Unhealthy Weight Control Practice and Related Factors among Postpartum Women in Addis Abeba, Ethiopia
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Date
2021-06
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Abstract
Background: Women in the postpartum period are more concerned about their weight status and frequently practice unhealthy weight control methods. However, little is known about the practice of unhealthy weight control among postpartum women in Ethiopia.
Objectives: To investigate the prevalence of unhealthy weight control practices and related facors with postpartum weight status and body image dissatisfaction among postpartum women in Addis Ababa, Ethiopia.
Methods: A health facility-based cross-sectional study was conducted among 640 postpartum women from 6 months to 9 months postpartum period from randomly selected public health centers and private maternal and child medical centers. Unhealthy weight control practices were assessed by using the 12 item self-reporting tool with the reference period of 30 days. Body image dissatisfaction was measured by using 8 items Evan & Dolan Body Shape Questionnaire. Bivariable and multivariable logistic models were fitted to identify predictors of unhealthy weight control practice while controlling for possible confounders. The results are presented using adjusted odds ratio (aOR) with the respective 95% confidence interval (CI).
Results: The prevalence of unhealthy weight control practice among postpartum women in the past 30 days was 38.3% (95%CI: 34.4-42.2). Factors that were associated with unhealthy weight control practices were Perceived overweight (aOR = 7.68; 95%CI: 2.01-29.38), being overweight (aOR=6.48; 95%CI:1.86-22.53), having only one child (aOR = 2.98; 95%CI: 1.63-5.45), being a single mother (aOR=5.94; 95%CI: 2.13-16.55 and having body image dissatisfaction (aOR=1.16; 95%CI: 1.11-1.21). Further reported peer (aOR = 2.96; 95%CI: 1.56-5.62), husband/dating partner (aOR = 2.63; 95%CI: 1.44-4.82) and social media (aOR = 4.79; 95%CI: 2.22-10.33) influences were associated practice of unhealthy weight control practices.
Conclusion: Unhealthy weight control practice are commonly among post-partum women in Addis Ababa. To address the problem, programmatic and severe provision related attentions should be given attention.
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unhealthy weight control, postpartum women, eating disorder, Ethiopia