Prevalence and factors associated with overweight and obesity in Kenya.

Overweight and obesity rates continue to rise globally and are associated with increased chronic disease morbidity and mortality. There is evidence of high overweight and obesity prevalence in Kenya, however; a gap exists in the knowledge of national prevalence and predictors of overweight and obesity. This cross-sectional study examined data from the 2015 World Health Organization (WHO) Kenya STEPwise Survey-the first nationally representative survey to objectively measure body mass index (BMI) among Kenyan men and women. Descriptive and logistic regression analysis of 4,340 adults aged 18-69 years examined the prevalence, sociodemographic, and behavioral risk factors associated with having overweight or obesity (overweight/obesity) defined by WHO The mean BMI was 23.51 with 31.13% having overweight/obese. The likelihood of having overweight/obesity was significantly higher among married individuals [odds ratio (OR) = 1.78, 95% confidence interval (CI) 1.19, 2.66], women (OR = 4.08, 95% CI 3.02, 5.51), urban dwellers (OR = 1.70, 95% CI 1.28, 2.25) and middle wealth or higher (OR = 2.45, 95% CI 1.91, 3.14). The likelihood of having overweight/obesity increased by age, compared to 18-29-year olds; (30-44 years (OR = 2.05 95% CI 1.50, 2.80), 45-59-year olds (OR = 2.67, 95% CI 1.97, 3.63), 60-69-year olds (OR = 3.00, 95% CI 1.99, 4.51). Adults with completed primary education or more had higher odd of having overweight/obesity (OR = 2.15, 95% CI 1.72, 2.70). compared to adults with less than primary education. Likelihood of having Overweight/obesity was highest among women, urban residents, and individuals with high education and wealth. Future studies should ascertain drivers of overweight/obesity to inform Targeted and tailored interventions and policies amongst high-risk groups.

Unrecorded alcohol in East Africa: A case study of Kenya.

Alcohol misuse contributes substantially to the global morbidity and mortality burden. Unrecorded alcohol, alcohol that is purchased by means which precludes regulation, represents a substantial proportion of the alcohol consumed in East Africa. In Kenya, homebrew also known as traditional brew, has been linked to several fatalities and hospitalizations. Previously banned, the Kenyan government recently legalized homebrew in an effort to regulate and reduce its harm. Despite legalization, however, homebrew continues to be endemic. In this paper, we examine the scope and harm associated with unrecorded alcohol in Kenya, and discuss current policies and interventions aimed at reducing production and consumption of unrecorded alcohol in the Kenyan context that reflect its culture, politics, environment and resources.

Predicting Career Decision-Making Difficulties: The Role of Trait Emotional Intelligence, Positive and Negative Emotions.

The current study evaluated the relationship between positive and negative emotions, trait emotional intelligence (trait EI) and difficulties in career decision-making. We examined whether trait EI could predict career indecisiveness, a type of career decision-making difficulty, over and above the "Big Five" personality traits. We also examined the mechanism through which trait EI affected career indecisiveness by investigating the mediating role of positive and negative emotions. Survey data were collected from a sample of 600 undergraduate students in a university in southwest United States, who completed questionnaires measuring trait EI, positive emotions, negative emotions, personality traits, and career indecisiveness. Hierarchical multiple regression analyses indicated that trait EI accounted for a significant proportion of the variance in career indecisiveness that was not explained by the "Big Five" personality traits. The parallel mediation analysis revealed that positive and negative emotions partially mediated the relationship between trait EI and career indecisiveness. Using the framework of Fredrickson's (2001) broaden and build theory of positive emotions, the study provides empirical evidence explaining the mechanism through which trait EI helps individuals cope better with challenging situations in life. Trait EI aids the elicitation of positive emotions and the down-regulation of negative emotions, which, in turn, broaden the range of thoughts and actions that come to mind, helping individuals function more effectively in the context of career decision-making. Implications for career counseling and opportunities for further research are discussed.