushenyi town. ............................................................................................................................. 26 CHAPTER SIX ........................................................................................................................... 27 CONCLUSION AND RECOMMENDATIONS...................................................................... 27 6.0 Introduction............................................................................................................................. 27 6.1 Conclusion .............................................................................................................................. 27 6.2 Recommendations................................................................................................................... 28 REFERENCES ............................................................................................................................. 29 APPENDIX 1: CONSENT FORM............................................................................................... 43 xi APPENDIX II: QUESTIONNAIRE............................................................................................. 44 APPENDIX III: WORK PLAN.................................................................................................... 47 APPENDIX III............................................................................................................................................47 WORK PLAN.............................................................................................................................................47