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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Orphan/vulnerable child caregiving moderates the association between women’s autonomy and their BMI in three African countries</title><author><name sortKey="Kanamori, Mariano" sort="Kanamori, Mariano" uniqKey="Kanamori M" first="Mariano" last="Kanamori">Mariano Kanamori</name></author><author><name sortKey="Carter Pokras, Olivia" sort="Carter Pokras, Olivia" uniqKey="Carter Pokras O" first="Olivia" last="Carter-Pokras">Olivia Carter-Pokras</name></author><author><name sortKey="Madhavan, Sangeetha" sort="Madhavan, Sangeetha" uniqKey="Madhavan S" first="Sangeetha" last="Madhavan">Sangeetha Madhavan</name></author><author><name sortKey="Feldman, Robert" sort="Feldman, Robert" uniqKey="Feldman R" first="Robert" last="Feldman">Robert Feldman</name></author><author><name sortKey="He, Xin" sort="He, Xin" uniqKey="He X" first="Xin" last="He">Xin He</name></author><author><name sortKey="Lee, Sunmin" sort="Lee, Sunmin" uniqKey="Lee S" first="Sunmin" last="Lee">Sunmin Lee</name></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">24888977</idno><idno type="pmc">4122641</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4122641</idno><idno type="RBID">PMC:4122641</idno><idno type="doi">10.1080/09540121.2014.921277</idno><date when="2014">2014</date><idno type="wicri:Area/Pmc/Corpus">001E11</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">001E11</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Orphan/vulnerable child caregiving moderates the association between women’s autonomy and their BMI in three African countries</title><author><name sortKey="Kanamori, Mariano" sort="Kanamori, Mariano" uniqKey="Kanamori M" first="Mariano" last="Kanamori">Mariano Kanamori</name></author><author><name sortKey="Carter Pokras, Olivia" sort="Carter Pokras, Olivia" uniqKey="Carter Pokras O" first="Olivia" last="Carter-Pokras">Olivia Carter-Pokras</name></author><author><name sortKey="Madhavan, Sangeetha" sort="Madhavan, Sangeetha" uniqKey="Madhavan S" first="Sangeetha" last="Madhavan">Sangeetha Madhavan</name></author><author><name sortKey="Feldman, Robert" sort="Feldman, Robert" uniqKey="Feldman R" first="Robert" last="Feldman">Robert Feldman</name></author><author><name sortKey="He, Xin" sort="He, Xin" uniqKey="He X" first="Xin" last="He">Xin He</name></author><author><name sortKey="Lee, Sunmin" sort="Lee, Sunmin" uniqKey="Lee S" first="Sunmin" last="Lee">Sunmin Lee</name></author></analytic><series><title level="j">AIDS care</title><idno type="ISSN">0954-0121</idno><idno type="eISSN">1360-0451</idno><imprint><date when="2014">2014</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p id="P1">Enhancement of women’s autonomy is a key factor for improving women’s health and nutrition. With nearly 12 million orphan and vulnerable children (OVC) in Africa due to HIV/AIDS, the study of OVC primary caregivers’ nutrition is fundamental. We investigated the association between married women’s autonomy and their nutritional status; explored whether this relationship was modified by OVC primary caregiving; and, analyzed whether decision-making autonomy mediated the association between household wealth and body mass index (BMI). This cross-sectional study used data from Demographic Health Surveys collected during 2006–2007 from 20–49 year old women in Namibia (n=2,633), Swaziland (n=1,395), and Zambia (n=2,920). Analyses included logistic regression, Sobel and Goodman tests. Our results indicated that women’s educational attainment increased the odds for being <underline>overweight</underline> (Swaziland and Zambia) and decreased the odds for being <underline>underweight</underline> (Namibia). In Zambia, <italic>having at least primary education</italic> increased the odds for being overweight only among child primary caregivers regardless of the OVC status of the child, and <italic>having autonomy for buying everyday household items</italic> increased the odds for being overweight only among OVC primary caregivers. <italic>Decision-making autonomy</italic> mediated the association between <italic>household wealth</italic> and OVC primary caregivers’<italic> BMI</italic> in Zambia (Z=2.13, p-value0.03). We concluded that depending on each country’s contextual characteristics, having education can decrease the odds for being an underweight woman or increase the odds for being an overweight woman. Further studies should explore why in Namibia, education has an effect on women’s overweight status only among women who are caring for a child.</p></div></front></TEI><pmc article-type="research-article"><pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
<pmc-dir>properties manuscript</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-journal-id">8915313</journal-id><journal-id journal-id-type="pubmed-jr-id">1056</journal-id><journal-id journal-id-type="nlm-ta">AIDS Care</journal-id><journal-id journal-id-type="iso-abbrev">AIDS Care</journal-id><journal-title-group><journal-title>AIDS care</journal-title></journal-title-group><issn pub-type="ppub">0954-0121</issn><issn pub-type="epub">1360-0451</issn></journal-meta><article-meta><article-id pub-id-type="pmid">24888977</article-id><article-id pub-id-type="pmc">4122641</article-id><article-id pub-id-type="doi">10.1080/09540121.2014.921277</article-id><article-id pub-id-type="manuscript">NIHMS594194</article-id><article-categories><subj-group subj-group-type="heading"><subject>Article</subject></subj-group></article-categories><title-group><article-title>Orphan/vulnerable child caregiving moderates the association between women’s autonomy and their BMI in three African countries</article-title></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><name><surname>Kanamori</surname><given-names>Mariano</given-names></name><aff id="A1">Center for Research on U.S. Latino HIV/AIDS and Drug Abuse, Florida International University, 11200 SW 8th Street. PCA 353A, Miami, FL 33199, Phone: +1.571.241.6395, Fax: +1. 305.348.7405,<email>mkanamor@fiu.edu</email></aff></contrib><contrib contrib-type="author"><name><surname>Carter-Pokras</surname><given-names>Olivia</given-names></name><aff id="A2">Department of Epidemiology and Biostatistics, University of Maryland College Park School of Public Health, 2234G SPH Bldg., College Park, MD 20742, Phone: +1-301-405-8037 (office), +1-301-257-6106 (cell), Fax: 301-314-9366,<email>opokras@umd.edu</email></aff></contrib><contrib contrib-type="author"><name><surname>Madhavan</surname><given-names>Sangeetha</given-names></name><aff id="A3">Associate Professor of Demography and Sociology, Department of African-American Studies, Associate Director, Maryland Population Research Center, University of Maryland, 1119 Taliaferro Hall, College Park, MD 20742, Phone: +1-301-405-1166,<email>smadhava@umd.edu</email></aff></contrib><contrib contrib-type="author"><name><surname>Feldman</surname><given-names>Robert</given-names></name><aff id="A4">Professor of Health Behavior, Department of Behavioral and Community Health, Affiliate Professor of Environmental Health, School of Public Health, University of Maryland, College Park, MD 20742, Phone: +1-301.405.2519, FAX: +1-301.314.9167,<email>rfeldman@umd.edu</email></aff></contrib><contrib contrib-type="author"><name><surname>He</surname><given-names>Xin</given-names></name><aff id="A5">Department of Epidemiology and Biostatistics, University of Maryland College Park School of Public Health, 2234 SPH Bldg., College Park, MD 20742, Phone: +1-301-405-2551, Fax: +1-301-314-9366,<email>xinhe@umd.edu</email></aff></contrib><contrib contrib-type="author"><name><surname>Lee</surname><given-names>Sunmin</given-names></name><aff id="A6">Department of Epidemiology and Biostatistics, University of Maryland College Park School of Public Health, 2234 SPH Bldg., College Park, MD 20742, Phone: +1-301-405-7251, Fax: +1-301-314-9366,<email>sunmin@umd.edu</email></aff></contrib></contrib-group><pub-date pub-type="nihms-submitted"><day>10</day><month>6</month><year>2014</year></pub-date><pub-date pub-type="epub"><day>03</day><month>6</month><year>2014</year></pub-date><pub-date pub-type="ppub"><year>2014</year></pub-date><pub-date pub-type="pmc-release"><day>01</day><month>11</month><year>2015</year></pub-date><volume>26</volume><issue>11</issue><fpage>1336</fpage><lpage>1345</lpage><pmc-comment>elocation-id from pubmed: 10.1080/09540121.2014.921277</pmc-comment>
<abstract><p id="P1">Enhancement of women’s autonomy is a key factor for improving women’s health and nutrition. With nearly 12 million orphan and vulnerable children (OVC) in Africa due to HIV/AIDS, the study of OVC primary caregivers’ nutrition is fundamental. We investigated the association between married women’s autonomy and their nutritional status; explored whether this relationship was modified by OVC primary caregiving; and, analyzed whether decision-making autonomy mediated the association between household wealth and body mass index (BMI). This cross-sectional study used data from Demographic Health Surveys collected during 2006–2007 from 20–49 year old women in Namibia (n=2,633), Swaziland (n=1,395), and Zambia (n=2,920). Analyses included logistic regression, Sobel and Goodman tests. Our results indicated that women’s educational attainment increased the odds for being <underline>overweight</underline> (Swaziland and Zambia) and decreased the odds for being <underline>underweight</underline> (Namibia). In Zambia, <italic>having at least primary education</italic> increased the odds for being overweight only among child primary caregivers regardless of the OVC status of the child, and <italic>having autonomy for buying everyday household items</italic> increased the odds for being overweight only among OVC primary caregivers. <italic>Decision-making autonomy</italic> mediated the association between <italic>household wealth</italic> and OVC primary caregivers’<italic> BMI</italic> in Zambia (Z=2.13, p-value0.03). We concluded that depending on each country’s contextual characteristics, having education can decrease the odds for being an underweight woman or increase the odds for being an overweight woman. Further studies should explore why in Namibia, education has an effect on women’s overweight status only among women who are caring for a child.</p></abstract><kwd-group><kwd>Caregivers</kwd><kwd>Personal autonomy</kwd><kwd>Child, orphaned</kwd><kwd>Africa south of the Sahara</kwd><kwd>Body Mass Index</kwd><kwd>Women</kwd><kwd>Thinness</kwd><kwd>Overweight</kwd></kwd-group></article-meta></front></pmc></record>Pour manipuler ce document sous Unix (Dilib)
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