TY - JOUR
T1 - Socio-demographic determinants of overweight and obesity among mothers of primary school children living in a rural health and demographic surveillance system site, South Africa
AU - Modjadji, Perpetua
N1 - Funding Information:
The Research Development Grant (RDG) from Sefako Makgatho Health Sciences University (D105-ModjadjiRDG) funded this research and Vlaamse Interuniversitaire Raad (VLIR), Belgium funded the pilot study
Funding Information:
The author would like to thank the Department of education, Limpopo Province (South Africa) for permission to conduct the study. She also appreciates the mothers of primary school children in Dikgale HDSS site, for full participation in the study. She acknowledges Professor Sphiwe Madiba, her doctoral promoter/supervisor, and Professor Marianne Alberts, the founder of the Dikgale HDSS site. She appreciate the support of the South African Medical Research Council (MRC) through its Division of Research Capacity Development under the Mid-Career Scientist Programme.
Publisher Copyright:
© 2020 Perpetua Modjadji.
PY - 2020
Y1 - 2020
N2 - Background: South Africa continues to have significant high prevalence rate of overweight/obesity relative to its African counterparts, particularly, among women, owing to several factors such as nutrition transition and socio-demographic factors. Nonetheless, little is known about the socio-demographic determinants of overweight/obesity, especially in the rural settings. Objective: To investigate the socio-demographic determinants of overweight and obesity among mothers of primary school children living in a rural Dikgale Health and Demographic Surveillance System Site in South Africa Methods: A cross-sectional study was conducted among 508 mothers of primary school children from a rural setting. Body mass index (BMI) was calculated by dividing the body weight by height squared and the prevalence of overweight (BMI ≥ 25–29.9 kg/m2) and obesity (BMI ≥30 kg/m2) were determined. The socio-demographic variables were collected using an interviewer-administered questionnaire. Multiple logistic regression analysis was used to ascertain any relationships with overweight/obesity as an outcome measure. Data were analyzed using STATA 14. Results: The response rate was 98%. The mean age of mothers was 37±7years. Mothers were charecterized by singlehood (63%), unemployed (82%) and low literacy (41%). The odds of being overweight/obese were significantly higher among mothers living with spouses as household heads (AOR=3.5 95%CI: 1.97-6.31), had two to three pregnancies (AOR=2.4, 95%CI: 1.40-4.20), and five pregnancies and above (AOR=2.5, 95%CI: 1.0-6.37). Mothers who lived in households with a monthly income between $344.84 and $524,60 were less likely to be overweight or obese (AOR=0.31 95%CI: 0.14-0.70). Additionally, age, marital status and age at first pregnancy were significantly associated with being overweight/obese (χ2 test, p<0.05). Conclusion: The key determinants of overweight/obesity were living in spouse-headed household, household monthly income and more than one pregnancy. Evidence-based strategies that focus on strengthening the social aspects while addressing overweight and obesity among mothers of primary school children living in a rural Dikgale HDSS site, South Africa.
AB - Background: South Africa continues to have significant high prevalence rate of overweight/obesity relative to its African counterparts, particularly, among women, owing to several factors such as nutrition transition and socio-demographic factors. Nonetheless, little is known about the socio-demographic determinants of overweight/obesity, especially in the rural settings. Objective: To investigate the socio-demographic determinants of overweight and obesity among mothers of primary school children living in a rural Dikgale Health and Demographic Surveillance System Site in South Africa Methods: A cross-sectional study was conducted among 508 mothers of primary school children from a rural setting. Body mass index (BMI) was calculated by dividing the body weight by height squared and the prevalence of overweight (BMI ≥ 25–29.9 kg/m2) and obesity (BMI ≥30 kg/m2) were determined. The socio-demographic variables were collected using an interviewer-administered questionnaire. Multiple logistic regression analysis was used to ascertain any relationships with overweight/obesity as an outcome measure. Data were analyzed using STATA 14. Results: The response rate was 98%. The mean age of mothers was 37±7years. Mothers were charecterized by singlehood (63%), unemployed (82%) and low literacy (41%). The odds of being overweight/obese were significantly higher among mothers living with spouses as household heads (AOR=3.5 95%CI: 1.97-6.31), had two to three pregnancies (AOR=2.4, 95%CI: 1.40-4.20), and five pregnancies and above (AOR=2.5, 95%CI: 1.0-6.37). Mothers who lived in households with a monthly income between $344.84 and $524,60 were less likely to be overweight or obese (AOR=0.31 95%CI: 0.14-0.70). Additionally, age, marital status and age at first pregnancy were significantly associated with being overweight/obese (χ2 test, p<0.05). Conclusion: The key determinants of overweight/obesity were living in spouse-headed household, household monthly income and more than one pregnancy. Evidence-based strategies that focus on strengthening the social aspects while addressing overweight and obesity among mothers of primary school children living in a rural Dikgale HDSS site, South Africa.
KW - Mothers of primary school children
KW - Obstetric history
KW - Overweight/obesity
KW - Rural Dikgale HDSS site
KW - Socio-demographic factors
KW - South Africa
UR - http://www.scopus.com/inward/record.url?scp=85097669758&partnerID=8YFLogxK
U2 - 10.2174/1874944502013010518
DO - 10.2174/1874944502013010518
M3 - Article
AN - SCOPUS:85097669758
SN - 1874-9445
VL - 13
SP - 518
EP - 528
JO - Open Public Health Journal
JF - Open Public Health Journal
IS - 1
ER -