ArticlePLoS medicine2014
Urbanicity and lifestyle risk factors for cardiometabolic diseases in rural Uganda: a cross-sectional study.
Article in PLoS medicine, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 46 papers, 1 of them a synthesis that pooled it.
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Who cites it
46 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Factors affecting fruit and vegetable consumption and purchase behavior of adults in sub-Saharan Africa: A rapid review.Frontiers in nutrition · 2023Pooled it
- Rural-Urban Differences in the Hypertension Cascade of Care in Northwestern Tanzania: A Community-Based Cross-Sectional Study.Research square · 2026Article
- Built environment is a key driver of cardiometabolic health in two Indigenous groups undergoing rapid lifestyle change.Evolution, medicine, and public health · 2026Article
- Prevalence of prediabetes and associated risk factors among peri-urban dwelling adults in Blantyre, Malawi.Malawi medical journal : the journal of Medical Association of Malawi · 2025Article
- Changes in urbanicity and household availability of and proximity to food vendors from 2004 to 2020 in a rural district of northwestern Bangladesh.Health & place · 2024Article
- Measuring Community Urbanicity and Its Influence on Household Food Security Across Nepal's Agroecological Zones.Current developments in nutrition · 2024Article
- The epidemiology of behavioral risk factors for noncommunicable disease and hypertension: A cross-sectional study from Eastern Uganda.PLOS global public health · 2024Article
- Geographical, sex, and socioeconomic differences in non-communicable disease indicators: A cross-sectional survey in Eastern Uganda.PLOS global public health · 2024Article
- Investigating the role of the built environment, socio-economic status, and lifestyle factors in the prevalence of chronic diseases in Mashhad: PLS-SEM model.Frontiers in public health · 2024Article
- Quantification of Urbanization Using Night-Time Light Intensity in Relation to Women's Overnutrition in Bangladesh.Journal of urban health : bulletin of the New York Academy of Medicine · 2023Article
- Polyphenols and Cardiometabolic Health: Knowledge and Concern among Romanian People.Nutrients · 2023Article
- Serum Adiponectin and Leptin Among Ghanaian Migrants in Amsterdam and Their Compatriots in Rural and Urban Ghana: The RODAM Study.Clinical medicine insights. Endocrinology and diabetes · 2023Article
- Trends of notification rates and treatment outcomes of tuberculosis cases with and without HIV co-infection in eight rural districts of Uganda (2015 - 2019).BMC public health · 2022Article
- Thirty-Year Urbanization Trajectories and Obesity in Modernizing China.International journal of environmental research and public health · 2022Article
- Overweight and obesity in south central Uganda: A population-based study.PLOS global public health · 2022Article
- Patterns of multimorbidity and their association with hospitalisation: a population-based study of older adults in urban Tanzania.Age and ageing · 2021Article
- Choose Where You Live Carefully: Built Environment Differences in Children's Cardiorespiratory Fitness and Cardiometabolic Risk.Sports (Basel, Switzerland) · 2021Article
- Associations of neighborhood physical and crime environments with obesity-related outcomes in Jamaica.PloS one · 2021Article
- Modifiable risk factors and overall cardiovascular mortality: Moderation of urbanization.Journal of public health research · 2020Article
- Distinct genetic architectures and environmental factors associate with host response to the γ2-herpesvirus infections.Nature communications · 2020Article
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Abstract
backgroundUrban living is associated with unhealthy lifestyles that can increase the risk of cardiometabolic diseases. In sub-Saharan Africa (SSA), where the majority of people live in rural areas, it is still unclear if there is a corresponding increase in unhealthy lifestyles as rural areas adopt urban characteristics. This study examines the distribution of urban characteristics across rural communities in Uganda and their associations with lifestyle risk factors for chronic diseases. METHODS AND
findingsUsing data collected in 2011, we examined cross-sectional associations between urbanicity and lifestyle risk factors in rural communities in Uganda, with 7,340 participants aged 13 y and above across 25 villages. Urbanicity was defined according to a multi-component scale, and Poisson regression models were used to examine associations between urbanicity and lifestyle risk factors by quartile of urbanicity. Despite all of the villages not having paved roads and running water, there was marked variation in levels of urbanicity across the villages, largely attributable to differences in economic activity, civil infrastructure, and availability of educational and healthcare services. In regression models, after adjustment for clustering and potential confounders including socioeconomic status, increasing urbanicity was associated with an increase in lifestyle risk factors such as physical inactivity (risk ratio [RR]: 1.19; 95% CI: 1.14, 1.24), low fruit and vegetable consumption (RR: 1.17; 95% CI: 1.10, 1.23), and high body mass index (RR: 1.48; 95% CI: 1.24, 1.77).
conclusionsThis study indicates that even across rural communities in SSA, increasing urbanicity is associated with a higher prevalence of lifestyle risk factors for cardiometabolic diseases. This finding highlights the need to consider the health impact of urbanization in rural areas across SSA. Please see later in the article for the Editors' Summary.
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