Health behavior, stress and obesity among working age women in Myanmar
Keywords:alcohol consumption, Generalized Linear Mixed Model, Myanmar, overweight and obesity
Aim: This study aimed to determine the prevalence of overweight and obesity and to investigate the association between socioeconomic factors, health behaviors, health literacy, knowledge, attitude, physical and mental health status, and overweight and obesity among working age women in Myanmar.
Methods: A cross-sectional study was conducted among 1,094 women aged 18 to 59 years old who were recruited by using multistage random sampling from 12 townships out of 6 districts among three states/regions. A structured questionnaire was developed and applied to assess the prevalence of overweight and obesity. Generalized Linear Mixed Model (GLMM) was performed to determine the association between dependent and independent variables after controlling the effects of covariates presenting adjusted OR and 95% confidence interval.
Results: More than half of the respondents were with overweight and obesity (51.28%; 95%CI: 48.31-54.23). The multivariable analysis indicated that factors significantly associated with overweight and obesity included; aged 31-59 years (Adjusted Odds Ratio (AOR) = 1.72, 95%CI:1.22-2.40), living without family (AOR= 2.07, 95%CI:1.20-3.57), average monthly income ≥200,000MMK (AOR= 1.38, 95%CI:1.05-1.82), parity≥1 (AOR= 1.61, 95%CI: 1.17- 2.23), high fat & protein consumption ≥5-days per week (AOR= 2.90, 95%CI:1.91-4.39), alcohol consumption (AOR= 2.53, 95%CI:1.91-3.36) and moderate-severe stress (AOR= 1.47, 95%CI:1.11-1.94).
Conclusion: More than half of working age women were with overweight and obesity. Socioeconomic status, health behavior and stress are the factors behind over nutrition. The findings provide relevant evidence to develop the appropriate policies and public health interventions in order to minimize the burden of overweight and obesity. Likewise, it is anticipated that this outcome would support the prevention of cardiovascular and other chronic diseases.
Conflicts of interest: None declared.
Ethical Consideration: Ethical Consideration was taken from Khon Kaen University Ethics Committee in Human Research (the approval number, HE632117) and Department of Medical Research, Yangon, Myanmar (Approval number Ethics/DMR/2020/109). A coding scheme was used and every document was destroyed on completion of research. Written consent was obtained from all participants prior to participation.
Acknowledgement: The authors would like to express our sincere appreciation to all working age women in study areas for the data collection. Special thanks to the Faculty of Public Health, Khon Kaen University, Thailand for the financial and technical support.
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Copyright (c) 2022 Win Mya Mya Htut, Kittipong Sornlom, Wongsa Loahasiriwong
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