Predictors of dietary diversity in children ages 6 to 23 mo in largely food-insecure area of South Wollo, Ethiopia
| Autor: | Samson Gebremedhin, Nigusse Reta, Yewelsew Abebe, Kaleab Baye, Manisha Tharaney, Tilahun Bekele, Yonas Asrat |
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| Rok vydání: | 2017 |
| Předmět: |
Male
0301 basic medicine Health Knowledge Attitudes Practice Pediatrics medicine.medical_specialty Child age Endocrinology Diabetes and Metabolism Nutrition Education Dietary diversity Mothers Rate ratio Food Supply Feeding Methods Fathers 03 medical and health sciences symbols.namesake Child Development Poverty Areas Animals Humans Medicine Poisson regression Animal Husbandry Infant Nutritional Physiological Phenomena Family Characteristics 030109 nutrition & dietetics Nutrition and Dietetics Young child business.industry Urban Health Infant Gardening Nutrition Surveys Confidence interval Food insecurity Cross-Sectional Studies Socioeconomic Factors symbols Patient Compliance Female Ethiopia Diet Healthy business Chickens Demography |
| Zdroj: | Nutrition. 33:163-168 |
| ISSN: | 0899-9007 |
| DOI: | 10.1016/j.nut.2016.06.002 |
| Popis: | Objective The aim of this study was to assess the level and predictors of dietary diversity (DD) in predominantly food-insecure area of South Wollo, Ethiopia among children ages 6 to 23 mo. Methods The study was conducted in October 2014. We selected 2080 children using a multistage sampling technique. DD in the preceding day of the survey was assessed with the standard seven-food group score. Predictors of DD were identified via Poisson regression model and the outputs are presented using adjusted incidence rate ratio (IRR) with 95% confidence interval (CI). Results Only 7% (95% CI, 5.9%–8.1%) of the children met the recommended minimum DD. Child age and maternal knowledge of infant and young child feeding (IYCF) were significant predictors of DD with IRR of 1.027 (95% CI, 1.022–1.032) and 1.026 (95% CI, 1.010–1.043). Households with moderate and severe food insecurity had 9% (95% CI, 3.8–13.9%) and 24.9% (95% CI, 14.6–44%) reduced chance of providing diversified food. Husbands' direct involvement in IYCF increased DD by 13.7% (95% CI, 7.4–20.4). Caregivers who discussed IYCF with health extension workers, participated in cooking demonstrations, and heard radio spots about IYCF in the preceding 3 mo had 11.7% (95% CI, 3.4–20.7%), 18.9% (95% CI, 0.3–40.9%), and 11.4% (95% CI, 4.8–18.4) higher chance of providing diversified food, respectively. Backyard gardening (IRR, 1.088; 95% CI, 1.031–1.148) and number of chickens owned (IRR, 1.011; 95% CI, 1.001–1.021) also were significant predictors. Conclusions In predominately food-insecure areas, nutrition education, implementation of nutrition-sensitive agriculture, and husband involvement in IYCF can improve children's DD. |
| Databáze: | OpenAIRE |
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