Table 3.
Determinants of waist-for-height ratio Z-score for adolescents aged 10–20 years (n 1848) and central obesity* for adolescents in Tanner stages 3–5 (n 1110), Agincourt sub-district, rural South Africa, 2007
| Waist-for-height ratio Z-score† |
Central obesity‡ |
|||||
|---|---|---|---|---|---|---|
| Coefficient | 95% CI | P | OR | 95% CI | P | |
| CHILD CHARACTERISTICS | ||||||
| Age | −0·16 | −0·03, 0·00 | 0·062 | 1·10 | 1·00, 1·21 | 0·041 |
| Sex | ||||||
| Boy (ref.) | 0 | 1·00 | – | |||
| Girl | −0·04 | −0·13, 0·06 | 0·447 | 7·19 | 3·65, 14·15 | <0·001 |
| Pubertal status | ||||||
| Pre-pubertal§ | 0 | |||||
| Pubertal|| | 0·06 | −0·09, 0·20 | 0·448 | 1·00 | – | |
| Post-pubertal | 0·44 | 0·22, 0·66 | <0·001 | 2·87 | 1·79, 4·61 | <0·001 |
| MATERNAL CHARACTERISTICS | ||||||
| Age (years) | ||||||
| 35–49 (ref.) | 1·00 | – | ||||
| 15–34 | 1·88 | 0·88, 3·98 | 0·101 | |||
| 50+ | 1·75 | 1·09, 2·82 | 0·020 | |||
| Nationality | ||||||
| South African (ref.) | 0 | 1·00 | – | |||
| Mozambican | −0·06 | −0·17, 0·05 | 0·275 | 0·87 | 0·50, 1·49 | 0·603 |
| HOUSEHOLD CHARACTERISTICS | ||||||
| Sex of HHH | ||||||
| Male (ref.) | ||||||
| Female | ||||||
| Education of HHH | ||||||
| No education (ref.) | ||||||
| Some education below secondary level | ||||||
| Completed secondary/tertiary | ||||||
| Food security | ||||||
| Yes (ref.) | 0 | 1·00 | – | |||
| No | 0·12 | 0·00, 0·24 | 0·046 | 1·69 | 0·90, 3·18 | 0·103 |
| SES (wealth index tertile) | ||||||
| Lowest (ref.) | 0 | 1·00 | – | |||
| Medium | 0·08 | −0·03, 0·19 | 0·163 | 1·27 | 0·73, 2·22 | 0·399 |
| Highest | 0·13 | 0·01, 0·25 | 0·031 | 1·90 | 1·10, 3·30 | 0·021 |
| COMMUNITY FACTORS | ||||||
| Area of residence | ||||||
| Predominantly South African (ref.) | ||||||
| Predominantly Mozambican | ||||||
HHH, household head; ref., reference category.
Waist-to-height ratio of >0·5(24).
Linear regression.
Logistic regression.
Pre-pubertal used as reference in the model for central obesity and waist-for-height Z-score for adolescents aged 10–20 years.
Pubertal used as reference in the model for central obesity for adolescents in Tanner stages 3–5.