Factors associated with undernutrition among 20 to 49 year old women in Uganda: a secondary analysis of the Uganda demographic health survey 2016

BMC Public Health

Theogene Habumugisha¹  Robert Tuke²  David Mukunya³  Linet M. Mutisya⁴  Quraish Sserwanja⁵  Emmanuel Olal⁶ 

[1] Centre for International Health, University of Bergen, Bergen, Norway;Department of Psychiatry, Michigan State University, East Lansing, USA;Department of Research, Sanyu Africa Research Institute, Mbale, Uganda;Department of Women and Children’s Health, Uppsala University, Uppsala, Sweden;Monitoring and Evaluation Department, Doctors with Africa, Juba, South Sudan;Yotkom Medical Centre, Kitgum, Uganda;

关键词: Under nutrition;    Prevalence;    Stunting;    Underweight;    Socio-economic;    Women and Uganda;   

DOI  :  10.1186/s12889-020-09775-2

来源: Springer

【 摘 要 】

BackgroundWomen are at risk of undernutrition due to biological, socio-economic, and cultural factors. Undernourished women have higher risk of poor obstetric outcomes. We aimed to determine the prevalence and factors associated with undernutrition among women of reproductive age in Uganda.MethodsWe used Uganda Demographic and Health Survey (UDHS) 2016 data of 4640 women aged 20 to 49 years excluding pregnant and post-menopausal women. Multistage stratified sampling was used to select study participants and data were collected using validated questionnaires. We used multivariable logistic regression to determine factors associated with underweight and stunting among 20 to 49 year old women in Uganda.ResultsThe prevalence of underweight and stunting were 6.9% (318/4640) and 1.3% (58/4640) respectively. Women who belonged to the poorest wealth quintile (Adjusted Odds Ratio (AOR) 3.60, 95% CI 1.85–7.00) were more likely to be underweight compared to those who belonged to the richest wealth quintile. Women residing in rural areas were less likely to be underweight (AOR 0.63, 95%CI 0.41–0.96) compared to women in urban areas. Women in Western (AOR 0.30, 95% CI 0.20–0.44), Eastern (AOR 0.42, 95% CI 0.28–0.63) and Central regions (AOR 0.42, 95% CI 0.25–0.72) were less likely to be underweight compared to those in the Northern region. Women belonging to Central (AOR 4.37, 95% CI 1.44–13.20) and Western (AOR 4.77, 95% CI 1.28–17.78) regions were more likely to be stunted compared to those in the Northern region.ConclusionThe present study showed wealth index, place of residence and region to be associated with undernutrition among 20 to 49 year old women in Uganda. There is need to address socio-economic determinants of maternal undernutrition mainly poverty and regional inequalities.

【 授权许可】

CC BY