Socio-demographic trends in overweight and obesity among parous and nulliparous women in Ghana.
BACKGROUND
Overweight and obesity are among the leading threats to global health because of their association with increased risk of morbidity and mortality. Much of the research on overweight and obesity among women largely generalize without due cognisance to differences in their reproductive history. This study explored differences in trends in overweight/obesity, and associated factors between parous and nulliparous women in Ghana.


METHODS
Anthropometric measurements from three nationally representative Ghana Demographic and Health Surveys (2003, 2008 and 2014) were analysed using descriptive statistics and multivariate binary logistic regression.


RESULTS
Over all, overweight/obesity increased between 2003 and 2014, with disproportionately higher rates among parous women (from about 30 % in 2003 to about 48 % in 2014) than nulliparous women (from about 15 % in 2003 to about 24 % in 2014). Age, wealth quintile and marital status were associated with overweight/obesity similarly in both women groups. However, there were variations in the association between parous and nulliparious women by educational level, type of locality, occupation and ethnicity.


CONCLUSIONS
The trend of overweight/obesity in Ghana warrants urgent national level public health attention to help curb the situation. Such interventions should be tailored bearing in mind the peculiar differences in associated factors between parous and nulliparous women.
Department of Community Medicine, University of Cape Coast, Cape Coast, Ghana.
Derek Anamaale
DA
Tuoyire
Department of Population & Health, University of Cape Coast, Cape Coast, Ghana.
Akwasi
A
Kumi-Kyereme
Department of Population & Health, University of Cape Coast, Cape Coast, Ghana ; School of Health Sciences, University of Tampere, Tampere, Finland.
David Teye
DT
Doku
Ghana; Nulliparous; Obesity; Overweight; Parous; Women