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