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Table 6 The prevalence and predictors of obesity among women (15–49 years) in Sierra Leone

From: Double burden of malnutrition among women in reproductive Age (15–49 years) in Sierra Leone: a secondary data analysis of the demographic health survey 2019 (SLDHS-2019)

Variables

Obese (n = 559)

(n, %)

Normal weight

(n = 4,974)

(n, %)

Unadjusted

COR

95% CI

p value

Adjusted OR

95% CI

p value

Ages (years)

        

15–24

79(3.6)

2,137(96.4)

Reference

  

Reference

  

25–34

178(11.2)

1,411(88.8)

0.293

(0.223–0.385)

< 0.001

0.265

(0.196–0.359)

< 0.001

35–49

302(17.5)

1,426(82.5)

0.175

(0.135–0.226)

< 0.001

0.122

(0.090–0.164)

< 0.001

Parity

        

Up to four

398(9.3)

3,867(90.7)

Reference

     

Five and above

161(12.7)

1,107(87.3)

0.708

(0.582–0.860)

0.001

1.243

(0.976–1.583)

0.078

Residence

        

Urban

359(16.5)

1,818(83.5)

Reference

  

Reference

  

Rural

200(6.0)

3,156(94.0)

3.116

(2.597–3.739)

< 0.001

0.977

(0.706–1.353)

0.889

Sex of the household head

Male

351(351)

3,621(91.2)

Reference

  

Reference

  

Female

208(208)

1,353(86.7)

0.631

(0.525–0.757)

< 0.001

0.717

(0.578–0.889)

0.002

Household size

        

Less than six

223(10.1)

1,976(89.9)

Reference

     

Six and above

336(10.1)

2,998(89.9)

1.007

(0.842–1.204)

0.939

   

Work status

        

Not working

160(9.5)

1,529(90.5)

Reference

     

Working

399(10.4)

3,445(89.6)

0.904

(0.745–1.096)

0.303

   

Marital status

        

Married

403(11.5)

3,102(88.5)

Reference

  

Reference

  

Not Married

156(7.7)

1,872(92.3)

1.559

(1.285–1.892)

< 0.001

1.293

(1.001–1.669)

< 0.049

Region

        

East

104(8.8)

1,082(91.2)

Reference

  

Reference

  

North

86(6.2)

1,305(93.8)

1.459

(1.084–1.963)

0.013

1.447

(1.054–1.985)

0.022

Northwest

60(7.7)

724(92.3)

1.160

(0.833–1.616)

0.381

1.107

(0.777–1.577)

0.573

South

130(10.0)

1,173(90.0)

0.867

(0.662–1.137)

0.303

0.740

(0.552–0.991)

0.043

Western

179(20.6)

690(79.4)

0.371

(0.286–0.480)

< 0.001

0.857

(0.628–1.169)

0.331

Level of education

        

No formal education

262(9.8)

2,399(90.2)

Reference

     

Primary

55(7.4)

686(92.6)

0.628

(0.487–0.812)

< 0.001

   

Secondary

180(9.3)

1,755(99.7)

0.834

(0.679–1.026)

0.086

   

Higher

62(31.6)

134(88.4)

1.179

(0.611–2.275)

0.624

   

Wealth Index

        

Poorest

44(3.7)

1,156(96.3)

Reference

  

Reference

  

Poorer

51(4.6)

1,053(95.4)

0.786

(0.521–1.186)

0.251

0.705

(0.463–1.074)

0.104

Middle

81(7.2)

1,050(92.8)

0.493

(0.339–7.19)

< 0.001

0.418

(0.283–0.618)

< 0.001

Richer

173(15.1)

974(84.9)

0.214

(0.152–0.302)

< 0.001

0.156

(0.101–0.242)

< 0.001

Richest

210(22.1)

741(77.9)

0.134

(0.096–0.188)

< 0.001

0.095

(0.058–0.155)

< 0.001

Watching TV

        

Yes

214(16.0)

1,123(84.0)

Reference

  

Reference

  

No

345(8.2)

3,851(91.8)

2.127

(1.771–2.554)

< 0.001

0.880

(0.675–1.148)

0.347

Listens to radio

        

Yes

315(13.8)

1,967(86.2)

Reference

  

Reference

  

No

244(7.5)

3,007(92.5)

1.974

(1.654–2.355)

< 0.001

1.370

(1.105–1.699)

0.004

Reading of magazines

        

Yes

64(18.8)

276(81.2)

Reference

  

Reference

  

No

495(9.5)

4,698(90.5)

2.201

(1.651–2.933)

< 0.001

1.224

(0.869–1.723)

0.248

Smokes cigarettes

        

Yes

21(13.1)

139(86.9)

Reference

     

No

538(10.0)

4,835(90.0)

1.358

(0.851–2.167)

0.200

   

Alcohol use

        

Yes

54(11.2)

429(88.8)

Reference

     

No

250(11.1)

2,005(88.9)

1.010

(0.739–1.379)

0.953

   
  1. The data source is SLDHS-2019.
  2. In Table 6, obesity among Sierra Leone women in the reproductive age (15–49 years) was less likely in the age group of 25–34 years (aOR 0.609; 95%CI: 0.514–0.722; p < 0.001); less likely among 35–49 years (aOR 0.480; 95%CI: 0.403–0.57; p < 0.001); less likely among female-headed households (aOR 0.717; 95%CI: 0.578–0.889; p < 0.001); less likely among working-class women (aOR 0.840; 95%CI: 0.720–0.980; p < 0.026); more likely among women from the North (aOR 1.447; 95%CI:1.054–1.985; p = 0.022); less likely among women from the South (aOR 0.740; 95%CI: 0.552–0.991; p = 0.043), less likely among middle wealth index (aOR 0.418; 95%CI: 0.283–0.618; p < 0.001); less likely among the richer wealth index (aOR 0.156; 95%CI: 0.101–0.242; p < 0.001), less likely among the richest wealth Index (aOR 0.095; 95%CI: 0.058–0.155; p < 0.001); and more likely among women who did not listen to radios (aOR 1.370; 95%CI:1.105–1.699; p < 0.004)