scholarly journals Association of soybean-based food with the prevalence of anemia among reproductive aged men and women in rural Central Java, Indonesia

2021 ◽  
pp. 1-20
Author(s):  
C Lowe ◽  
H Sarma ◽  
M Kelly ◽  
JM Kurscheid ◽  
B Laksono ◽  
...  
Keyword(s):  
Dietary Diversity ◽  
Reproductive Age ◽  
Binary Logistic Regression Model ◽  
Cross Sectional ◽  
Men And Women ◽  
Diet Diversity ◽  
Rural Villages ◽  
Protective Association ◽  
Central Java ◽  
Prevalence Of Anemia

Abstract Objective To assess the association between soybean consumption and anemic status in Central Java, Indonesia. Design As part of an overarching sanitation improvement intervention in Central Java, Indonesia, we conducted a cross-sectional study in four rural villages. The study consisted of a 24-hour food recall, anthropometric measurements, blood hemoglobin measurement and stool sampling to test for soil-transmitted helminth (STH) infection status. A binary logistic regression model was fitted to test the association between soybean consumption and anemic status after adjusting for socio-demographic factors, STH infection, dietary diversity and anthropometric status. Setting This study took place in four rural villages of Wonosobo regency, Central Java, Indonesia. Participants Participants were rural villagers aged between 15 and 49 years. Results A total sample size of 763 was attained, of which 231 were anemic. The prevalence of anemia was 30.2% among men and women of reproductive age, and highest among young males. Consumption of soybean was high (79.8%). After adjusting for covariates, the protective association between soybean consumption and anemia was statistically significant (AOR = 0.53, 95% CI = 0.30-0.95, p<0.05). There was a positive association with anemia among underweight (AOR = 2.75, 95% CI = 1.13-6.69, p<0.05) and those with high diet diversity (AOR = 1.40, 95% CI = 1.00-1.97, p<0.05). Conclusions Our results were consistent with studies from other countries finding a protective association between soybean consumption and anemia. This association appeared stronger for tofu than for tempeh. The prevalence of anemia in rural Central Java is relatively consistent with nationwide statistics indicating that interventions targeting anemia are still largely required.

scholarly journals A Social Norms-Based Intervention Improves Dietary Diversity among Women in Rural India: The Reduction in Anemia through Normative Innovations (RANI) Project

Nutrients ◽  
2021 ◽  
Vol 13 (8) ◽  
pp. 2822
Author(s):  
Sameera A. Talegawkar ◽  
Yichen Jin ◽  
Erica Sedlander ◽  
Rohini Ganjoo ◽  
Satyaranjan Behera ◽  
...  
Keyword(s):  
Social Norms ◽  
Dietary Diversity ◽  
Reproductive Age ◽  
Control Groups ◽  
Women Of Reproductive Age ◽  
Diet Diversity ◽  
Learning Modules ◽  
Food And Agriculture ◽  
And Control ◽  
Minimum Dietary Diversity

Diet diversity has an important role in the prevention and treatment of anemia. Based on formative research in the community and the theory of normative social behavior, we designed an intervention to improve diet diversity among women of reproductive age. Our study, the Reduction in Anemia through Normative Innovations (RANI) Project, investigated the effect of a social norms-based intervention on diet diversity among women of reproductive age. We randomized villages in Odisha, India, into treatment or control arms, with a minimum of one village buffer between them. We assessed exposure to the intervention by frequency of self-reported images seen from the participatory learning modules, videos watched, and number of hemoglobin tests administered. We assessed diet diversity with the Food and Agriculture Organization’s Minimum Dietary Diversity for Women (MDD-W) questionnaire. We used multiple logistic regression to examine the associations between intervention and diet diversity, adjusting for covariates. Compared with baseline, diet diversity score increased in both treatment and control groups. The odds of having a diverse diet was 47% higher in the treatment group. Higher level of exposure to the RANI intervention was associated with a better diet diversity score, indicating that the intervention was effective in improving diet quality.

scholarly journals Fertility, Migration and Acculturation (FEMINA): a research protocol for studying intersectional sexual and reproductive health inequalities

2019 ◽  
Vol 16 (1) ◽  
Author(s):  
Violeta Alarcão ◽  
Miodraga Stefanovska-Petkovska ◽  
Ana Virgolino ◽  
Osvaldo Santos ◽  
Sofia Ribeiro ◽  
...  
Keyword(s):  
Reproductive Health ◽  
Sexual And Reproductive Health ◽  
Service Providers ◽  
Reproductive Age ◽  
Cape Verdean ◽  
Women Of Reproductive Age ◽  
Cross Sectional ◽  
Men And Women ◽  
Native Women ◽  
And Gender

Abstract Background The existing knowledge on the interplay between reproductive and sexual health, migration and acculturation is recent and inconsistent, particularly on the sociocultural motives and constraints regarding fertility. Therefore, sexual and reproductive health (SRH) surveys are needed to provide accurate and comparable indicators to identify and address SRH inequalities, with specific focus on under researched aspects, such as the interrelation between migration and gender. FEMINA (FErtility, MIgratioN and Acculturation) aims to investigate intersectional SRH inequalities among Cape Verdean immigrant and Portuguese native families and how they impact on fertility in Portugal. This study will use a comprehensive approach exploring simultaneously the components of SRH, namely regarding identities, perceptions and practices of both women and men among lay people and relevant experts and stakeholders. The project has three main goals: 1) to identify social determinants of SRH among Cape Verdean immigrant and Portuguese native men and women of reproductive age; 2) to gain understanding of the diversity of the sexual and reproductive experiences and expectations of Cape Verdean immigrant and Portuguese native men and women of reproductive age, considering the singularities of their migratory, social and family dynamics; and 3) to produce recommendations for policy makers, employers and service providers on how to better address the SRH needs of Portuguese-born and immigrant populations. Methods The study will address these goals using a mixed methods approach, including: a cross-sectional telephone survey with a probabilistic sample of 600 Cape Verdean immigrant and 600 Portuguese native women and men (women aged 18 to 49 and men aged 18 to 54), residents of the Greater Lisbon Area; a qualitative research through in-depth interviews with a subsample of 30 Cape Verdean immigrants and 30 Portuguese native men and women; and a Delphi technique for finding consensus on good practices in SRH for the entire population with a special emphasis on immigrants, namely extra-EU migrants. Discussion Data will be used to produce a comprehensive set of indicators to monitor SRH in Portugal, to foster a greater understanding of its specificities and challenges to policy and decision makers, and to provide targeted recommendations to promote inclusive and migrant sensitive SRH services.

scholarly journals Depression among women of reproductive age in rural Bangladesh is linked to food security, diets and nutrition

2020 ◽  
Vol 23 (4) ◽  
pp. 660-673 ◽  
Author(s):  
Thalia M Sparling ◽  
Jillian L Waid ◽  
Amanda S Wendt ◽  
Sabine Gabrysch
Keyword(s):  
Dietary Diversity ◽  
Reproductive Age ◽  
Food Groups ◽  
Women Of Reproductive Age ◽  
Cross Sectional ◽  
Middle Income ◽  
Dominance Analysis ◽  
Food And Nutrition Security ◽  
Nutrition Security ◽  
Food And Nutrition

AbstractObjective:To quantify the relationship between screening positive for depression and several indicators of the food and nutrition environment in Bangladesh.Design:We used cross-sectional data from the Food and Agricultural Approaches to Reducing Malnutrition (FAARM) trial in Bangladesh to examine the association of depression in non-peripartum (NPW) and peripartum women (PW) with food and nutrition security using multivariable logistic regression and dominance analysis.Setting:Rural north-eastern Bangladesh.Participants:Women of reproductive age.Results:Of 2599 women, 40 % were pregnant or up to 1 year postpartum, while 60 % were not peripartum. Overall, 20 % of women screened positive for major depression. In the dominance analysis, indicators of food and nutrition security were among the strongest explanatory factors of depression. Food insecurity (HFIAS) and poor household food consumption (FCS) were associated with more than double the odds of depression (HFIAS: NPW OR = 2·74 and PW OR = 3·22; FCS: NPW OR = 2·38 and PW OR = 2·44). Low dietary diversity (<5 food groups) was associated with approximately double the odds of depression in NPW (OR = 1·80) and PW (OR = 1·99). Consumption of dairy, eggs, fish, vitamin A-rich and vitamin C-rich foods was associated with reduced odds of depression. Anaemia was not associated with depression. Low BMI (<18·5 kg/m2) was also associated with depression (NPW: OR = 1·40).Conclusions:Depression among women in Bangladesh was associated with many aspects of food and nutrition security, also after controlling for socio-economic factors. Further investigation into the direction of causality and interventions to improve diets and reduce depression among women in low- and middle-income countries are urgently needed.

scholarly journals Dietary Quality of Women of Reproductive Age in Low-Income Settings: A Cross-Sectional Study in Kyrgyzstan

Nutrients ◽  
2022 ◽  
Vol 14 (2) ◽  
pp. 289
Author(s):  
Aiperi Otunchieva ◽  
Jamila Smanalieva ◽  
Angelika Ploeger
Keyword(s):  
Folic Acid ◽  
Low Income ◽  
Dietary Diversity ◽  
Vitamin B1 ◽  
Cross Sectional Study ◽  
Reproductive Age ◽  
Dietary Quality ◽  
Cross Sectional ◽  
Nutrient Adequacy

Dietary diversity and adequate nutrient intake are essential for conducting a healthy life. However, women in low-income settings often face difficulties in ensuring dietary quality. This research assessed relationships between the dietary diversity, nutrient adequacy, and socio-economic factors among women of reproductive age (WRA) in Kyrgyzstan. A cross-sectional study was undertaken in four locations, including two rural and two urban areas in the north and south of Kyrgyzstan. A survey with pre-coded and open-ended questions was employed during the interviews of 423 WRAs aged 18–49. Data collection was conducted in March–May 2021. The average value body mass index (BMI) of WRA was 24.2 ± 4.6 kg/m2. The dietary diversity score (DDS) was higher among rural women (common language effect size) cles = 0.67, adjusted p < 0.001) in the northern region (cles = 0.61, p < 0.05) who have cropland (cles = 0.60, p < 0.001) and a farm animal (cles = 0.60, p < 0.05). Mean nutrient adequacy ratio (NAR) was below 1 in most micronutrients, whereas thiamine, riboflavin, vitamins B6 and C, folic acid, calcium, and magnesium were even lower than 0.5. Women with a kitchen garden or a cropland had better NAR energy (cles = 0.57), NAR carbohydrate (cles = 0.60), NAR fiber (cles = 0.60), NAR vitamin B1 (cles = 0.53), and NAR folic acid (cles = 0.54). Respondents who receive remittances and a farm animal have better NARs for energy, carbohydrates, fiber, vitamin B1, folic acid, iron, zinc, and mean adequacy ratio for 16 nutrients (MAR 16) than those who do not. Education and income have a negative correlation with dietary quality. This study contributes to the limited literature on the quality of diets in Kyrgyzstan. Hidden hunger and undernutrition are a severe problem among WRA in low-income settings. Recommendations are including study programs in nutrition, teaching households farming practices, and raising awareness on adequate nutrition.

scholarly journals Burden of anemia in hospital attendees in Tayma general hospital, Tabuk, Saudi Arabia

2017 ◽  
Vol 5 (1) ◽  
pp. 47
Author(s):  
Prabakaran Jayaraman ◽  
Mohammad Alshay ◽  
Saad Eid Alanazi ◽  
Abdul Malik Hasan Al Maswari ◽  
Zakaria Hammad ◽  
...  
Keyword(s):  
Saudi Arabia ◽  
Data Entry ◽  
Public Health Problem ◽  
The Body ◽  
Reproductive Age ◽  
Severe Anemia ◽  
Lower Margin ◽  
Cross Sectional ◽  
Mild Anemia ◽  
Prevalence Of Anemia

Background: Anemia, a low hemoglobin (Hb) status in the body is a serious nutritional public health problem in the world. It causes divergent morbidity and mortality in the affected population. Prevalence of anemia among women of reproductive age (women ages 15-49 years) in Saudi Arabia was 40.30% in 2011. In this study, we attempted to explore the burden of anemia in Hospital attendees in Saudi Arabia. Methods: A cross sectional study was conducted with the laboratory hematological values of walk-in clients from January 2016 and February 2016. Client's sex, Hb, HCT, MCV, MCH, MCHC values were collected. Hb values categorized as mild anemia: Male: 11-12.9 gm/dl; Female: 11-11.9 g/dl., moderate anemia 8-11 gm/dl and severe anemia <8 g/dl. Data entry done was using Microsoft Excel and data analysis by STATA 15. Results: Out of total 2805 client's data, 49% (n=1377) were male and 51% (n=1428) were females. The mean Hb% was 12.31 g/dl (SD–2.54), 11.50 g/dl in females and 13.13 g/dl in males. The overall prevalence of anemia was 48.73% (CI: 46.87%-50.6%) as per WHO criteria and it was higher in females (45.53%, CI: 42.88-48.21) in men and 51.82% (CI: 49.19-54.44) in women). Severe anemia was also higher in women (Male: 2.76% vs. Females: 7.49%) while mild anemia was high in men (Male: 28.61% vs. Female: 17.79%). Prevalence of anemia was 25.6% and 40.7% if lower margin of Hb kept at 11 g/dl and 12 g/dl respectively. Conclusions: The prevalence of anemia in Tayma region was high which needs integrated intervention at different levels to improve Hb status in the community. 

scholarly journals Dietary diversity practice and associated factors among adolescent girls in Dembia district, northwest Ethiopia, 2017

2020 ◽  
Vol 41 (1) ◽  
Author(s):  
Kedir Abdela Gonete ◽  
Amare Tariku ◽  
Sintayehu Daba Wami ◽  
Temesgen Yihunie Akalu
Keyword(s):  
Adolescent Girls ◽  
Technical Assistance ◽  
Dietary Diversity ◽  
Public Health Problem ◽  
Sampling Technique ◽  
Northwest Ethiopia ◽  
Major Public Health Problem ◽  
Food Groups ◽  
Binary Logistic Regression Model ◽  
Cross Sectional

Abstract Background Dietary diversity is defined as the number of food groups or items consumed over a reference period, and usually, it is a problem in developing countries including Ethiopia. Inadequate dietary diversity is one of a major public health problem and can result in physical, emotional, and psychological changes among adolescents. However, studies on dietary diversity among school children were very limited. Hence, this study aimed at determining dietary diversity practices and factors among adolescents in Dembia district. Methods A school-based cross-sectional study was conducted from March 1 to April 15, 2017, at Dembia district, northwest Ethiopia. A total of 474 study subjects were selected using the multi-stage sampling technique. A structured and pre-tested questionnaire was used to collect the data. Dietary diversity was measured through standard tool adopted from Food and Nutrition Technical Assistance (FANTA) 2016 using the 24-h recall method. A multivariable binary logistic regression model was employed to identify factors associated with a diversified diet. Result This study illustrated that 32.3% (95% CI 27.9–36.8) of the adolescents had adequate dietary diversity. Inadequate dietary diversity was significantly associated with being Muslim (AOR = 0.3; 95% CI 0.1–0.7), self-employment (AOR = 0.3; 95% CI 0.1–0.9), middle (AOR = 0.5; 95% CI 0.3–0.8) and high wealth category (AOR = 0.3; 95% CI 0.2–0.6), and underweight (AOR = 3.5; 95% CI 1.3–9.5). Conclusion The findings of this study showed that only one-third of adolescent girls have adequate dietary diversity. Low level of dietary diversification suggested points to the need for strengthening efforts targeting to improve the healthy dietary practice of adolescents by giving due attention to poor households and undernourished adolescents.

A CROSS SECTIONAL ANALYSIS OF DIETARY PRACTICES AND NUTRITION STATUS OF FEMALE UNDERGRADUATE STUDENTS AT KENYATTA UNIVERSITY, KENYA

2019 ◽  
Author(s):  
Grace Waweru ◽  
Peter Chege ◽  
Eunice Njogu
Keyword(s):  
Undergraduate Students ◽  
Dietary Diversity ◽  
Eating Habits ◽  
Female Students ◽  
Reproductive Age ◽  
Nutrition Status ◽  
Food Groups ◽  
Female Undergraduate ◽  
Dietary Practices ◽  
Cross Sectional

Abstract Background The rapid changes in eating habits and lifestyles in Kenya have resulted to the overweight/obesity transition. Students are likely to make poor food choices which may affect their nutrition status during the beginning of college and this may continue throughout their life. This study aimed to establish the dietary practices, assess nutrition status based on body mass index and the relationship between selected dietary practices and nutrition status of female undergraduate students at Kenyatta University, Kenya. Methods The study adopted a cross-sectional analytical design involving sample of 422 female undergraduate students randomly selected from Kenyatta University. Food Frequency Questionnaire and the Minimum Dietary Diversity – Women were used to assess dietary practices. Weight and height were measured to assess the nutrition status of the female students. Results The results showed that 64.0% of the participants had consumed ≥ 5 food groups while 36% had consumed <5 food groups over a period of 24 hours. In terms of nutrition status, 68.4% of the participants had normal BMI while 23.9% were overweight, 5.55% were underweight and 2.3% were obese. MDDS-W was significantly associated with nutrition status (p=0.044). Conclusion The results illustrated unhealthy eating habits and sub-optimal nutrition status among a significant number of the female students. Policy makers should scale up interventions that would help improve dietary practices of women of reproductive age particularly university students.

Factors Associated with Early Detection Behavior on Breast Cancer among Women in Reproductive Age using SADANIS Method

2020 ◽  
Author(s):  
Silvia Rizki Syah Putri ◽  
◽  
Widayati, Moneca Diah L ◽  
Keyword(s):  
Breast Cancer ◽  
Early Detection ◽  
Community Health Center ◽  
Cross Sectional Study ◽  
Reproductive Age ◽  
Chi Square ◽  
Cross Sectional ◽  
Factors Associated ◽  
Central Java ◽  
Cancer Early Detection

Background: Cancer is one of the leading causes of death worldwide. In 2012, cancer was the cause of death for around 8.2 million people. Early detection of breast cancer with SADANIS method in Central Java is still low, namely 0.30% women in reproductive age. The SADANIS method is one of the government’s efforts to reduce the incidence of breast cancer. To determine the factors associated with the behavior of women on reproductive age in early detection of breast cancer using the SADANIS method in Jatirejo Village, Central Java. Subjects and Method: This was a cross sectional study conducted at Suruh Community Health Center, Jatirejo Village, Central Java. The population in this study were 604 women of reproductive age aged 20-45 years in Jatirejo Village. A total of 86 women were enrolled in this study. The dependent variable was SADANIS method. The independent variables were education, occupation, husband’s supports, and attitude. The data were collected and then analyzed using Chi-square test. Results: There was a relationship between husband’s support (OR= 4.58; p=0.015) and attitude (OR= 11.96; p<0.001) with behavior in doing SADANIS among women in reproductive age and they were statistically significant. There was no relationship between education and occupation on the breast cancer early detection using SADANIS method. Conclusion: The better the attitude, the better the behavior of women in reproductive age in early detection of breast cancer with SADANIS method in Jatirejo Village, Semarang Regency. Keywords: women in reproductive age, SADANIS, early detection, breast cancer Correspondence: Silvia Rizki Syah Putri. ‘Aisyah University Yogyakarta. Jl. Siliwangi (West Ringroad) No.63 Nogotirto, Gamping, Sleman, Yogyakarta. Email: [email protected] Mobile: (0274) 374427 DOI: https://doi.org/10.26911/the7thicph.02.01

scholarly journals Exploring Rural Adolescents’ Dietary Diversity and Its Socioeconomic Correlates: A Cross-Sectional Study from Matlab, Bangladesh

Nutrients ◽  
2020 ◽  
Vol 12 (8) ◽  
pp. 2230
Author(s):  
Mohammad Redwanul Islam ◽  
Syed Moshfiqur Rahman ◽  
Chandan Tarafder ◽  
Md. Monjur Rahman ◽  
Anisur Rahman ◽  
...  
Keyword(s):  
Secondary Education ◽  
Rural Areas ◽  
Dietary Diversity ◽  
Household Survey ◽  
Final Analysis ◽  
Rural Adolescents ◽  
Binary Logistic Regression Model ◽  
Public Health Importance ◽  
Cross Sectional ◽  
Targeted Interventions

The majority of 36 million Bangladeshi adolescents live in rural areas. Improved understanding of their dietary patterns is of great public health importance. This study aimed to explore dietary diversity (DD) with its socioeconomic and gender stratification in a rural adolescent cohort and to isolate factors associated with inadequate DD. Household survey provided data for constructing dietary diversity scores (DDS) and assessing relevant socio-demographic variables. Final analysis included 2463 adolescents. Means and proportions were compared, and a binary logistic regression model was fitted. Inadequate DD was observed among 42.3% (40.3–44.2). Consumption of nutrient-rich foods varied significantly across gender and SES categories. Belonging to the poorest households (adjusted odds ratio (aOR) 1.59; 95% CI: 1.27, 2.00) and food insecure households (aOR 1.34; 95% CI: 1.13, 1.59), adolescents’ attainment of secondary education (aOR 1.38; 95% CI: 1.11, 1.71), and having mothers with secondary education or above (aOR 0.76; 95% CI: 0.60, 0.96) were associated with inadequate DD. Compared with girls from food secure households, girls from food insecure ones had higher odds of inadequate DD (aORgirl 1.42; 95% CI: 1.12, 1.81). Improving rural adolescents’ DD would require targeted interventions as well as broader poverty alleviation.

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