scholarly journals Household Food Insecurity, Coping Strategies and Adolescent Girls’ Dietary Diversity Status in Hossana Town, Ethiopia.

2019 ◽  
Author(s):  
Belay Bancha ◽  
Legese Petrose ◽  
Begidu Bashe Fanta ◽  
Ashebir Endale ◽  
Romedan Delil ◽  
...  

Abstract Background Globally there are 1.8 billion adolescents, comprised of 10-19 years old, represent approximately 20% of the world’s population. In Ethiopia this group represents 20-26% of general population. Despite the fact that this period is a window of opportunity to break intergenerational cycle of malnutrition, macro and micronutrient deficiencies are among leading health problems in this vulnerable age groups. Moreover, there is scarcity of data on the status of dietary diversity in this segments of the population.Methods a community based cross sectional study design was employed from May 21-June 20, 2019. Pre-tested structured questionnaire was used for data collection using cluster sampling technique to approach 451 households with adolescent girls. Data was entered in to Epi-Data version 3.1 then exported to SPSS version 23 for analysis. Descriptive and logistic regression analysis were performed. Adjusted Odd Ratios (AOR), along with corresponding 95% confidence interval (CI) were used and the level of statistical significance was declared at a p-value of <0.05.Results a total of 434 households with adolescent girls were involved in the study. We found that 41.7% of households were food insecure, only 57.8%, (C.I.53.5-62.2) of adolescent girls consumed diversified diet, with the mean DDS of 5.38 (SD=1.75). After adjusting for potential confounders, occupational status of the adolescents’ father, (AOR= 0.56, 95% C.I. 0.32-0.99 and AOR=0.26, 95% C.I. 0.17-0.47), exposure to televised media (AOR=3.36, 95% C.I. =1.55-7. 3) and household food security status (AOR=5.09, 95% C.I. =3.2-8.08) were significant predictors of dietary diversity among adolescent girls.Conclusion Significant portion of households were food insecure; practicing ranges of coping strategies which further compromised dietary diversity of adolescent girls. Poor dietary diversity adversely affects micronutrient reserves of to-be a-mother girls; the vicious cycles of malnutrition continues its far fetching effect. Given that adolescence is the second period in life with rapid growth and development, improving dietary status of this sensitive segments of the population are to be an agenda of all concerned bodies.

2020 ◽  
Author(s):  
Belay Bancha ◽  
Legese Petrose ◽  
Begidu Bashe Fanta ◽  
Ashebir Endale ◽  
Romedan Delil ◽  
...  

Abstract Background Globally there are 1.8 billion adolescents, comprised of 10-19 years old, represent approximately 20% of the world’s population. In Ethiopia this group represents 20-26% of general population. Despite the fact that this period is a window of opportunity to break intergenerational cycle of malnutrition, macro and micronutrient deficiencies are among leading health problems in this vulnerable age groups. Moreover, there is scarcity of data on the status of dietary diversity in this segments of the population.Methods a community based cross sectional study design was employed from May 21-June 20, 2019. Pre-tested structured questionnaire was used for data collection using cluster sampling technique to approach 451 households with adolescent girls. Data was entered in to Epi-Data version 3.1 then exported to SPSS version 23 for analysis. Descriptive and logistic regression analysis were performed. Adjusted Odd Ratios (AOR), along with corresponding 95% confidence interval (CI) were used and the level of statistical significance was declared at a p-value of <0.05.Results a total of 434 households with adolescent girls were involved in the study. We found that 41.7% of households were food insecure, only 57.8%, (C.I.53.5-62.2) of adolescent girls consumed diversified diet, with the mean DDS of 5.38 (SD=1.75). After adjusting for potential confounders, occupational status of the adolescents’ father, (AOR= 0.56, 95% C.I. 0.32-0.99 and AOR=0.26, 95% C.I. 0.17-0.47), exposure to televised media (AOR=3.36, 95% C.I. =1.55-7. 3) and household food security status (AOR=5.09, 95% C.I. =3.2-8.08) were significant predictors of dietary diversity among adolescent girls.Conclusion Significant portion of households were food insecure; practicing ranges of coping strategies which further compromised dietary diversity of adolescent girls. Poor dietary diversity adversely affects micronutrient reserves of to-be a-mother girls; the vicious cycles of malnutrition continues its far fetching effect. Given that adolescence is the second period in life with rapid growth and development, improving dietary status of this sensitive segments of the population are to be an agenda of all concerned bodies.


2020 ◽  
Author(s):  
Belay Bancha ◽  
Legese Petrose ◽  
Begidu Bashe Fanta ◽  
Ashebir Endale ◽  
Romedan Delil ◽  
...  

Abstract Background: Adolescents (10-19 years) represent 20 % of the world’s population. In Ethiopia they account for 20-26% of the general population. With adequate dietary diversity, this period is a window of opportunity to break intergenerational cycle of malnutrition. However, there is scarcity of data on the status of dietary diversity in this segments of the population. Methods: A community based cross sectional study design was employed from May 21-June 20, 2019. Cluster sampling technique was used to collect data from 451 households with adolescent girls. Data was entered in to Epi-Data version 3.1 then exported to SPSS version 23 for analysis. Descriptive and logistic regression analysis were performed. Adjusted Odd Ratios (AOR), along with corresponding 95% confidence interval (CI) were used and the level of statistical significance was declared at a p-value of <0.05. Results: A total of 434 households with adolescent girls were involved in the study. We found that 41.7% of households were food insecure, only 57.8%, (C.I.53.5-62.2) of adolescent girls consumed diversified diet, with the mean dietary diversity score of 5.38 (SD=1.75). After adjusting for others, occupational status of the adolescents’ father, (AOR= 0.56, 95% C.I. 0.32-0.99 and AOR=0.26, 95% C.I. 0.17-0.47), exposure to televised media (AOR=3.36, 95% C.I. =1.55-7. 3) and household food security status (AOR=5.09, 95% C.I. =3.2-8.08) were significant predictors of dietary diversity among adolescent girls. Conclusion: Significant portion of households were food insecure; practicing ranges of coping strategies which further compromised dietary diversity of adolescent girls. Poor dietary diversity adversely affects micronutrient reserves of to-be a-mother girls; the vicious cycles of malnutrition continues its far fetching effect. Given that adolescence is the second period in life with rapid growth and development, improving dietary status of this sensitive segments of the population are to be an agenda of all concerned bodies.


2018 ◽  
Author(s):  
Mihiretu Alemayehu ◽  
Mengistu Meskele ◽  
Bereket Alemayehu ◽  
Bereket Yakob

AbstractBackgroundAnemia, the world’s most common micro-nutrient deficiency disorder, can affect a person at any time and at all stages of life, although children aged 6 -23 months are particularly at higher risk. If left untreated, it adversely affects the health, cognitive development, school achievement, and work performance. However, littlewas investigated among young children in Sub-Saharan countries including Ethiopia. This research aimed to investigate its magnitude and correlates to address the gap and guide design of evidence based intervention.MethodsA community-based cross-sectional study was conducted from May -June 2016 in rural districts of Wolaita Zone. Multi-stage sampling technique was applied to select 990 mother-child pairs. Socio-demography, health and nutritional characteristics were collected by administering interview type questionnaire to mothers/care-givers. Blood samples were taken to diagnose anemia by using HemoCue device, and status was determined using cut-offs used for children aged 6-59 months. Hemoglobin concentration below 11.0 g/dl was considered anemic. Data were analyzed with Statav 14. Bivariate and multivariable logistic regressions were applied to identify candidate and predictor variables respectively. Statistical significance was determined at p-value < 0.05 at 95% confidence interval.ResultsThe mean hemoglobin level of children was 10.44±1.3g/dl, and 65.7% of them were anemic. Among anemic children, 0.4% were severely anemic (<7.0g/dl), while 28.1% and 37.2% were mildly (10.0-10.9g/dl) and moderately (7.0-9.9g/dl) anemic, respectively. In the multivariable analysis, having maternal age of 35 years and above (AOR=1.96), being government employee (AOR=0.29),being merchant (AOR= 0.43) and ‘other’ occupation (AOR=3.17) were correlated with anemia in children in rural Wolaita. Similarly, receiving antihelminthic drugs (AOR= 0.39), being female child (AOR= 1.76), consuming poor dietary diversity (AOR=1.40), and having moderate household food insecurity (AOR=1.72) were associated with anemia in rural Wolaita.ConclusionA large majority of children in the rural Wolaita were anemic and the need for proven public health interventions such as food diversification, provision of anti-helminthic drugs and ensuring household food security is crucial. In addition, educating women on nutrition and diet diversification, as well as helping them with alternative sources of income might be interventions in the study area.


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.


2021 ◽  
Author(s):  
Lelisa Worku Belcha

Abstract Background: Globally 38 million people were living with HIV in 2019. In Africa, 25 million people are living with HIV/AIDS undernutrition and food insecurity is endemic. Hence the study aimed to assess the magnitude of undernutrition and associated factors among HIV-infected adults receiving ART. Methods: Institutional based cross-sectional study was conducted among HIV/AIDS patients who following the ART service was selected by a simple random sampling method. The data were collected by direct interview, using a structured questionnaire. Descriptive statistics and a Logistic regression model were employed. Result: The study revealed that the magnitude of under-nutrition was 18.8%. The history of opportunistic infection (AOR=4.518:95% CI: 2.304-8.857), Patients taking ART for less than one year (AOR=3.675:95% CI: 1.831-7.377) household food insecure (AOR= 3.113:95% CI: 1.628-5.950) and dietary diversity score (AOR=2.340:95% CI: 1.221-4.485) were found to have a statistically significant association with undernutrition. Conclusion: The magnitude of undernutrition among people living with HIV/AIDS was found to be high. Having an opportunistic infection, duration of taking ART treatment, household food security status, and dietary diversity status were found to statistically significant association with undernutrition.


2019 ◽  
Vol 2 (2) ◽  
pp. 255-258
Author(s):  
Ese Anibor

Introduction: Ultrasound is an important imaging modality used in the prognosis and diagnosis of renal conditions and diseases and also in the evaluation of kidney donors. This study aimed at providing a reference for the normal metric variables of the kidney such kidney lengths of healthy Nigerian adults in Lagos State and to compare with previously obtained results.Materials and Methods: This study was conducted in the radiology department of Ikorodu Hospital. This study adopted a descriptive cross-sectional study design with a cluster sampling approach which consisted of 150 adults (with 300 kidneys) participants ages 18-87 years. Real-time gray-scale ultrasonic scanning using Prosound 3500 Aloka device and a 3.5–5 MHz curvilinear explorer was employed for the abdominal imaging. The data acquired were compiled and explored via the Statistical Package for the Social Sciences (SPSS) version 20. The student’s t-test was utilized in probing for statistical significance between age as well as gender in relation to renal length. P-value < 0.05 was adjudged to be significant.Results: The kidney length was of a greater distance in males, and the length of the left kidney was more extensive than that of the right kidney in both sexes. Average kidney length was greater on the left when compared to the right among the various age groups. No significant association was noted between kidney length and age as well as gender.Conclusions: Normal values for kidney length and diversifications in the kidney length of healthy adults in Nigeria have been established.


2021 ◽  
Vol 9 (2) ◽  
pp. 111-122
Author(s):  
Pradita Putri Ramadhani ◽  
Fillah Fithra Dieny ◽  
Dewi Kurniawati ◽  
Hartanti Sandi ◽  
Deny Yudi Fitranti ◽  
...  

Background: Chronic energy deficiency (CED) that occurs at risk preconception women during pregnancy increased low birth weight (LBW) in infants. Household food security and diet quality are factors that cause CED. Therefore, this study aims to determine the relationship between household food security and diet quality with CED preconception women.Materials and Methods: We used a cross-sectional study design. The subject of 70 preconception women aged 16-35 years registered in the religious affairs office in Sumowono and Pringapus Subdistrict were selected by consecutive sampling method. Weight and height were measured to assess body mass index to determine CED. Household food security was measured using the Household Food Security Scale Module (HFSSM). Food intake data were obtained using the Semi-Quantitative Food Frequency Questionnaire (SQ-FFQ) and DQI-I (Diet Quality Index-International) to measure diet quality. Bivariate analyses were tested using Rank Spearman and Pearson Product Moment.Results: The prevalence of subjects with CED risk was 48.6% and subjects with  CED was 15.7%. 38.6% of subjects married at the age of 16-20 years, 75.1% of subjects had low household food security and 80% of subjects had low diet quality. There was no significant relationship between household food security and diet quality with CED, namely (p = 0.537) and (p = 0.711). The components of diet quality, namely variation, adequacy, moderation and balance also did not show a significant relationship with CED, respectively with p-value (p = 0.711), (p = 0.523), (p = 0.412), (p = 0.604 )Conclusions: There was no correlation between household food security and CED, also no correlation between diet quality and CED.


2018 ◽  
Vol 11 (4) ◽  
pp. 272-282 ◽  
Author(s):  
Conor M McWade ◽  
Sheau-Chiann Chen ◽  
Fei Ye ◽  
Douglas C Heimburger ◽  
Troy D Moon ◽  
...  

Abstract Background To identify individual and household characteristics associated with food security and dietary diversity in seven Haitian–Dominican bateyes. Methods A cross-sectional sample of 667 households were surveyed. Novel household food security scores were calculated from components of the Household Food Insecurity Assessment Scale, while the Food and Agricultural Organization’s Household Dietary Diversity Score was utilized to calculate individual dietary diversity scores. Multivariable analyses were performed using ordinal logistic regression models to estimate the association between these scores and the covariate variables. Secondary dietary diversity analyses were performed after removing non-nutritious food groups. Results Food security was significantly associated with being above the poverty line (OR 3.14, 95% CI 1.92 to 5.14), living in a rural batey (OR 1.44, 95% CI 1.02 to 2.03), receiving gifts and/or donations (OR 1.76, 95% CI 1.03 to 3.00) and having a salaried job (i.e., not being paid hourly; OR 1.67, 95% CI 1.05 to 2.64). Dietary diversity was significantly associated with living in a semi-urban batey (OR 1.70, 95% CI 1.26 to 2.30), living with a partner (OR 1.47, 95% CI 1.08 to 2.00), growing at least some of one’s own food (OR 1.62, 95% CI 1.17 to 2.23), and receiving gifts and/or donations (OR 1.72, 95% CI 1.08 to 2.73). Conclusions Food insecurity and low dietary diversity are highly prevalent in Haitian–Dominican bateyes. The inclusion of sweets and non-milk beverages in dietary diversity calculations appear to skew scores towards higher levels of diversity, despite limited nutritional gains.


2017 ◽  
Vol 21 (6) ◽  
pp. 1200-1208 ◽  
Author(s):  
Salome Nduku Kasimba ◽  
Boitumelo Stokie Motswagole ◽  
Namukolo Margaret Covic ◽  
Nicole Claasen

AbstractObjectiveTo determine access to traditional and indigenous foods (TIF) and the association with household food security, dietary diversity and women’s BMI in low socio-economic households.DesignSequential explanatory mixed-methods design, including a random household cross-sectional survey on household food insecurity access (HFIA), household dietary diversity (HDD) and women’s BMI, followed by focus group discussions.SettingTwo rural and two urban areas of Botswana.SubjectsPersons responsible for food preparation or an adult in a household (n400); for BMI, non-pregnant women aged 18–49 years (n253).ResultsAlmost two-thirds of households experienced moderate or severe food insecurity (28·8 and 37·3 %, respectively), but more than half of women were overweight or obese (26·9 and 26·9 %, respectively). Median HDD score was 6 (interquartile range 5–7) out of a total of 12. A positive correlation was found between number of TIF accessed and HDD score (r=0·457;P<0·001) and a negative correlation between number of TIF accessed and HFIA score (r=−0·272;P<0·001). There was no correlation between number of TIF accessed and women’s BMI (r=−0·066;P=0·297). TIF were perceived as healthy but with declining consumption due to preference for modern foods.ConclusionsTIF may potentially have an important role in household food security and dietary diversity. There is need to explore potential benefits that may be associated with their optimal use on food security and nutrition outcomes.


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