Prevalence of Overweight and Obesity in Married Women of Reproductive Age and its Association with Cumulative Socioeconomic Factors in Mazandaran Province-Iran

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Abdollahi Fatemeh; Yazdani Charati Jamshid; Kashi Zahra; Zarghami Mehran

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Journal Paper

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Journal: Journal of Mazandaran University of Medical Sciences Year:2023 | Volume:33 | Issue:226 Page(s): 129-143

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Information Journal Paper

Title

Prevalence of Overweight and Obesity in Married Women of Reproductive Age and its Association with Cumulative Socioeconomic Factors in Mazandaran Province-Iran

Author(s)

Abdollahi Fatemeh | Yazdani Charati Jamshid | Kashi Zahra | Zarghami Mehran | Issue Writer Certificate

Keywords

obesityQ4

overweightQ4

socioeconomic statusQ4

womenQ4

reproductive ageQ4

Abstract

Background and purpose: obesity is a growing public health concern worldwide. This study examined the prevalence of obesity/overweight and its relation with cumulative socioeconomic risk in women of reproductive age in Mazandaran province, Iran. Materials and methods: In this descriptive correlational study using a multi-stage cluster sampling method, 540 married women aged 15-45 referred to primary health centers in Mazandaran province were recruited (2020). Body mass index was categorized into three levels: obese (≥30), overweight (25-29. 9), and normal (18. 5-24. 9). Socio-economic status was classified using generalized Oaxaca-Blinder decomposition method. Each of the socio-economic variables (8 indicators) was given a score of zero or one, and then the scores were added up. The scores of ≥5, 3-5, and ≤2 were considered good, average, and poor, respectively. The relationship between socio-economic variables and different levels of body mass index was assessed once separately and once cumulatively in binary regression. Results: The prevalence of obesity and overweight was 23. 3% and 48. 5%, respectively. The socio-economic status of 26. 2% of the participants was classified as good, 64. 3% as average, and 9. 5% as poor. There was a significant positive and negative relationship between obesity in women with their number of children (OR: 2. 72, 95% CI: 1. 50-5. 17) and obesity in their parents (OR: 0. 43, 95% CI: 0. 19-0. 94) respectively. Statistical tests did not show significant relationship between women's obesity and their cumulative socio-economic status (P>0. 05). Conclusion: The prevalence of obesity and overweight among women of reproductive age, regardless of their socio-economic status, has reached epidemic proportions. Extensive studies are suggested to better understand the factors that contribute to obesity and to provide a more accurate explanation for the rapid increase in obesity among various socio-economic groups.

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