ArticleGlobal health action2018
Socio-demographic and behavioural determinants of body mass index among an adult population in rural Northern Ghana: the AWI-Gen study.
Article in Global health action, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.
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Who cites it
18 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Smokeless tobacco use and public health nutrition: a global systematic review.Public health nutrition · 2023Pooled it
- Socio-demographic determinants, mediators and moderators of body image dissatisfaction and distortion in Black South African women aged 18 years and older: SANHANES-1.BMC public health · 2026Observational
- Integrating a Non-Communicable Disease Care Cascade within Ghana's Community-Based Health Planning and Services (CHPS) Program: the COMBINE Pilot Implementation Trial.medRxiv : the preprint server for health sciences · 2026Article
- Malnutrition among men in Ghana: socio-demographic factors and rural-urban differences.Journal of health, population, and nutrition · 2026Article
- Prevalence and determinants of obesity among women aged 15-49 years in the Ashanti region, Ghana: Analysis of the 2022 Ghana demographic and health survey.SAGE open medicine · 2026Article
- Bayesian and Probit comparative analysis of risk factors for high blood pressure among adults in Kassena-Nankana Districts, Ghana: An AWI-Gen sub-study.Research square · 2025Article
- How participation in deliberative engagement affects awareness of, and attitudes towards, genomics research and data sharing: evidence from rural Ghana.BMC medical ethics · 2025Article
- Hypertension and diabetes control: faith-based centres offer a promise for expanding screening services and linkage to care in Ghana.BMC primary care · 2024Article
- Non-cigarette Tobacco Use and Stroke Among West Africans: Evidence From the SIREN Study.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2024Article
- Social and demographic correlates of cardiovascular mortality in the Kassena-Nankana districts of Ghana: a verbal post-mortem analysis.International journal of epidemiology · 2022Article
- Adapting a nurse-led primary care initiative to cardiovascular disease control in Ghana: a qualitative study.BMC public health · 2020Article
- Smokeless tobacco use: its prevalence and relationships with dental symptoms, nutritional status and blood pressure among rural women in Burkina Faso.BMC public health · 2020Article
- Prevalence and factors associated with overweight and central obesity among adults in the Eastern Sudan.PloS one · 2020Article
- Prevalence and factors associated with overweight and obesity among rural and urban women in Burkina Faso.The Pan African medical journal · 2019Article
- Determinants of body mass index by gender in the Dikgale Health and Demographic Surveillance System site, South Africa.Global health action · 2018Article
- Regional and sex-specific variation in BMI distribution in four sub-Saharan African countries: The H3Africa AWI-Gen study.Global health action · 2018Article
- Patterns of adult body mass in sub-Saharan Africa.Global health action · 2018Article
- Genomic and environmental risk factors for cardiometabolic diseases in Africa: methods used for Phase 1 of the AWI-Gen population cross-sectional study.Global health action · 2018Article
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Abstract
backgroundObesity and associated cardiometabolic diseases are increasing in urban sub-Saharan Africa due to a complex epidemiological and nutritional transition. Related data on rural communities is scarce.
objectivesThe study characterized the socio-demographic and behavioural factors influencing body mass index (BMI) among adults in rural Northern Ghana Methods: A population-based cross-sectional study involving adults aged 40-60 years residing in the Kassena-Nankana districts was undertaken. Demographic, socio-economic and behavioural data were collected along with measures of anthropometry. We determined factors associated with BMI among women and men.
resultsA total of 2014 adults were studied. The median age was 51 (IQR 45-57) years and 54% were women. The prevalence of overweight/obesity was higher among women than men (18.4% vs. 7.2%; p < 0.001), whilst underweight was more prevalent in men (18.3% vs. 13.1%; p = 0.001). Participants with the highest level of education and a high household socio-economic status had higher BMIs than those in the lowest strata in both men (β = 0.074, p = 0.028 and β = 0.072, p < 0.001, respectively) and women (β = 0.174, p = 0.001 and β = 0.109, p < 0.001, respectively). Men (β = -0.050; p < 0.001) and women (β = -0.073; p < 0.001) of the Nankana ethnic group had a lower BMI than the Kassena ethnic group. Among men, alcohol consumption (β = -0.021; p = 0.001) and smoking (β = -0.216; p < 0.001) were associated with lower BMI. Smokeless tobacco was associated with lower BMI among women. Pesticide exposure was associated with higher BMI (β = 0.022; p = 0.022) among men.
conclusionAge, sex, ethno-linguistic group and prevailing socio-demographic and behavioural factors within this rural community in Northern Ghana influence BMI. The observed positive association between pesticide use and BMI warrants further investigation.
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