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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Urbanicity and Lifestyle Risk Factors for Cardiometabolic Diseases in Rural Uganda: A Cross-Sectional Study
PLoS Medicine, Volume 11, No. 7, Article e1001683, Year 2014
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Description
Background:Urban 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 Findings:Using 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).Conclusions:This 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. © 2014 Riha et al.
Available Materials
https://efashare.b-cdn.net/share/pmc/articles/PMC4114555/bin/pmed.1001683.s001.docx
https://efashare.b-cdn.net/share/pmc/articles/PMC4114555/bin/pmed.1001683.s002.docx
https://efashare.b-cdn.net/share/pmc/articles/PMC4114555/bin/pmed.1001683.s003.docx
https://efashare.b-cdn.net/share/pmc/articles/PMC4114555/bin/pmed.1001683.s004.docx
https://efashare.b-cdn.net/share/pmc/articles/PMC4114555/bin/pmed.1001683.s005.docx
https://efashare.b-cdn.net/share/pmc/articles/PMC4114555/bin/pmed.1001683.s006.docx
https://efashare.b-cdn.net/share/pmc/articles/PMC4114555/bin/pmed.1001683.s007.docx
https://efashare.b-cdn.net/share/pmc/articles/PMC4114555/bin/pmed.1001683.s008.docx
https://efashare.b-cdn.net/share/pmc/articles/PMC4114555/bin/pmed.1001683.s009.docx
https://efashare.b-cdn.net/share/pmc/articles/PMC4114555/bin/pmed.1001683.s010.docx
Authors & Co-Authors
Riha, J.
Unknown Affiliation
Karabarinde, Alex
Unknown Affiliation
Ssenyomo, Gerald
Unknown Affiliation
Allender, S. E.
Unknown Affiliation
Asiki, Gershim
Unknown Affiliation
Kamali, Anatoli
Unknown Affiliation
Young, Elizabeth H.
Unknown Affiliation
Sandhu, Manjinder Singh
Unknown Affiliation
Seeley, Janet A.
Unknown Affiliation
Statistics
Citations: 57
Authors: 9
Affiliations: 7
Identifiers
Doi:
10.1371/journal.pmed.1001683
ISSN:
15491277
e-ISSN:
15491676
Research Areas
Environmental
Health System And Policy
Study Design
Cross Sectional Study
Study Approach
Quantitative
Study Locations
Uganda