scholarly journals Prevalence and associated factors of stunting and thinness among adolescent students in Finote Selam Town, Northwest Ethiopia

2021 ◽  
Vol 40 (1) ◽  
Author(s):  
Damitie Kebede ◽  
Reddy P. C. J. Prasad ◽  
Degnet Teferi Asres ◽  
Hayat Aragaw ◽  
Eyerusalem Worku

Abstract Background Undernutrition among adolescents is a major public health problem in developing nations including Ethiopia. Adolescents need to have good-quantity and good-quality nutrients to cope with this rapid growth and other health risks which increase nutritional demand. This study aimed to assess the prevalence and associated factors of stunting and thinness among school adolescents in Finote Selam Town, Northwest Ethiopia. Methods A school-based cross-sectional study among adolescent students aged 10–19 in public schools was carried out in Finote Selam Town from February 5 to March 27, 2018. A total of 397 school adolescents were included in this study. Stratified and simple random sampling techniques were employed to select study subjects. Pretested structured questionnaires were used to collect the data. Data were entered using Epi info version 7 and analyzed using SPSS version 20 and WHO AnthroPlus software. A multivariable logistic regression analysis was employed to identify factors associated with stunting and thinness. Crude and adjusted odds ratios with 95% level significance were used to measure the strength of association, and statistical significance was declared at a P value less than 0.05. Results The prevalence of stunting and thinness among school adolescents was 21.8% and 16.9%, respectively. About 9.7% of school adolescents experienced both stunting and thinness. Being male (P = 0.031), coming from rural area (P = 0.046), having a family monthly income of less than $28.37 (P = 0.044) and having less than four dietary diversity (P = 0.021) were significantly associated with stunting. Early adolescent stage (P = 0.034), being male adolescent students (P = 0.37), having a family monthly income of less than $28.37 (P = 0.016), having a family monthly income between $28.37 and $56.74 (P = 0.021) (35.25 Birr = 1 USD) and using well water (P = 0.045) were significantly associated with thinness. Conclusion Undernutrition was a predominant problem in the study area. Sex, age, place of residence, dietary diversity, sources of drinking water and family monthly income were important factors associated with stunting and thinness among the respondents. Strategies to improve the nutritional status of adolescent students should be given much attention.

2020 ◽  
Author(s):  
Damitie Kebede Mengesha ◽  
Reddy P. C. J. Prasad ◽  
Degnet Teferi Asres

Abstract Background: Increased nutritional needs of adolescents relate to adolescents gain up much of their adult weight, height and skeletal mass during this period. Under nutrition among adolescents is a major public health problem in developing nations including Ethiopia. This study aimed to assess the prevalence and associated factors of nutritional status among school adolescents in Finote Selam town, northwest Ethiopia, 2018. Methods: A school-based cross-sectional study among adolescent students aged 10-19 in public primary and secondary schools was carried out in Finote Selam town from February 05 to March 27, 2018. A total of 397school adolescents were included in this study. Stratified and simple random sampling techniques were employed to select study subjects. Pre tested structured questionnaires were used to collect the data. Data was entered using Epi info version 7 and analyzed using SPSS version 20 and WHO Anthro Plus software. A multivariable binary logistic regression analysis was employed to identify factors associated with malnutrition. Crude and adjusted odds ratios with 95% level significance were used to measure the strength of association, and statistical significance was declared at a p-value less than 0.05. Result: The prevalence of stunting and thinness among school adolescents were 21.8% and 14.9, respectively. About 9.7% of school adolescents were both stunting and thinness. Being male (AOR= 2.27; 95% CI 1.32, 8.13), coming from rural area (AOR= 2.38; 95% CI 109, 5.18) and having less than four dietary diversity (AOR= 2.61; 95% CI 1.04, 6.50) were significantly associated with stunting at a P-value <0.05. Early Adolescent stage (AOR= 4.81; 95% CI: 1.23, 18.51), being Male adolescent students (AOR = 2.33; 95 % CI: 1.60, 3.40), having less than 1000 birr family monthly income (AOR= 6.54; 95% CI: 3:82, 14.89), having 1000-2000 birr family monthly income (AOR= 3.47; 95% CI: 1.15, 7.45) and using well water (AOR= 3.82; 95% CI: 1.46, 10.04) were significantly associated with thinness at a P-value <0.05.Conclusion: Under-nutrition was predominant problem in the study area. Sex, place of residence, dietary diversity and family monthly income were found to be important factors associated with stunting among the respondents. Strategies to improve the nutritional status of adolescent students should be given much attention.


2020 ◽  
Author(s):  
Sisay Eshete Tadesse ◽  
Tefera Chane Mekonnen ◽  
Yitbarek Wasihun Feleke ◽  
Metadel Adane Mesfine ◽  
Nigus Cherie Bekele ◽  
...  

Abstract Background Worldwide there are up to 300,000 known plant species. But, only 2% are consumed by human. Under nutrition among under five children is still a public health problem. There is an information gap on the importance of agricultural biodiversity in relation to dietary intake and nutritional status. Objective to assess the correlation between agricultural bio-diversity, dietary diversity, household food insecurity and associated factors of wasting among 6-59 months old children. Method A community based cross-sectional study was employed among 367 systematically selected children aged 6-59 months from January to April 2018. The sample size was determined by Epi Info 7.2.5.1. Data were collected by open data kit. Height and weight were measured using height measuring board and SECA Germany. Data entry and analysis was done using Epi Data version 3.1 and STATA version 14. Descriptive statistics was computed and reported using frequency and percentage. Anthropometric measurements were analyzed using WHO Anthro 2005 software. Linear regression and correlation were done. A p-value of < 0.05 and 95% confidence intervals were used to see the statistical significance. Result The prevalence of wasting was 7.3%(95% C.I; 4.6, 10.0). Dietary diversity score is found to be correlated with height for weight Z score (r=-0.11, p-value=0.04) of children. Mother who are unable to read and write (B=-.126, 95% CI: -1.02, -.034) and dietary diversity score (B=.143, 95% CI: .14, 1.86) were factors associated with wasting. Conclusion and Recommendation Wasting is higher than the national target of Ethiopia. Educational status of mother and DDS were factors associated with wasting among children aged 6-59 months. Prevention of nutritional problem should include reducing illiteracy rate among mother/care-givers and promote diversified intake of diet among 6-59 months old.


2020 ◽  
Vol 2020 ◽  
pp. 1-9
Author(s):  
Damitie Kebede Mengesha ◽  
Reddy P. C. J. Prasad ◽  
Degnet Teferi Asres

Even if adolescence is a window of opportunity to break the intergenerational cycle of malnutrition, adolescents are the neglected age groups. Hence, information regarding the nutritional status of adolescents is lacking, making creating and implementing intervention programs difficult. This study aimed to assess the prevalence and determinants of thinness among school adolescents in Finote Selam Town, Northwest Ethiopia. A school-based cross-sectional study among adolescent students aged 10–19 in public primary and secondary schools was carried out in Finote Selam Town from February 05 to March 27, 2018. Stratified and simple random sampling techniques were employed to select study subjects. A total of 397 adolescent students were included in the study. Pretested structured questionnaires were used to collect the data. Data were entered using Epi Info version 7 and analyzed using SPSS version 20 and WHO AnthroPlus software. A multivariable binary logistic regression analysis was employed to identify factors associated with thinness. Crude and adjusted odds ratios with 95% level significance were used to measure the strength of association, and statistical significance was declared at p value less than 0.05. The prevalence of thinness among adolescents was 14.9%. Early adolescent stage (AOR = 4.81; 95% CI : 1.23, 18.51), being male adolescent students (AOR = 2.33; 95% CI : 1.60, 3.40), having less than 1000 birr family monthly income (AOR = 6.54; 95% CI : 3 : 82, 14.89), having 1000–2000 birr family monthly income (AOR = 3.47; 95% CI : 1.15, 7.45), and using well water (AOR = 3.82; 95% CI : 1.46, 10.04) were significantly associated with thinness at 95% confidence interval. The study revealed that prevalence of thinness was high in the study area. Sex, place of residence, and family monthly income were found to be important factors associated with thinness among the respondents.


2017 ◽  
Vol 2017 ◽  
pp. 1-7 ◽  
Author(s):  
Mucheye Gizachew Beza ◽  
Emirie Hunegnaw ◽  
Moges Tiruneh

Background. Tuberculosis, mainly in prisoners, is a major public health problem in Ethiopia where there is no medical screening during prison admission. This creates scarcity of TB data in such settings. Objective. To determine prevalence and associated factors of TB in prisons in East Gojjam Zone, Northwest Ethiopia. Methods. A cross-sectional study was conducted from February to May 2016 among 265 prisoners in three prison sites. Sputum was processed using GeneXpert MTB/RIF. Data were analyzed using SPSS version 20.0. Multivariable logistic regression was used; p values = 0.05 were considered statistically significant. Results. Of 265 prisoners, 9 (3.4%) were TB positive (males); 77.8%, 55.6%, and 55.6% of cases were rural dwellers, married, and farmers, respectively. Seven (2.6%) prisoners were HIV positive, and 3 (1.13%) had TB/HIV coinfection. One (0.4%) TB case was rifampicin resistant. Marriage (AOR = 1.5; 95% CI: 1.7, 13.03), HIV (AOR = 0.14; 95% CI: 0.001, 0.17), and sharing of rooms (AOR = 1.62; 95% CI: 2.6, 10.20) were predictors for TB. Conclusion. Nine prisoners were TB positive. One case showed rifampicin resistance and three had TB/HIV coinfection. Marriage, HIV, and sharing of rooms were predictors for TB. Prevention/control and monitoring are mandatory in such settings.


2020 ◽  
Vol 41 (1) ◽  
Author(s):  
Kedir Abdela Gonete ◽  
Amare Tariku ◽  
Sintayehu Daba Wami ◽  
Temesgen Yihunie Akalu

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.


2019 ◽  
Author(s):  
Damitie Kebede Mengesha ◽  
Reddy P. C. J. Prasad ◽  
Degnet Teferi Asres

Abstract Background Adolescence is the period of intense physical, psychosocial and cognitive development and the second to infancy at which highest rate of physical growth occur. So, adolescents need to have good quantity and quality nutrient to cope with this rapid growth and other health risk which increase nutritional demand. This study aimed to assess the prevalence and associated factors of thinness among school adolescents in Finoteselam town, Amhara region, Ethiopia.Methods A school-based cross-sectional study among adolescent students aged 10-19 in public primary and secondary schools was carried out in Finoteselam town from February 05 to March 27, 2018. A total of 397 adolescent students were included in the study. Stratified and simple random sampling techniques were employed to select study subjects. Pre tested structured questionnaires were used to collect the data. Data was entered using Epi info version 7 and analyzed using SPSS version 20 and WHO Anthro Plus soft ware. A multivariate logistic regression analysis was employed to identify factors associated with stunting. Crude and adjusted odds ratios with 95% level significance were used to measure the strength of association and statistical significance was declared at p-value less than 0.05.Results The prevalence of thinness among adolescents was 14.9%. Early Adolescent stage (AOR= 4.81; 95% CI: 1.23, 18.51), being Male adolescent students (AOR = 2.33; 95% CI: 1.60, 3.40), and using well water (AOR= 3.82; 95% CI: 1.46, 10.04) were significantly associated with thinness at P-value <0.05.Conclusion The study revealed that prevalence of thinness was high in the study area. Age, Sex and sources of drinking water were found to be important factors associated with thinness among the respondents.


2020 ◽  
Vol 9 ◽  
pp. 216495612092362
Author(s):  
Gebremedhin Gebremichael ◽  
Melake Demena ◽  
Gudina Egata ◽  
Berhe Gebremichael

Background Although goiter is a major public health problem in Ethiopia and affects a large number of people, there was little evidence among adolescents particularly in Northern Ethiopia. This study was, therefore, aimed at investigating the prevalence of goiter and associated factors among adolescents in Gazgibla District, Northeast Ethiopia. Methods A community-based cross-sectional study was conducted among 596 adolescents from August 5–30, 2019. Data were collected using a structured questionnaire. Adolescents were assessed for goiter based on World Health Organization criteria. The level of iodine in household salt samples was tested using rapid test kit. Data were entered into EpiData version 3.1 and exported into Statistical Package for the Social Sciences version 22.0 for statistical analysis. Multivariable logistic regression analysis was done to control for all possible confounders and to identify predictors of goiter. Odds ratio along with 95% confidence interval (CI) was estimated to measure the strength of the association. Level of statistical significance was declared at P ≤ .05. Results The prevalence of goiter among adolescents was 42.5% (95% CI: 38.4%, 46.7%). Being a female (adjusted odds ratio [AOR] = 1.83, 95% CI: 1.18, 2.85), family history of goiter (AOR = 3.63, 95% CI: 2.31, 5.69), cabbage consumption at least once per week (AOR = 4.6, 95% CI: 2.42, 8.74), not consuming meat at all (AOR = 2.5, 95% CI: 1.17, 5.32), not consuming milk at all (AOR = 2.19, 95% CI: 1.19, 4.03), and inadequate iodine level of household salt (AOR = 7.05, 95% CI: 3.83, 12.97) were significantly associated with the development of goiter among adolescents. Conclusions The prevalence of goiter was very high in the study area. Therefore, the health sector of the district should invest efforts on improving the community’s awareness through disseminating key messages about iodized salt and iodine-rich foods.


Author(s):  
Henok Dagne ◽  
Awrajaw Dessie ◽  
Bikes Destaw ◽  
Walelegn Worku Yallew ◽  
Zemichael Gizaw

Abstract Background Scabies is a skin infestation caused by the mite Sarcoptes scabiei that causes a pruritic skin eruption. In Ethiopia, the disease is common especially during natural or manmade disasters such as flooding, drought, civil war and conflict, poor water supply and sanitation, and overcrowding living condition. Though scabies is becoming a major public health problem, especially in low resource settings, there has been no study that reported the prevalence of scabies in the study area. The aim of this study, therefore, was to assess the prevalence of scabies and associated factors among students in primary schools in Dabat district, northwest Ethiopia. Method An institutional-based cross-sectional study was employed to determine the prevalence of scabies and associated factors among schoolchildren in Dabat district. A total of 494 students selected by a multi-stage sampling technique were included in this study. Scabies was diagnosed by medical practitioners based on lesions observed on body surfaces after a physical examination. Bivariable and multivariable binary logistic regression analyses were performed using SPSS version 20. Significance level was obtained at p value < 0.05. Result The prevalence of scabies was 9.3% (46/494) with 95% CI (5.66%, 12.94%). Among schoolchildren who were infested by scabies, 65.22% (30/46) had a mild, 28.26% (13/46) had moderate, and 6.52% (3/46) had severe lesions. Studying at a rural school (AOR = 2.99, 95% CI 1.33, 6.71), had illiterate father (AOR = 5.11, 95% CI 2.25, 11.58), being grade level 1–4 (AOR = 3.91, 95% CI 1.69, 9.05), rarely taking a bath (AOR = 3.54, 95% CI 1.36, 9.25), contact with a person with itching symptom (AOR = 2.66, 95% CI 1. 21, 5.83), a family member with itchy symptoms (AOR = 4.76, 95% CI 2.20, 10.28), not living with both parents (AOR = 2.49, 95% CI 1.02, 6.06), and using water only for hand washing (AOR = 4.38, 95% CI 1.78, 10.76) were factors associated with scabies infestation among schoolchildren. Conclusion The prevalence of human scabies among schoolchildren in Dabat district northwest Ethiopia was high. The school localization, first cycle level of education, paternal educational status, frequency of taking a bath, and contact with a person having itchy lesions, presence of a family member with itchy lesion, and type of frequently used hand washing material were the factors significantly impacting the occurrence of scabies. Special attention should be given to students at first cycle education as they are at the highest risk of infestation.


2020 ◽  
Vol 11 (2) ◽  
Author(s):  
Etsehiwot Debe Worku ◽  
Mulusew Andualem Asemahagn ◽  
Melese Linger Endalifer

Background: Human scabies is a highly contagious human dermatitis disease. As indicated by the national and regional reports, the epidemic of scabies became a major public health problem in Ethiopia since 2015. Objective: To identify the determinant factors of scabies outbreak in Takusa district, Northwest Ethiopia, 2017.Methods: A community based unmatched case-control study among 188 participants (63 cases and 125 controls) was conducted in Takusa district from September to October 2017. Data were collected using a pretested structured questionnaire. Multivariable logistic regression analysis was computed using SPSS version 22 to identify factors associated with scabies. Odds ratio at 95% CI and p-value less than 0.05 were used to describe the strength of the association and statistical significance. Results: The median age of cases was 20 years (ranges1-61). Presence of person with itching in the family (AOR=7.7, 95% CI:1.9-30.5), sleeping with scabies patient (AOR=3.99, 95% CI:1.37-11.7), travel to scabies epidemic area in the last six weeks (AOR=3.79, 95%CI:1.28-11.1) and infrequent use of detergent for showering (AOR=4.85; 95% CI: 1.3-17.9)) were found to be determinant factors of scabies outbreak. Conclusion: Frequent contact with people who develop scabies at home, not using detergents for washing, and mobility of people from non-epidemic to the epidemic areas were determinant factors. Giving special emphasis on regular awareness creation to the rural community is important to prevent scabies outbreak.


2019 ◽  
Author(s):  
Moges Gashaw Getnet ◽  
Balamurugan Janakiraman ◽  
Amare Minyihun ◽  
Gashaw Jember Belay ◽  
Kedir Sany

Abstract Background Fall is one of the most common and potentially disabling issues among people with visual impairment. Fall is a major public health problem and the leading cause of unintentional injury, disability and premature death worldwide. Several population based studies have reported poor vision as a frequent risk factor for falls yet large number of studies failed clarify the role of visual impairment in falls. Ethiopia lacked estimates of falls among both normal sighted and visual impaired persons. Therefore, this study aims to determine the prevalence of and visual related factors, other factors associated with falls among adult people with medically diagnosed visual impairment.Methods An institutional based cross-sectional study was conducted among visually impaired adults who were attended ophthalmology clinic in University of Gondar comprehensive specialized hospital. Data was collected by interview methods using structured questionnaire, patient record review and physical measurement. A bivariate and multivariable binary logistic regression model analysis was used to identify factors associated with fall. Adjusted Odds Ratio with corresponding 95% Confidence Interval was computed to show the strength of association.Results A total of 328 adults with visual impairment participated in the study (97.3% response rate). The age of the participants ranged from 25 to 89 years with mean age of (56.46±14.2 years). The overall cumulative prevalence of self-reported fall among adults with visual impairment was 26.8% with 95%CI (22.0-31.4). The major associated factors of fall identified by multivariate analysis were fear of falling; some concerned: (AOR, 4.12; 95%CI, 1.44-11.76), very concerned fear (AOR, 10.03; 95% CI, 3.03-33.21), medication: (AOR, 4.63; 95% CI 2.14-10.00) and self reported depression: (AOR, 3.46; 95%CI 1.11-10.79).Conclusion A moderate self-reported prevalence with high rate of fall related injuries was reported adult people with visual impairment participants in this study. The results indicate that strategies to provide fall prevention environment should be developed to reduce this impact of visual impairment and reduce fall and fall related injuries.


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