scholarly journals Nutritional status and associated factors among school adolescents in Finote Selam Town, Northwest Ethiopia

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.

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.


BMJ Open ◽  
2022 ◽  
Vol 12 (1) ◽  
pp. e056009
Author(s):  
Shimeles Biru Zewude ◽  
Tewodros Magegnet Ajebe

ObjectivesThis study aims to identify levels of adherence to antiretroviral therapy (ART) drugs and factors associated with them in Northwest Ethiopia. We hypothesise that in the era of COVID-19, there would be suboptimal adherence to ART drugs.DesignAn observational cross-sectional study was conducted. Factors associated with the level of adherence were selected for multiple logistic regressions at a p value of less than 0.2 in the analysis. Statistically significant associated factors were identified at a p value less than 0.05 and adjusted OR with a 95% CI.SettingThe study was conducted in one specialised hospital and three district hospitals found in the South Gondar zone, Northwest Ethiopia.ParticipantsAbout 432 people living with HIV/AIDS receiving highly active ART in South Gondar zone public hospitals and who have been on treatment for more than a 3-month period participated in the study.Primary and secondary outcome measuresLevels of adherence to ART drugs and their associated factors.ResultsAmong 432 study participants, 81.5% (95% CI: 78% to 85.2%) of participants were optimally adherent to ART drugs. Determinants of a low level of adherence: stigma or discrimination (OR=0.4, p=0.016), missed scheduled clinical visit (OR=0.45, p=0.034), being on tuberculosis treatment (OR=0.45, p=0.01), recent CD4 cell count less than 500 cells/mm3 (OR=0.3, p=0.023) and patients who had been on WHO clinical stage III at the time of ART initiation (OR=0.24, p=0.027) were factors significantly associated with adherence to ART drugs.ConclusionsLevel of adherence was relatively low compared with some local studies. The intervention targeted to reduce discrimination, counselling before initiation of treatment and awareness regarding compliance is advised to improve adherence to antiretroviral regimens.


2017 ◽  
Vol 10 (1) ◽  
pp. 7-16 ◽  
Author(s):  
Rahel Gamecha ◽  
Tsegaye Demissie ◽  
Amha Admasie

Background: Childhood under-nutrition is a major global health problem. Although the rate of under-nutrition in southern Ethiopia has substantially declined in the last decade, but it still remains the major causes of morbidity and mortality of children under-five years. Unfortunately, there was no study in this study area with respect to this topic of interest and therefore, this study was carried out to assess the magnitude of underweight and associated factors among children aged 6-59 months. Methods: A community based cross sectional study was conducted in Wonsho Woreda, Southern Ethiopia. A total of 595 randomly selected child mother pairs were selected using cluster sampling method. Data were collected using a face-to-face interview and children anthropometric measurements. Child Dietary Diversity Score (DDS) was determined. World Health Organization Anthro software was used to convert anthropometric measurements into Z-scores. The data was analyzed using Epidata version 3.1 and SPSS version 20. Bivariate and multivariable logistic regression model was used. A statistical significance was declared at p-value less than 0.05. Result: The overall prevalence of underweight was 122(20.5%) (95% CI, 17.3-23.8%), meanwhile, the prevalence of severe and moderate underweight was 7.1% and 13.4% respectively. Male children were 1.78 times more likely to be underweight than female children (AOR=1.78; 95%CI=1.17, 2.70). Unimmunized, children were 2.45 times more likely to be underweight (AOR=2.45; 95%CI=1.41, 4.24). Conclusion: Prevalence of nutritional underweight was high in the study area. Driving factors of underweight were investigated and therefore, strong stakeholders’ collaboration is compulsory to address the future public health burden.


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 ◽  
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.


2020 ◽  
Author(s):  
Gashaw Andargie Bikes ◽  
Amare Tariku ◽  
Molla Mesele Wassie ◽  
Solomon Mekonnen ◽  
Esmael Ali Muhammad ◽  
...  

Abstract Background: Studies on the feeding practice of children, including meal frequency and dietary diversity are scarce among children. Therefore, this study aimed to assess dietary diversity and meal frequency and associated factors among children aged 6-59 months at Dabat Health and Demographic Surveillance System (HDSS) site, northwest Ethiopia.Methods: A community based cross-sectional study was conducted at Dabat HDSS site from February to June 2016 on 1,174 mother-child pairs. A multistage stratified sampling followed by a systematic random sampling technique was employed to select the study participants. A binary logistic regression model was fitted to identify factors associated with dietary diversity and meal frequency. Variables having a p-value < 0.2 in the bivariate logistic regression were entered into multivariate logistic regression and a p-value < 0.05 were considered statistically significant with feeding practices.Result: The overall prevalence of a minimum dietary diversity practice and a minimum meal frequency was 27 % (95%CI: 24.4, 29.7) and 83.7 % (95%CI: 86.0, 91.7), respectively. Having antenatal care (ANC) service (AOR = 1.6; 95% CI: 1.18, 2.27) and institutional delivery (AOR = 2.6; 95% CI: 1.85, 3.55) increased odds of adequate dietary diversity. On the contrary, the odds of practicing an adequate dietary diversity was lower among a household obtained food from home gardens (AOR = 0.4; 95% CI: 0.29, 0.52) and currently breast fed children (AOR = 0.6; 95% CI: 0.42, 0.78). The probability of having a minimum meal frequency was decreased among children in the first two years of age (AOR = 0.1; 95% CI: 0.06, 0.15), however increased in children who fed alone (AOR = 1.9; 95% CI: 1.29, 2.69). Conclusion: The proportion of children who received the minimum dietary diversity was low while the proportion of children who obtained minimum meal frequency was good. Providing a health and nutrition counseling on Infant and Young Child Feeding (IYCF) during maternal ANC services and delivery period are recommended for achieving the recommended dietary practices.


2020 ◽  
Vol 2020 ◽  
pp. 1-9
Author(s):  
Hunegnaw Almaw Derseh ◽  
Liknaw Bewket Zeleke ◽  
Melese Linger Endalifer ◽  
Esmael Ali Muhammad ◽  
Terefe Derso

Introduction. Nutritional status of lactating women is highly linked with the overall nutritional status of population. Undernutrition during lactation results in increased morbidity and mortality to the mother and her child. The literature is dearth regarding to nutrition status of lactating mothers in developing countries such as Ethiopia. Objective. The aim of this study was to assess undernutrition and associated factors among lactating mothers having child 6–23 months in Dega Damot Woreda, Northwest Ethiopia. Methods. A community-based cross-sectional study was conducted from March 21 to April 19, 2018. Simple random sampling technique was employed to recruit a total of 733 participants. Data were collected by using an interview-administered questionnaire and entered into EpiData version 4.2 and transferred to SPSS version 20 for further analysis. Factors associated with undernutrition were identified using multivariable logistic regression at a p value of less than 0.05 at 95% confidence interval. The direction and strength of association was interpreted using adjusted odds ratio. Results. In this study, the magnitude of undernutrition among lactating women was 21.8%. Being unmarried (AOR: 2.65, 95% CI: 1.54, 4.53), their first pregnancy <18 years (AOR: 2.34, 95% CI: 1.42, 3.87), having more than 5 number of pregnancies (AOR: 2.79, 95% CI: 1.55, 5.03), inadequate dietary diversity score (AOR: 2.1, 95% CI: 1.16, 3.83), and household food insecurity (AOR: 3.68, 95% CI: 2.35, 5.77) were significantly associated factors with undernutrition. Conclusions. The prevalence of undernutrition among lactating women was found to be high. Programs should do better in enhancing activities of agricultural production to reduce household food insecure and to increase accessibility of diversified diet. Other researchers better to do other studies to identify main factors of undernutrition using a qualitative study.


2021 ◽  
Author(s):  
Mastewal Giza Amera ◽  
Gemechu Kumera Feyira ◽  
Nurilign Abebe Moges ◽  
Enyew Fenta Mengistu ◽  
Yihenew Sewale Bizu

Abstract Background: Childhood undernutrition continues to be the most serious public health problem in the developing world particularly in the rural area. Determining the nutritional status among children less than two years is needed to plan a good nutrition intervention and to provide nutrition education to the community. Despite this, there is limited research conducted in the study area.Objective: To assess undernutrition and associated factors among infants and young children aged 6-23 months in Sinan District, Northwest Ethiopia, 2019.Methods: A Community -based cross-sectional study was conducted among 431 child-mother pairs from March 10, 2019-April 20, 2019 in Sinan District. WHO Anthro software (version 3.2.2) was used to generate the Z-scores. Data were entered using Epi-Data version 4.2 and analysis was done using SPSS version 25. Bivariable and multivariable binary Logistic Regression were fitted. In the multivariable analysis, p-values less than 0.05 were considered as statistically significant factors. Results: The magnitude of stunting, underweight and wasting were 48.7%, 21.7%, and 8% respectively. Less than two times the daily intake of food (AOR = 3.7, 95% CI: 1.5, 9.3). Being older child (12-23 months) (AOR=0.46, 95% CI, 0.22, 0.96) and low dietary diversity score (AOR=0.53, 95% CI, (0.30, 0.92) were significantly associated with undernutrition. Additionally, not having a hand washing facility in the toilet was a significant predictor for both wasting and underweight. Conclusion: The prevalence of undernutrition among infants and young children was higher compared with the previous studies. Low dietary diversity score, lower meal frequency, being an older child, and absence of hand washing facility in the toilet were factors related to the nutritional status. Hence, interventions targeting community management of undernutrition might be appropriate to manage the problem. Efforts should also be intensified to reduce by focusing on identified determinants and the provision of nutrition education to mothers focusing on appropriate feeding practices to improve children’s nutritional status in the study area.


2020 ◽  
Author(s):  
Gaurab Acharya ◽  
Wandee Sirichokchatchawan ◽  
Keshab Sanjel

Abstract BackgroundAnemia is a global public health problem, consisting 40% of pregnant women being anemic worldwide. Manifold factors directly or indirectly contribute to anemia during pregnancy and amplify the risk of maternal and fetal mortality and morbidity. However, factors associated with anemia among pregnant women are not broadly understood in sub-national level. Thus, this study has made an effort to ascertain the prevalence and associated factors of anemia among pregnant women in AMDA Hospital of Eastern Nepal. MethodsHealth-facility based cross-sectional study was conducted among pregnant women of age 18-49 years attending antenatal care (ANC) in AMDA Hospital. A total of 420 samples were recruited through systematic random sampling. Data was collected through a validated semi-structured questionnaire. Hemoglobin concentration was recorded from laboratory test report. Collected data were entered in EpiData and analyzed in SPSS Version 22 licensed by Chulalongkorn University. Chi-square test was used for bivariate analysis and later, significant variables at p-value<0.10 were processed on multivariate analysis. Finally, the adjusted odd ratio was reported considering significant at p-value <0.05 with 95% confidence interval. ResultsThe overall prevalence of anemia was 42.1% (37.4%–47.0%). Almost 46%, 41% and 14% of women were with mild, moderate and severe types respectively. Factors such as age less than 20 years (7.23, 2.50–20.87) and between 20- 24 years (2.80, 1.31–5.96), religious minorities (3.09, 1.35–7.06), vegetarian diet pattern (4.33, 1.49–12.59), inadequate frequency (DGLV: once a week, fruits: twice in a week) of eating DGLV (8.71, 2.26 – 33.63) and fruits (2.73, 1.41–2.29), inadequate dietary diversity (7.16, 3.15–16.27), as well as no intake of multivitamins during pregnancy (4.23, 1.49– 11.98) were statistically associated with anemia among pregnant women. ConclusionOverall, the prevalence of anemia was found to be high in the study area. The associated factors of anemia ranged from socio-economic, dietary and obstetric care, and included age, religion, diet pattern, and frequency of eating DGLV and fruits, dietary diversity, as well as intake of multivitamins during pregnancy. The study recommends enhancing community-based interventions considering the identified factors.


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