Factors Associated with Motivational Stages of Change for Weight Management among Older Informal Workers in Southern Thailand

Authors

Keywords:

Stage of change, Overweight, Obesity, Older workers, Informal workers

Abstract

Stages of change represent individual motivation to implement lifestyle changes and contribute to the development of more effective intervention strategies. This cross-sectional study aimed to assess the stages and processes of change for weight management and to determine factors associated with being in active stages of change for the management of weight by dieting and/or exercising among older informal workers. The study collected information regarding sociodemographic factors, lifestyle, anthropometrics, health characteristics, and the stages and processes of change for weight management from 233 informal workers aged 45-70 years. Binary logistic regression analysis was used to identify the factors associated with being in active stages of change. Of the total sample, 67.0% were overweight/obese (body mass index [BMI] ≥23 kg/m2), and 84.1% had central obesity (waist-to-height ratio [WHtR] ≥0.5). The proportions of the participants assessed as being in inactive and active stages of change were 49.8% and 50.2%, respectively. Processes of change scores were significantly higher among individuals in active stages of change, indicating that participants in active stages of change were using more processes to manage their weight than participants in inactive stages. After adjusting for age and sex, the odds of having central obesity (AOR=3.29; 95% CI: 1.42-7.63) and the presence of diabetes (AOR=2.54; 95% CI: 1.15-5.62) were positively associated with being in active stages of change, while an inverse association was observed for smoking (AOR=0.24; 95% CI: 0.09-0.67). These findings can assist in tailoring weight management interventions and targeting subjects for participation in such interventions.

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2020-08-31

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