@article{Boua2018-av,

title = {Gender differences in sociodemographic and behavioural factors  associated with BMI in an adult population in rural Burkina  Faso - an AWI-Gen sub-study},

author = {Romuald Palwende Boua and Hermann Sorgho and Toussaint Rouamba and Seydou Nakanabo Diallo and Joel D Bognini and Sophie Z Konkobo and Daniel Valia and Moussa Lingani and Serge Ouoba and Alain S Tougma and Biebo Bihoun and Nigel J Crowther and Shane A Norris and Mich`ele Ramsay and Halidou Tinto and AWI-Gen and H3Africa Consortium},

doi = {10.1080/16549716.2018.1527557},

issn = {1654-9716},

year  = {2018},

date = {2018-01-01},

urldate = {2018-01-01},

journal = {Glob. Health Action},

volume = {11},

number = {sup2},

pages = {1527557},

publisher = {Informa UK Limited},

abstract = {BACKGROUND: The global health transition is linked with an 

 increased burden of non-communicable diseases with 

 cardiovascular diseases leading the epidemic. In sub-Saharan 

 Africa (SSA), the prevalence of obesity has increased during the 

 past decades and there is a need to investigate the associated 

 driving factors. In Burkina Faso obesity remains low, especially 

 in rural areas. In this study we recruited middle-aged adults, 

 as part of a larger study on genetic and environmental 

 contributions to cardiometabolic disease among Africans. 

 OBJECTIVES: To investigate the distribution of BMI and 

 prevalence of obesity in a cross-sectional population-based 

 study and to determine the sociodemographic and behavioural correlates with BMI. METHODS: Participants (N = 2,076) were 

 recruited from the Nanoro Health and Demographic Surveillance 

 System area and were aged 40-60 years. We applied hierarchical 

 modelling to identify factors associated with BMI and structural 

 equation modelling to identify mediated effects of 

 sociodemographic and behavioural variables on BMI. RESULTS: Data 

 are presented on 2,076 participants (49.9% female). Men had 

 significantly higher BMI than women with medians of 21.1 (19.2 - 

 23.4) vs 19.8 (18.1 - 21.6) (p \< 0.001), and there were 

 significantly more underweight women compared to men (31.0% vs 

 17.4%) (p \< 0.001). More men were overweight and obese than 

 women (11.9% vs 5.2% and 2.2% vs 1.4%). Socioeconomic status 

 was the major contributor to increased BMI for men, and 

 education was the main contributor in women. Tobacco smoking and 

 chewing, and problematic alcohol consumption were associated 

 with a decrease in BMI in men and women. CONCLUSION: Overweight 

 and obesity are relatively low among adults in rural Burkina 

 Faso, and men had a higher median BMI than women. Behavioural 

 factors, including tobacco use and alcohol consumption, 

 contributed to a decrease in BMI, whereas socioeconomic status 

 and education (which were both generally low in this community) 

 contributed to an increase in BMI.},

keywords = {BMI; BMI distribution across African communities; chewing   tobacco; hierarchical model; problematic alcohol consumption;   structural equation model; underweight},

pubstate = {published},

tppubtype = {article}

}