Determinants of Minimum Acceptable Diet Feeding among Children Aged 6-23 Months in Odisha, India

2021 ◽  
pp. 1-27
Author(s):  
Arabinda Acharya ◽  
Manas Ranjan Pradhan ◽  
Anup Kumar Das
Keyword(s):  
Mass Media ◽  
Dietary Assessment ◽  
Family Health ◽  
Complete Information ◽  
Assessment Method ◽  
Lower Probability ◽  
Cross Sectional ◽  
Available N ◽  
National Family ◽  
Dietary Assessment Method

Abstract Objective: To assess the level, pattern and determinants of minimum acceptable diet (MAD) feeding in Odisha, India. Design: Utilizing cross-sectional data, the MAD was estimated through a dietary assessment method wherein the child’s mother was asked to recall all the food intake of the youngest child the previous day and night of the surveyed date. Setting: National Family Health Survey (NFHS–4) 2015–16 Participants: Children age 6-23 months, living with mother and for whom complete information on MAD was available (n=3073). Results: Only 8.4% of the children aged 6-23 months were fed MAD, and the MAD feeding varies considerably by socio-demographic characteristics. Children aged 12-17 months had two times (OR: 2.51, 95% CI: 1.48-4.26), and those aged 18-23 months had three times (OR: 3.77, 95% CI: 2.25-6.30) higher odds of having a MAD than their counterparts aged 6-8 months. Children whose mother was exposed to any mass media had a higher chance of MAD feeding (OR: 1.46, 95% CI:1.01-2.11). Conclusions: The children of higher age, second or higher-order births, with mother exposed to mass media are significantly more likely to be fed a MAD. At the same time, children from scheduled caste households have a lower probability of MAD feeding. The lower MAD feeding among the scheduled caste households suggests strengthening the ongoing programmes with a higher emphasis on the inclusion of this disadvantaged and marginalized group. Findings from this study would assist policymakers, and public health managers improve MAD feeding practices in Odisha, India, in a targeted manner.

scholarly journals Association between different types of mass media and antenatal care visits in India: a cross-sectional study from the National Family Health Survey (2015–2016)

BMJ Open ◽  
2020 ◽  
Vol 10 (12) ◽  
pp. e042839
Author(s):  
Dhriti Dhawan ◽  
Ramya Pinnamaneni ◽  
Mesfin Bekalu ◽  
Kasisomayajula Viswanath
Keyword(s):  
Mass Media ◽  
Family Health ◽  
Cross Sectional Study ◽  
National Family Health Survey ◽  
Sectional Study ◽  
Cross Sectional ◽  
High Exposure ◽  
Urban India ◽  
National Family ◽  
Different Types

ObjectiveTo generate evidence for the association between different types of mass media and antenatal care (ANC) visits in India.DesignA cross-sectional study design, analysing data from India’s National Family Health Survey 4 (NFHS-4), 2015–2016.SettingRural and urban India.ParticipantsFrom NFHS-4, women who had given birth in the last 5 years before survey administration were included in this study. Women with missing information about their number of ANC visits and their caste were excluded, leaving 187 894 women in the final analytical sample.Primary outcome measuresLogistic regression analysis was conducted to determine the association of ANC utilisation with mass media exposure.ResultsOverall, our study showed that high exposure to all four types of mass media was positively associated with making at least eight ANC visits. In rural India, women who had high exposure to newspaper/magazine (adjusted OR (aOR), 1.43; 95% CI, 1.31 to 1.57), radio (aOR, 1.22; 95% CI, 1.09 to 1.37), television (aOR, 2.07; 95% CI, 1.94 to 2.2) and movies (aOR, 1.33; 95% CI, 1.2 to 1.47) were more likely to make at least eight ANC visits. In urban India, women who had high exposure to newspaper/magazine (aOR, 1.12; 95% CI, 1.02 to 1.24), radio (aOR, 1.37; 95% CI, 1.13 to 1.65), television (aOR, 1.39; 95% CI, 1.24 to 1.55) and movies (aOR, 1.23; 95% CI, 1.09 to 1.38) were more likely to make at least eight ANC visits.ConclusionsOur findings emphasise the need for increased awareness about adequate ANC visits in India, to improve maternal, neonatal and child health outcomes. Our study highlights that television penetration is broader than other forms of media and has the potential to create awareness about health in both urban and rural populations. These findings can inform ANC-related health awareness campaigns in the country to allocate resources to appropriate media sources to encourage healthy behaviours.

scholarly journals Food-frequency questionnaires: a review of their design, validation and utilisation

2004 ◽  
Vol 17 (1) ◽  
pp. 5-22 ◽  
Author(s):  
J. E. Cade ◽  
V. J. Burley ◽  
D. L. Warm ◽  
R. L. Thompson ◽  
B. M. Margetts
Keyword(s):  
Systematic Approach ◽  
Dietary Assessment ◽  
Correlation Coefficients ◽  
Assessment Method ◽  
Present Review ◽  
Review Of The Literature ◽  
Cross Sectional ◽  
Food Frequency ◽  
Portion Sizes ◽  
Dietary Assessment Method

A review of the literature concerning the design, utilisation and validation of food-frequency questionnaires (FFQ) has been carried out using a semi-systematic approach to obtaining, reviewing and extracting data from articles. Databases were searched from 1980 to 1999. The present review identified 227 validation (from 1980 to September 1999) and 164 utilisation (for 1998 only) studies. A number of design issues have been evaluated through the present review. These include: the need to consider how portion sizes have been described, self-defined giving higher mean correlations; how an FFQ was administered, interviewer-administered giving higher mean correlations for some nutrients; how many items to include on an FFQ, those with the largest number of items having higher correlations. Validation techniques were described. Most validation studies involved comparing an FFQ against another dietary assessment method; only 19 % compared an FFQ to a biomarker. Measurement differences were most commonly assessed by correlation coefficients as opposed to other more appropriate methods. Mean correlation coefficients were highest for Ca and fat, and lowest for vitamin A and vegetables. The utilisation studies showed that FFQ were most commonly used in cross-sectional surveys, with ninety-three of the FFQ being designed to be disease-specific. The present review results were presented to a group of experts and a consensus arrived at concerning the development, validation and use of FFQ. Recommendations derived from the consensus arising from the literature review are presented as an appendix to the present paper.

scholarly journals Caste, religion and regional differentials in life expectancy at birth in India: cross-sectional estimates from recent National Family Health Survey

BMJ Open ◽  
2020 ◽  
Vol 10 (8) ◽  
pp. e035392
Author(s):  
Meena Kumari ◽  
Sanjay K Mohanty
Keyword(s):  
Life Expectancy ◽  
Health Survey ◽  
Family Health ◽  
Premature Mortality ◽  
Adult Mortality ◽  
National Family Health Survey ◽  
Cross Sectional ◽  
Registration System ◽  
Life Expectancy At Birth ◽  
National Family

ObjectiveThough estimates of longevity are available by states, age, sex and place of residence in India, disaggregated estimates by social and economic groups are limited. This study estimates the life expectancy at birth and premature mortality by caste, religion and regions of India.DesignThis study primarily used cross-sectional data from the National Family Health Survey (NFHS-4), 2015–2016 and the Sample Registration System (SRS), 2011–2015. The NFHS-4 is the largest ever demographic and health survey covering 601 509 households and 811 808 individuals across all states and union territories in India.MeasuresThe abridged life table is constructed to estimate the life expectancy at birth, adult mortality (45q15) and premature mortality (70q0) by caste, religion and region.ResultsLife expectancy at birth was estimated at 63.1 years (95% CI 62.60 -63.64) for scheduled castes (SC), 64.0 years (95% CI 63.25 - 64.88) for scheduled tribes (ST), 65.1 years (95% CI 64.69 - 65.42) for other backward classes (OBC) and 68.0 years (95% CI 67.44 - 68.45) for others. The life expectancy at birth was higher among o Christians 68.1 years (95% CI 66.44 - 69.60) than Muslims 66.0 years (95% CI 65.29 - 66.54) and Hindus 65.0 years (95% CI 64.74 -65.22). Life expectancy at birth was higher among females than among males across social groups in India. Premature mortality was higher among SC (0.382), followed by ST (0.381), OBC (0.344) and others (0.301). The regional variation in life expectancy by age and sex is large.ConclusionIn India, social and religious differentials in life expectancy by sex are modest and need to be investigated among poor and rich within these groups. Premature mortality and adult mortality are also high across social and religious groups.

scholarly journals Recommendations for a trans-European dietary assessment method in children between 4 and 14 years

2011 ◽  
Vol 65 (S1) ◽  
pp. S58-S64 ◽  
Author(s):  
L F Andersen ◽  
◽  
S Lioret ◽  
H Brants ◽  
A Kaic-Rak ◽  
...  
Keyword(s):  
Dietary Assessment ◽  
Assessment Method ◽  
Dietary Assessment Method

scholarly journals The double burden of malnutrition among adults in India: evidence from the National Family Health Survey-4 (2015-16)

2019 ◽  
Vol 41 ◽  
pp. e2019050 ◽  
Author(s):  
Mili Dutta ◽  
Y Selvamani ◽  
Pushpendra Singh ◽  
Lokender Prashad
Keyword(s):  
Health Survey ◽  
Urban Areas ◽  
Multinomial Logistic Regression ◽  
Family Health ◽  
National Family Health Survey ◽  
Double Burden ◽  
Cross Sectional ◽  
Men And Women ◽  
National Family ◽  
Dual Burden

OBJECTIVES: India still faces the burden of undernutrition and communicable diseases, and the prevalence of overweight/obesity is steadily increasing. The discourse regarding the dual burden of underweight and overweight/obesity has not yet been widely explored in both men and women. The present study assessed the determinants of underweight and overweight/obesity in India among adult men and women aged 15-49.METHODS: Population-based cross-sectional and nationally representative data from the National Family Health Survey-4 (2015-16), consisting of a sample of men and women, were analyzed. Stratified 2-stage sampling was used in the NFHS-4 study protocol. In the present study, bivariate and adjusted multinomial logistic regression analyses were performed to determine the correlates of underweight and overweight/obesity.RESULTS: The results suggested a persistently high prevalence of underweight coexisting with an increased prevalence of overweight/obesity in India. The risk of underweight was highest in the central and western regions and was also relatively high among those who used either smoking or smokeless tobacco. Overweight/obesity was more prevalent in urban areas, in the southern region, and among adults aged 35-49. Furthermore, level of education and wealth index were positively associated with overweight/obesity. More educated and wealthier adults were less likely to be underweight.CONCLUSIONS: In India, underweight has been prevalent, and the prevalence of overweight/obesity is increasing rapidly, particularly among men. The dual burden of underweight and overweight/obesity is alarming and needs to be considered; public health measures to address this situation must also be adopted through policy initiatives.

Relative validity of FFQ to assess food items, energy, macronutrient and micronutrient intake in children and adolescents: a systematic review with meta-analysis

2020 ◽  
pp. 1-27 ◽  
Author(s):  
Luisa Saravia ◽  
Maria L. Miguel-Berges ◽  
Iris Iglesia ◽  
Marcus V. Nascimento-Ferreira ◽  
Guillermo Perdomo ◽  
...  
Keyword(s):  
Systematic Review ◽  
Dietary Intake ◽  
Children And Adolescents ◽  
Meta Analysis ◽  
Dietary Assessment ◽  
Assessment Method ◽  
Nutritional Epidemiology ◽  
Healthy Children ◽  
Relative Validity ◽  
Dietary Assessment Method

Abstract FFQ are one of the most widely used tools of research into nutritional epidemiology, and many studies have been conducted in several countries using this dietary assessment method. The present study aimed to evaluate the relative validity of FFQ, in comparison with other methods, in assessing dietary intake of children and adolescents, through a systematic review. Four electronic databases (Embase, PubMed, Scopus and Web of Science) found sixty-seven articles, which met the inclusion criteria (healthy children and adolescents from 3 to 18 years of age; journal articles written in English, Spanish and Portuguese between 1988 and March 2019; results showing the comparison between the FFQ with other methods of assessment of dietary intake). The articles were analysed by two independent reviewers. A meta-analysis was conducted using correlation coefficients as estimate effects between the FFQ and the reference standard method. Subgroup analysis and meta-regression were performed to identify the probable source of heterogeneity. In fifty-five of the sixty-seven studies, a single dietary assessment method was used to evaluate the FFQ; nine combined the two methods and three used three reference methods. The most widely used reference method was the 24-h recall, followed by the food record. The overall relative validity of the FFQ to estimate energy, macronutrient, certain micronutrient and certain food item intakes in children and adolescents may be considered weak. The study protocol was registered in PROSPERO under number CRD42016038706.

Factors associated with home birth in Peru: An analysis of the Demographic and Health Survey, 2019 (Preprint)

2021 ◽  
Author(s):  
Jackeline Huapaya-Torres ◽  
Yuly Santos-Rosales ◽  
Victor Moquillaza-Alcantara
Keyword(s):  
Health Survey ◽  
Rural Areas ◽  
Family Health ◽  
Home Birth ◽  
Prevalence Ratio ◽  
Lower Probability ◽  
Perinatal Complications ◽  
Traditional Practice ◽  
Cross Sectional ◽  
Factors Associated

BACKGROUND Home birth is a traditional practice related to perinatal complications; however, its distribution in the country and its determinants are unknown. OBJECTIVE To determine the proportion and factors associated with home birth in Peru, 2019. METHODS Cross-sectional analytical design study where the 2019 Peruvian Demographic and Family Health Survey was analyzed. The association was evaluated using Poisson Regression, supplemented with the crude prevalence ratio (cPR) and adjusted (aPR). RESULTS The records of 18,401 women were evaluated, where 5.39% (95%CI:4.83-6.03%) presented home birth. The probability of a home birth occurs increases when the pregnant woman is from the andean (aPR:1.24; 95%CI:1.02-1.48) and amazon region (aPR:1.38; 95%CI:1.16-1.64), resides in rural areas (aPR:3.34; 95%CI:2.61-4.29), presents less than 6 prenatal care (aPR:1.66; 95%CI:1.39 -1.96), it is very poor (aPR:9.62; 95%CI:5.13-18.1) or poor (aPR:2.39; 95%CI:1.26-4.52), it has not studied (aPR:2.66; 95%CI:2.02-3.50) or reached primary education (aPR:2.18: 95%CI:1.85-2.58) and has 2 children (aPR:1.64; 95%CI:1.46-1.85) or 3 or more children (aPR:2.18; 95%CI:1.67-2.87). On the other hand, having higher educational instruction (aPR:0.49; 95%CI:0.31-0.78) is associated with a lower probability of a home birth. CONCLUSIONS There is a low proportion of home births; however, this indicator increases significantly according to various geographical, sociodemographic, and obstetric factors that have been identified.

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