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Body size preferences for women and adolescent girls living in Africa : a mixed-methods systematic review

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dc.creator Pradeilles, R.
dc.creator /Holdsworth, Michelle
dc.creator Olaitan, O.
dc.creator Irache, A.
dc.creator Osei-Kwasi, H. A.
dc.creator Ngandu, C. B.
dc.creator Cohen, E.
dc.date 2022
dc.date.accessioned 2022-04-27T17:37:46Z
dc.date.available 2022-04-27T17:37:46Z
dc.identifier https://www.documentation.ird.fr/hor/fdi:010084514
dc.identifier oai:ird.fr:fdi:010084514
dc.identifier Pradeilles R., Holdsworth Michelle, Olaitan O., Irache A., Osei-Kwasi H. A., Ngandu C. B., Cohen E.. Body size preferences for women and adolescent girls living in Africa : a mixed-methods systematic review. 2022, 25 (3), p. 738-759
dc.identifier.uri http://biblioteca-repositorio.clacso.edu.ar/handle/CLACSO/169087
dc.description Objective: To synthesise evidence on body size preferences for females living in Africa and the factors influencing these. Design: Mixed-methods systematic review including searches on Medline, CINHAL, ASSIA, Web of Science and PsycINFO (PROSPERO CRD42015020509). A sequential-explanatory approach was used to integrate quantitative and qualitative findings. Setting: Urban and rural Africa. Participants: Studies of both sexes providing data on body size preferences for adolescent girls and women aged >= 10 years. Results: Seventy-three articles from twenty-one countries were included: fifty quantitative, fifteen qualitative and eight mixed methods. Most studies reported a preference for normal or overweight body sizes. Some studies of adolescent girls/young women indicated a preference for underweight. Factors influencing preferences for large(r) body sizes included: socio-demographic (e.g. education, rural residency), health-related (e.g. current BMI, pubertal status), psycho-social (e.g. avoiding HIV stigma) and socio-cultural factors (e.g. spouse's preference, social standing, cultural norms). Factors influencing preferences for slim(mer) body sizes included: socio-demographic (e.g. higher socioeconomic status, urban residency, younger age), health-related (e.g. health knowledge, being nulliparous), psycho-social (e.g. appearance, body size perception as overweight/obese) and socio-cultural factors (e.g. peer pressure, media). Conclusions: Preference for overweight (not obese) body sizes among some African females means that interventions need to account for the array of factors that maintain these preferences. The widespread preference for normal weight is positive in public health terms, but the valorisation of underweight in adolescent girls/young women may lead to an increase in body dissatisfaction. Emphasis needs to be placed on education to prevent all forms of malnutrition.
dc.language EN
dc.subject Body size preferences
dc.subject Women
dc.subject Adolescent girls
dc.subject Africa
dc.subject Review
dc.title Body size preferences for women and adolescent girls living in Africa : a mixed-methods systematic review
dc.type text
dc.coverage AFRIQUE SUBSAHARIENNE


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