Individual and community-level determinants of overweight and obesity among urban men: Further analysis of Ethiopian demographic and health survey
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Abstract Objective: Overweight and obesity have become a serious public health problem in both developed and developing countries particularly in urban areas. However, there are limited studies conducted to identify the risk factors of overweight and obesity in Ethiopia. Therefore, this study aimed to assess individual and community level determinants of overweight and obesity among urban men in Ethiopia. Methods: This study used the 2016 Ethiopian Demographic and Health Survey data (EDHS). A total of 2259 weighted sample of urban men age 15-59 years were included in this analysis. A multilevel logistic regression model was conducted to assess the determinants of overweight and obesity among the study participants. Results: Men aged 30-44 years old (AOR=3.1, 95% CI: 2.3-4.11) , 45-59 years old (AOR=4.8, 95% CI: 3.4-6.9), married (AOR=1.7, 95% CI: 1.3-2.2), secondary education (AOR=2.7, 95% CI: 1.6-4.7), higher education (AOR= 3.6, 95% CI: 2.1-6.2) and watching television at least once a week (AOR= 1.7, 95% CI: 1.1-2.7), men from high rich communities (AOR= 2.4, 95% CI: 1.5-3.7) and residents of the three metropolises (Addis Ababa, Harari, Diredawa) were more likely to be overweight or obese (AOR=1.8, 95% CI: 1.1-2.9). However, currently unemployed men were less likely to be overweight or obese (AOR=0.5, 95% CI: 0.3-0.7). Conclusion: Being older age, married, unemployed, higher educational status, higher frequency of watching television, being residents the three metropolises (Addis Ababa, Harari, and Diredawa) and being from high rich communities were found to be predictors of overweight and obesity. Therefore, it is essential to design strategies and programs to reduce or prevent overweight and obesity with special focus on the identified risk factors.
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