scholarly journals Undernutrition and Associated Factors among Adolescent Girls in Damot Sore District, Southern Ethiopia

2020 ◽  
Vol 2020 ◽  
pp. 1-11
Author(s):  
Degu Demissie Gagebo ◽  
Amene Abebe Kerbo ◽  
Thilagavathi Thangavel

Background. Adolescent girls were given little health and nutrition attention. Focusing on adolescent girls’ nutrition prior to conception is one way to break the intergenerational cycle of malnutrition. Therefore, the aim of this study was to assess the prevalence of undernutrition and associated factors among adolescent girls in rural Damot Sore District, Southern Ethiopia. Methods. A community-based cross-sectional study was conducted from February to March 2017. Multistage sampling technique was used to select 729 adolescent girls. Structured interviewer-administered questionnaire was used to collect information on different variables. Weight and height were measured by using a well-calibrated digital Seca scale and portable stadiometer by trained data collectors. Height-for-age (HFA) and body mass index-for-age (BMIFA) z-scores were calculated using WHO AnthroPlus software as indicators of stunting and thinness, respectively. Wealth index was generated by using principal component analysis (PCA), and based on the results, household wealth index/status was converted into tertiles and categorized as higher/rich, medium, and lower/poor. Descriptive statistics, bivariable, and multivariable logistic regression analysis were done. Strength of association of variables was presented by odds ratio along with its 95% CI. Results. The prevalence of stunting and thinness among adolescent girls was 29.6% (95% CI = 26.6%, 32.8%) and 19.5% (95% CI = 16.7%, 22.3%), respectively. Being in older adolescence (AOR = 2.06, 95% CI = 1.08, 3.92), mother occupation (farmer and government employee) ((AOR = 2.38, 95% CI = 1.31, 4.33) and (AOR = 3.05, 95% CI = 1.35, 6.92)), mother education (secondary and above) ((AOR = 0.53, 95% CI = 0.28, 0.98) and (AOR = 0.25, 95% CI = 0.09, 0.69)), and household wealth index (poor) (AOR = 1.94, 95% CI = 1.29, 2.92) were significantly associated with stunting. Father education (primary and secondary) ((AOR = 0.48, 95% CI = 0.31, 0.77) and (AOR = 0.45, 95% CI = 0.26, 0.78)), mother education (primary) (AOR = 0.56, 95% CI = 0.37, 0.87), and meal frequency (<2/day) (AOR = 1.87, 95% CI = 1.12, 3.13) were significantly associated with thinness. Conclusion. The prevalence of stunting and thinness among adolescent girls was moderate, when compared to the prevalence reported in Sub-Saharan Africa. However, it was a major public health problem, when compared to the national nutrition baseline survey reports in Ethiopia. Parental education was a significant predictor of both stunting and thinness among adolescent girls. Thus, initiation of routine screening, promotion of education, and implementation of evidence based community nutrition programmes required to be improved.

1970 ◽  
Vol 7 (2) ◽  
pp. 85-89
Author(s):  
Muhammad Irfan ◽  
Syed Mustansir Hussain Zaidi ◽  
Hira Fatima Waseem

Background: Diarrhea founds to be the major cause of morbidity and mortality in children less than five years. Various factors are associated with diarrhea but socio-demographic factors are the main key elements, which associated with diarrhea. Methods: This study was examined association of socio-demographic factors with diarrhea in children less than five years of age of Sindh, Pakistan, using data from the Multiple Indicator Cluster Survey (MICS) conducted from January 2014 to August 2014. Data were collected for 18,108 children in whom 16,449 children had complete data of demographic variables being included in the analysis. Bivariate analysis was done using Pearson's Chi square test and multivariate analysis being done using binary logistic regression. Results: We found increased risk of diarrhea among children lives in rural areas while household wealth index quintile was also associated with diarrhea. Children in the poor, middle and fourth wealth index quintiles being at increased risk of diarrhea compared to children in the richest wealth index quintile. The highest risk of diarrhea was found for the child having mother with no education as well as children aged 12-23 months. Conclusion: Age of child, mother education and wealth index found significant with diarrhea while Male children, child aged 12-23 months, child with no mother education, child from rural areas and child from poor households found with high risk of diarrhea.


2022 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Veerabhadrappa Bellundagi ◽  
K.B. Umesh ◽  
B.C. Ashwini ◽  
K.R. Hamsa

PurposeIndia is facing a double burden of malnutrition, i.e. undernutrition and obesity. Women and adolescent health and nutrition are very relevant issues which have not received much attention it deserves in India, especially in the context of a girl child. Hence, the purpose of this study is to assess malnutrition among women and adolescent girls as well as the associated factors.Design/methodology/approachAn attempt was made to assess malnutrition among women and adolescent girls and associated factors. The required data was collected from the north (616) and south transects (659) sample households of Bangalore constituting a total sample size of 1,275. The data was analyzed by adopting multiple linear regression and multinomial logistic regression analysis using STATA software.FindingsThe effects of this study simply confirmed that, urbanization had an instantaneous effect on dietary repute of women and adolescent girls, while transferring throughout the gradient from rural to urban with the growing significance of weight problems and obese. In adolescent girls, about 31% were underweight followed by normal weight and overweight across rural–urban interface of Bangalore. The factors such as education, consumption of meat and animal products, a dummy for urban, diabetes and blood pressure were significantly and positively influencing the nutritional status (Body Mass Index) of women across rural–urban interface. While consumption of vegetables, wealth index and per capita income had a positive and significant influence on the nutritional status of adolescent girls.Originality/valueWith limited studies and data available in Karnataka, especially in Bengaluru, one of the fastest growing cities in the world. Against this backdrop, the study was conducted to assess the prevalence of malnutrition among women and adolescents and its association with various socio-economic variables.


PLoS ONE ◽  
2021 ◽  
Vol 16 (9) ◽  
pp. e0257522
Author(s):  
Getu Debalkie Demissie ◽  
Yigizie Yeshaw ◽  
Wallelign Aleminew ◽  
Yonas Akalu

Introduction Diarrhea is responsible for the death of more than 90% of under-five children in low and lower-middle income countries. Regionally, South Asia and sub-Saharan Africa accounted for 88% of deaths with the same age group. Therefore, the aim of this study was to determine the prevalence and associated factors of diarrhea among children under-five years in sub-Saharan Africa. Methods The appended, most recent demographic and health survey datasets of 34 sub-Saharan African countries were used to determine the prevalence and associated factors of diarrhea among under-five children in the region. A total weighted sample of 330,866 under-five children were included in the study. Both bivariable and multivariable multilevel logistic regression were done to determine the associated factors of diarrhea among under five children in sub-Saharan Africa. The Odds Ratio (OR) with a 95% Confidence Interval (CI) was calculated for those potential factors included in the final model. Result The overall prevalence of diarrhea in this study was 15.3% (95% CI: 15.1–15.4). Those children of mothers aged 15–24 (AOR = 1.26; 95% CI: 1.23, 1.30) and 25–34 years (AOR = 1.15; 95%CI: 1.12, 1.18), those children of mothers with no education (AOR = 1.69; 95%CI: 1.57–1.82), primary education (AOR = 1.73; 95%CI: 1.61–1.86) and secondary education (AOR = 1.49; 95%CI: 1.38–1.59) had higher odds of having diarrhea. Those children from poorest (AOR = 1.14; 95%CI: 1.10, 1.19), poorer (AOR = 1.12; 95%CI: 1.08–1.17), middle (AOR = 1.06; 95%CI: 1.02, 1.10), and richer (AOR = 1.14; 95%CI: 1.04–1.12) households had higher chance of having diarrhea compared to their counterparts. Conclusion This study found that the prevalence of childhood diarrhea morbidity in sub-Saharan Africa was high. Maternal age, wealth index, maternal education, maternal occupation, age of child, time of initiation of breast feeding and time to get water source were significantly associated with diarrhea. Therefore, intervention through health education and health promotion for mothers/caretakers who are poor, less educated, and young should be designed to prevent diarrhea in the region.


2019 ◽  
Author(s):  
Abebaw Gedef Azene ◽  
Abiba Mihret Aragaw ◽  
Mihretie Gedefaw

Abstract Objective:The rate of caesarean section is increasing in Ethiopia, recently. Identifying associated demographic health factors was the aim of this study.Results:More educated mothers were more delivering by C-section compared with those illiterate. Those mother having higher body mass index were more likely to deliver with caesarean section (p = 0.0001). C-section was increased when mothers go to elder (p = 0.0001). Maternal education, birth order, preceding birth interval, multiple pregnancy, maternal age and interaction effect BMI with household wealth index statistically significantly associated factors to increase the rate of C-section. Residence and region were community level factors to increase caesarean section.Therefore; community awareness creation towards C-section with its side effect is essential in Ethiopia.


2021 ◽  
Author(s):  
Denebo Akiso ◽  
Tefera Belachew ◽  
Tegegn Arficho ◽  
Beakal Zinab

Abstract Background Despite the government of Ethiopia is striving to reduce the prevalence of the undernutrition, thinness among adolescents is one of the challenging nutritional issues in lifecycle approach in Ethiopia. Therefore, this study was aimed on determining the prevalence of thinness and its associated factors among adolescent girls attending high schools in Soro District, Hadiya Zone, Southern Ethiopia. Methods Institution based comparative cross sectional study design was employed. The study was conducted from March 15 to April 15, 2019 in high schools of rural and urban settings of Sorro District, Hadiya Zone. Both binary and multivariable logistic regression analysis were done to identify the factors associated with thinness among adolescent girls. Result A total of 414 adolescent girls were participated in this study making the response rate of 100%. The mean age were (17.01± 1.55) and 16.90 ± 1.48, P = 0.437) among adolescent girls in rural and urban high schools respectively. The overall prevalence of the thinness among female adolescents attending high schools in Soro district, Hadiya Zone was 6.8%. There was no statistically significant difference in thinness among adolescent girls in rural and urban high schools. Household wealth tertile AOR: 4.19; 95% C.I: 1.13-15.47, P <0.05, source of drinking water AOR: 2.31; 95% C.I: 1.01-5.30, P <0.05, dietary diversity AOR: 3.99; C.I: 1.15-13.82, P <0.05 and skipping breakfast AOR: 2.97; C.I: 1.28-6.92, P <0.05 were found to be independent factors associated with thinness. Conclusion Being low in household wealth tertile, unprotected source of drinking water, inadequate dietary diversity and skipping breakfast were those factors identified to be independently associated with thinness among female adolescents. Attention should be given from government and nongovernmental organizations by empowering household economic capacity, extending access for pure drinking water and increasing nutrition sensitive agriculture focusing on maintaining food varieties.


2020 ◽  
Author(s):  
Zhonghai Zhu ◽  
Christopher R. Sudfeld ◽  
Yue Cheng ◽  
Qi Qi ◽  
Shaoru Li ◽  
...  

Abstract Background: Evidence on the prevalence and associated factors of anemia among young adolescent girls and boys in rural western China is limited. Methods: We used data from a follow-up study of adolescents (10-14 years) born to women who participated in a randomized trial of antenatal micronutrient supplementation in western China. Anemia was defined by World Health Organization standards. Logistic regression was used to examine the risk factors for anemia. Results: The overall prevalence of anemia was 11.7% (178/1517). Female adolescents were 1.73 (95% CI 1.21, 2.48) times more likely to have anemia as compared to males. Adolescents whose mothers had completed high school were 65% (95% CI 7%, 87%) less likely to be anemic, compared with those of whom had <3 years. Household wealth was also inversely associated with anemia. The association of puberty status with anemia was modified by adolescent sex (p-value for interaction was 0.04): males with greater than mild puberty development had 65% (95% CI 17%, 85%) reduced odds of anemia while there was no association among females (OR: 0.72, 95% CI 0.29, 1.78). Consumption of flesh foods, eggs, and having a meal frequency of three times or more per day were associated with 42% (95% CI 11%, 62%), 40% (95% CI 7%, 62%) and 32% (95% CI 4%, 52%) reduced odds of anemia, respectively. Conclusions: Anemia is a public health problem among adolescents in rural western China. Nutritional and social determinants were identified as predictors, warranting interventions to reduce the risk of anemia among this critical age group.


2020 ◽  
Vol 2020 ◽  
pp. 1-7
Author(s):  
Asmelash Abera Mitiku ◽  
Abraham Lomboro Dimore ◽  
Solomon Berhanu Mogas

Introduction. Home delivery is one of the major reasons for high maternal mortality ratio in sub-Saharan Africa. Sub-Saharan Africa and South Asia together contribute over 85% of maternal deaths, of which, only half of deliveries are institutional. However, data are scarce on the availability of information with regard to the determinant factors for this high prevalence of home delivery in the study area. Objective. This study is aimed at determining factors associated with home delivery, among mothers in Abobo Woreda, Gambella region, Southwest Ethiopia, 2019. Methods. A case control study conducted from 12 March 2019 up to 2 April 2019 on 88 cases and 176 controls. Cases include mothers who gave birth at home and those mothers who gave birth at health facility in the last one year preceding the study included as controls. Data entry was made using Epi-Data version 3.1, and analysis was made using SPSS version 20. A binary logistic regression analysis was conducted to assess candidate variables and subsequently a multivariable regression to determine the statistical associations. Adjusted odds ratio (AOR) with 95% confidence interval (CI) was calculated to determine strength of association, and p value <0.05 was used to establish significant associations. Results. No formal education (AOR: 5.07; 95% CI: 2.18-11.50), poor knowledge on obstetric complications (AOR: 3.83; 95% CI: 1.98-7.40), negative attitude towards delivery service (AOR: 3.25; 95% CI: 1.70-6.19), poor household wealth index (AOR: 4.55; 95% CI: 2.01-10.31), and no antenatal care visit (AOR: 3.29; 95% CI: 1.63-6.63) were found to be significantly associated with home delivery. Conclusions. The findings do support that no formal education, poor knowledge on obstetric complications, negative attitude towards delivery service, poor household wealth index, and no antenatal care visit showed a significant association with home delivery.


2021 ◽  
Vol 10 (7) ◽  
pp. 256
Author(s):  
Oluwatobi Abel Alawode

Fertility and marriage are inextricably linked in sub-Saharan Africa, but recent changes, such as the rise in non-marital fertility, signals a weakening link, and the second demographic transition offers some explanations. Non-marital fertility comes with disadvantages, but it has not been adequately studied in Nigeria. Hence, this study examined the levels, patterns, and correlates of non-marital fertility, and offers implications for interventions and future research. Using data from the Nigeria Demographic and Survey 2008–2018, with a pooled weighted sample size of 11,925 unmarried women, percentage distribution was employed and a two-part model for count data was fitted, with the result showing that the level of non-marital fertility is 29%, and it is common among younger, rural dwelling, and uneducated unmarried women. The correlates of non-marital fertility include age, region of residence, level of education, religion, household wealth index, relationship status, ethnicity, work status, and age at sexual debut. Interventions to arrest rise of non-martial fertility due to its obvious disadvantages, should strengthen sexual and reproductive health programs for unmarried rural-dwelling young women, and revitalize welfare efforts for children born outside wedlock, for poor women, while future research should explore an in-depth understanding of non-marital births.


2021 ◽  
Vol 2021 ◽  
pp. 1-8
Author(s):  
Moges Muluneh Boke ◽  
Aman Yesuf ◽  
Befikadu Tariku Gutema

Background. Major reasons for malnutrition, particularly among those who live in low- and middle-income countries, are physiological vulnerability and inadequate intake. The objective of the study was to assess the prevalence of undernutrition and associated factors among lactating mothers of Angecha District, Southern Ethiopia. Methods. A community-based cross-sectional study was conducted among randomly selected lactating mothers in Angecha District from March to April 2017. A pretested structured questionnaire was used to assess the prevalence of undernutrition and associated factors among lactating mothers. Undernutrition was defined as the body mass index of less than 18.5 kg/m2. A multivariable logistic regression model was fitted, and the adjusted odds ratio (AOR) at a p value less than 0.05 was used to determine a statistically significant association between predictors and outcome variables. Result. The prevalence of undernutrition among lactating mothers was 21.2% (95% CI: 17.52, 25.46). The odds of undernutrition were higher among lactating mothers in the younger age group (AOR 4.12 (95% CI: 1.25–13.63), compared to 36–49 years group), dietary diversity less than five food groups (AOR 2.4, 95% CI: 1.35–4.36), and not attending antenatal care (ANC) (AOR 2.90 (95% CI: 1.43–5.86), compared to those who attended ANC for 4 or more times). The odds of undernutrition among lactating women from 3rd quantile wealth index households reduced by nearly half (AOR 0.47, 95% CI: 0.23–0.98) compared to lactating mothers from 1st quantile wealth index households. Conclusion. Nearly one in every five lactating mothers was undernourished. Age, dietary diversity score, ANC visit, and wealth index were found to be the associated factors of undernutrition. Therefore, due attention should have to be given to increase the use of ANC.


Sign in / Sign up

Export Citation Format

Share Document