Path Analysis on the Determinants of Complementary Feeding Practice

ABSTRACT Background: Complementary feeding practice is needed to be optimized to maximize children’s potential for growth and development. However, there are still many obstacles in provide complementary feeding practice. This study aimed to examine the determinants of complementary feeding practice. Subjects and Method: A cross sectional study was conducted in Gunungkidul, Yogyakarta, Indonesia, from October to November 2019. A sample of 200 mothers who had infants aged 6-24 months was selected by probability sampling. The dependent variable was complementary feeding practice. The independent variables were birthweight, child nutritional status, maternal knowledge toward complementary feeding, maternal education, and family income. The data were collected by infant weight scale, infantometer, and questionnaire. The data were analyzed by a multiple logistic regression run on Stata 13. Results: Complementary feeding practice increased with birthweight ≥2500 g (b= 2.67; 95% CI=0.59 to.89; p= 0.008), child nutritional status (WHZ) -2.0 to 2.0 SD (b= 2.72; 95% CI=o.75 to 4.61; p= 0.006), high maternal knowledge toward complementary feeding (b= 2.27; 95% CI= 0.27 to 3.79; p= 0.023), maternal education ≥Senior high school (b= 2.19; 95% CI= 0.23 to 4.25; p= 0.028), and family income ≥Rp 1,571,000 (b= 2.42; 95% CI= 0.39 to 3.77; p= 0.015). Conclusion: Complementary feeding practice increases with birthweight ≥2500 g, good child nutritional status, high maternal knowledge toward complementary feeding, high maternal education, and high family income. Keywords: complementary feeding, path analysis Correspondence: Renidya Asyura Muttabi’ Deya Fa’ni. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java, Indonesia. Email: [email protected]. Mobile: +62 815 3934 0421. DOI: https://doi.org/10.26911/the7thicph.03.103

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Effect of Family Development Session Family Hope Program on The Visit to Posyandu and Nutritional Status of Children Under Five

Childhood Stunting, Wasting, and Obesity, as the Critical Global Health Issues: Forging Cross-Sectoral Solutions ◽

10.26911/the7thicph.03.106 ◽

2020 ◽

Author(s):

Nisaus Zakiyah ◽

◽

Endang Sutisna Sulaeman ◽

Eti Poncorini Pamungkasari ◽

◽

...

Keyword(s):

Social Support ◽

Nutritional Status ◽

Maternal Education ◽

Family Income ◽

Complementary Feeding ◽

Health Post ◽

Maternal Knowledge ◽

Family Development ◽

Integrated Health ◽

Child Nutritional Status

ABSTRACT Background: The Family Hope Program through the Family Development Session (FDS) provides social services on maternal and child health. Social cognitive theory (SCT) may explain how family development session family hope program affects to the integrated health post (posyandu) visit) and child nutrional status. This study aimed to analyze the effect of the FDS Family Hope Program on the child nutritional status. Subjects and Method: This was an analytic observational study with cohort retrospective design. The study was conducted at the integrated health posts, in January 2020. The dependent variable was child nutritional status. The independent variables were family development session, maternal education, family income, social support, maternal knowledge, self-efficacy, complementary feeding, and integrated health post visit. The data were collected by questionnaire and analyzed by a multiple linier regression. Results: Child nutritional status was positively associated with FDS participation (b= 1.12; 95% CI= 1.31 to 7.15; p= 0.010), high maternal education (b= 0.92; 95% CI= 1.09 to 5.83; p= 0.031), high family income (b= 0.96; 95% CI= 1.14 to 6.00; p= 0.023), strong social support (b= 1.24; 95% CI= 1.34 to 7.85; p= 0.009), high maternal knowledge (b= 1.24; 95% CI= 1.50 to 7.96; p= 0.004), high self efficacy (b= 0.92; 95% CI= 1.09 to 5.76; p= 0.030), appropriate complementary feeding (b= 0.96; 95% CI= 1.15 to 6.02; p= 0.023), and active integrated health post visit (b= 1.03; 95% CI= 1.15 to 6.90; p= 0.024). Conclusion: Child nutritional status is positively associated with FDS participation, high maternal education, high family income, strong social support, high maternal knowledge, high self efficacy, appropriate complementary feeding, and integrated health post visit. Keywords: child nutritional status, family development session, integrated health post visit Correspondence: Nisaus Zakiyah. Masters Program in Public Health, Universitas Sebelas Maret, Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: [email protected]. Mobile: +6285235948995. DOI: https://doi.org/10.26911/the7thicph.03.106

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Appropriate Complementary Feeding Practice Was Relatively Low and Associated with Mother’s Education, Family Income, And Mother’s Age: A Community Based Cross-Sectional Study in Northern Ethiopia

Journal of Nutritional Health & Food Engineering ◽

10.15406/jnhfe.2017.06.00191 ◽

2017 ◽

Vol 6 (2) ◽

Author(s):

Belete Y

Keyword(s):

Family Income ◽

Complementary Feeding ◽

Cross Sectional Study ◽

Feeding Practice ◽

Northern Ethiopia ◽

Sectional Study ◽

Community Based ◽

Cross Sectional ◽

Mother’S Education ◽

Mother’S Age

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FAKTOR YANG MEMPENGARUHI STATUS GIZI BALITA DI PUSKESMAS NELAYAN KOTA CIREBON

JI-KES (Jurnal Ilmu Kesehatan) ◽

10.33006/ji-kes.v1i1.41 ◽

2017 ◽

Vol 1 (1) ◽

Author(s):

Andy Muharry ◽

Isti Kumalasari ◽

Eka Rosmayanti Dewi

Keyword(s):

Nutritional Status ◽

Random Sampling ◽

Growth And Development ◽

Maternal Education ◽

Family Income ◽

Influential Factor ◽

Physical Growth ◽

Nutrition Status ◽

Maternal Knowledge ◽

Cross Sectional

AbstrakBalita merupakan kelompok usia yang memerlukan asupan gizi yang cukup baik karena pada masa ini terjadi proses pertumbuhan dan perkembangan yang sangat pesat. Kekurangan gizi pada masa ini akan menyebabkan kegagalan pertumbuhan fisik dan perkembangan kecerdasan. Beberapa faktor yang terkait dengan status gizi balita yaitu kondisi sosial ekonomi, pendidikan ibu, jumlah anak dan pengetahuan ibu. Adapun prevalensi gizi kurang di wilayah kerja Puseksmas Nelayan lebih tinggi dari rata-rata prevalensi gizi kurang di Kota Cirebon yaitu sebesar 10,9%. Tujuan penelitian yaitu menganalisis faktor yang mempengaruhi status gizi balita usia 12-24 tahun. Penelitian ini menggunakan desain analitik dengan pendekatan cross sectional. Populasi adalah balita usia 12-24 bulan. Sampel berjumlah 93 orang diambil dengan teknik proportional random sampling. Instrumen penelitian berupa lembar kuesioner. Analisis data dilakukan dengan analisis univariabel, bivariabel dan multivariabel. Hasil analisis dengan chi square didapatkan variabel yang hubungan dengan status gizi balita yaitu pengetahuan ibu (p=0,003; OR=3,68) pendapatan keluarga (p=0,003; OR=3,702). Faktor yang paling berpengaruh terhadap status gizi balita yaitu keaktifan posyandu. Pengetahuan ibu yang kurang tentang gizi balita, pendapatan keluarga yang rendah dan keaktifan posyandu yang tidak aktif merupakan faktor yang mempengaruhi status gizi balita usia 12-24 bulan. Ibu agar tetap aktif mebawa balita ke posyandu dan meningkatkan pengetahuan tentang gizi balita. Kata kunci: pengetahuan, pendapatan keluarga, keaktifan posyandu, status gizi, balita AbstractToddlers are the age group that needs a good enough nutritional intake because there is a process of growth and development very rapidly. Malnutrition will lead to failure of physical growth and development of intelligence. Several factors related to the nutritional status of toddlers are socio-economic conditions, maternal education, number of children and mother's knowledge. The prevalence of less nutrition in the working area of Nelayan Public Health Centers is higher than the average prevalence of malnutrition in Cirebon City. The purpose of this research to analyze factors that influence the nutritional status of toddlers. This research uses analytic design with cross sectional approach. The population is children aged 12-24 months. A sample of 93 people was taken with proportional random sampling technique. The research instrument is a questionnaire. Data were analized by univariable, bivariable and multivariable. The result showed that the correlation between nutrition status of toddler was maternal knowledge (p = 0,003; OR = 3,68), family income (p = 0,003; OR = 3,702). The most influential factor on the nutritional status of toddlers is the activeness of posyandu. Mother to remain active to bring toddlers to posyandu and improve knowledge about child nutrition. Keywords: knowledge, family income, activeness of posyandu, nutritional status, toddler

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Complementary feeding practices and nutritional status of young children in a community in Sokoto

Nigerian Journal of Paediatrics ◽

10.4314/njp.v47i4.5 ◽

2020 ◽

Vol 47 (4) ◽

pp. 324-329

Author(s):

T. Yusuf ◽

B. Jibrin

Keyword(s):

Young Children ◽

Nutritional Status ◽

Complementary Feeding ◽

Feeding Practices ◽

Cross Sectional Study ◽

P Value ◽

Feeding Practice ◽

Cross Sectional ◽

Economic Class ◽

The Mean

Background: Complementary feeding is the cornerstone of child’s nutrition. Most malnourished children had their predicament originating from the period of transition from breastfeeding to family diet. Objectives: To determine the complementary feeding practices and nutritional status of young children in Gwiwa community. Materials and Methods: This cross-sectional study was carried out in Gwiwa community, Wammakko LGA, Sokoto State between January and June, 2018. Three hundred and ten mothers with their children aged 6 –36 months were interviewed using structured interviewer - administered questionnaire and the children’s nutritional status was assessed using WHO classification of malnutrition. Data was analysed using SPSS version22.0.A p-value ≤0.05 was taken as significan. Results: One hundred and forty (45.2%) respondents were aged 15 – 24years and 168(54.2%) were of low socio-economic class. There were 190 males and 120 females with 66 (21.3%) children exclusively bre as t - fed for 6months. The mean age of cessation of breast feeding was 17.8 ±3.6 months. One hundred and sixty-nine (54.5%) children commenced complementary feeding at 6-8month of age with the mean age of 5.7(±2.6) months. One hundred and eighty-four (59.4%) used plain pap with 41.2% fed more than 3 times per day. Eighty-two (26.5%), 56(18.1%) and 76 (24.5%) children were underweight, wasted and stunted respectively. Conclusion: The complementary feeding practices were suboptimal in this community and might explain the poor nutritional status of their under- fives. Efforts should be geared towards optimal complementary feeding practices in this community. Key words: Complementary, Feeding, Practice, Nutritional, Status, Under-5.

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Pengetahuan, sikap, motivasi ibu, dan praktik pemberian MP-ASI pada anak usia 6-23 bulan: studi formatif di Aceh

Jurnal Gizi Klinik Indonesia ◽

10.22146/ijcn.34560 ◽

2019 ◽

Vol 16 (1) ◽

pp. 1

Author(s):

Aripin Ahmad ◽

Siti Madanijah ◽

Cesilia Meti Dwiriani ◽

Risatianti Kolopaking

Keyword(s):

Nutrition Education ◽

Complementary Feeding ◽

Dietary Diversity ◽

Binary Logistic Regression ◽

Cross Sectional Study ◽

Feeding Practice ◽

Maternal Knowledge ◽

Cross Sectional ◽

Knowledge And Attitude ◽

Attitude And Motivation

Maternal knowledge, attitude, motivation and complementary feeding practice of children aged 6-23 months: formative study in AcehBackground: Poor knowledge, attitude, and motivation of the mother determine complementary feeding (CF) practice of the child resulting in poor nutrition fulfillment. Objective: This study aimed to analyze maternal knowledge, attitude, motivation, and relationships with the CF practice of children aged 6-23 months.Method: A cross-sectional study and cluster random sampling was applied to select 392 mothers of children aged 6-23 months in Aceh Besar District. Data on maternal knowledge, attitude, and motivation were collected using valid and reliable structured questionnaire. CF practice quality was assessed using indicators of timely introduction to CF, minimum meal frequency, minimum dietary diversity, and minimum acceptable diet according to WHO recommendation. The association of maternal knowledge, attitude, and motivation with CF practice was analyzed using binary logistic regression with a 95% confidence level (α=0.05).Results: There was a small proportion of mothers (20.2%, 8.7%, 33.9%) having good knowledge, attitude, and motivation, respectively. Overall, there was one-fourth (23%) of the children aged 6-23 months receiving CF as recommended by WHO. There were significant correlations between maternal knowledge and attitude (r=0.606, p<0.01) and motivation (r=0.103, p<0.05). Education level and motivation were the risk factors of improper CF practice (OR=4.25; 95% CI: 1.10-16.36; p=0.035and OR=1.83; 95% CI: 1.05-3.16; p=0.031, respectively). Conclusion: Maternal knowledge, attitude, and motivation of children aged 6-23 months in Aceh were still poor, shown by improper CF practice. Therefore, an effort to improve nutrition education, particularly by health personnel and stakeholder, to be specific and targeted is important.

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ASSESSMENT OF NUTRITIONAL STATUS AND ITS DETERMINANTS AMONG CHILDREN IN AGE GROUP OF 1-5 YEARS IN A TRIBAL POPULATION OF COIMBATORE DISTRICT-A CROSS SECTIONAL STUDY

10.36106/paripex/4501862 ◽

2020 ◽

pp. 51-54

Author(s):

T. Pravin ◽

P.K. Govindarajan ◽

A. John William Felix

Keyword(s):

Nutritional Status ◽

Maternal Education ◽

Cross Sectional Study ◽

Age Group ◽

Sectional Study ◽

Cross Sectional ◽

Under Five ◽

Under Five Children ◽

Malnourished Children ◽

Coimbatore District

Background: Under-five children are more vulnerable to malnutrition especially in rural areas resulting in more morbidity and mortality among them. The present study is aimed to assess the prevalence of malnutrition among children of 1-5 years of age in tribal hamlets of Valparai block, Coimbatore district in Tamil Nadu. Methods: A community-based, cross-sectional study was conducted among 95 children in the age group of 1-5 years during December-January 2020. Anthropometric measurements were taken. The indicators of nutritional status of children like stunting, underweight, and wasting were expressed using WHO growth standards. Results: The overall prevalence of malnutrition in our study was 31.6%. Among the 30 (31.6%) malnourished children, 40% were underweight, and 6.67% were severely underweight. 40% were stunted, of which 13.3% were severely stunted. Wasting was present in 23.3% of malnourished children. Severe wasting was not seen. Socio-demographic factors including the type of house, maternal education, BMI of the mother, age of mother at childbirth and place of delivery had significant association with malnutrition among under-five tribal children. Conclusions: Malnutrition poses a serious threat to under-five children. Though many known risk factors of malnutrition have been studied, understanding the local factors linked with malnutrition is so crucial while planning information, education, and communication programs in this area.

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Social Economic Determinants of Birth Weight: Path Analysis Evidence from Situbondo, East Java

Childhood Stunting, Wasting, and Obesity, as the Critical Global Health Issues: Forging Cross-Sectoral Solutions ◽

10.26911/the7thicph.03.104 ◽

2020 ◽

Author(s):

Eti Kuswandari ◽

◽

Harsono Salimo ◽

Yulia Lanti Retno Dewi ◽

◽

...

Keyword(s):

Birth Weight ◽

Path Analysis ◽

Cigarette Smoke ◽

Maternal Age ◽

Maternal Education ◽

Low Birthweight ◽

Family Income ◽

Smoke Exposure ◽

Cigarette Smoke Exposure ◽

Maternal Knowledge

ABSTRACT Background: Social economics and environmental factors contribute to low birthweight. Cigarette exposure to tobacco smoke in pregnant women has been discerned as an important risk factor for low birth weight. The purpose of this study was to investigate social economic determinants of birth weight using path analysis model. Subjects and Method: A case control study was carried out at Asembagus community health center, Situbondo, East Java. The study population was children aged 0-1 years. A sample of 150 children with normal birthweight and 50 children with low birth weight was selected randomly. The dependent variable was low bierthweight. The independent variables were maternal age, maternal employment status, family income, maternal knowledge, and cigarette smoke exposure. The data were collected by questionnaire and analyzed by path analysis. Results: The risk of low birthweight was directly and positively associated with maternal age <20 or ≥35 years (b= 1.78; 95% CI= 0.83 to 2.73; p<0.001), low maternal education (<Senior high school) (b= 0.93; 95% CI= 0.00 to 1.86; p= 0.049), mother work outside the home (b= 1.24; 95% CI= 0.26 to 2.22; p= 0.013), low family income low (b= 1.33; 95% CI= 0.42 to 2.24; p= 0.004), low maternal knowledge (b= 1.17; 95% CI= 0.13 to 2.21; p= 0.026), and high cigarette smoke exposure (b= 1.11; CI 95%= 0.08 to 2.13; p= 0.035). The risk of low birthweight was indirectly and positively associated with maternal education, maternal knowledge, and family income. Conclusion: The risk of low birthweight is directly and positively associated with maternal age <20 or ≥35 years, low maternal education (<Senior high school), mother work outside the home, low family income low, low maternal knowledge, and high cigarette smoke exposure. The risk of low birthweight is indirectly and positively associated with maternal education, maternal knowledge, and family income. Keywords: low birthweight, cigarette smoke exposure, social economy determinants, path analysis Correspondence: Eti Kuswandari. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: [email protected]. Mobile: +6282132770153. DOI: https://doi.org/10.26911/the7thicph.03.104

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Extra institutional food consumption and food preferences of full-time public school students

Revista de Nutrição ◽

10.1590/1678-98652018000400003 ◽

2018 ◽

Vol 31 (4) ◽

pp. 373-384 ◽

Cited By ~ 1

Author(s):

Nágila Araújo de CARVALHO ◽

Karine Anusca MARTINS ◽

Lucilene Maria de SOUSA

Keyword(s):

Food Consumption ◽

Maternal Education ◽

Family Income ◽

Eating Habits ◽

Linear Trend ◽

Food Preferences ◽

Cross Sectional Study ◽

Full Time ◽

School Students ◽

Cross Sectional

ABSTRACT Objective To analyze the factors associated with the consumption of extra institutional foods and the food preferences of full-time students. Methods A cross-sectional study with students from full-time municipal schools in the city of Goiânia, Brazil, from 6 to 14 years of age, both sexes and without food restrictions. The per capita family income, maternal education, nutritional status, the consumption of extra institutional foods (meals not provided by the school) in each meal and their source, and foods with higher or lower preference in school eating habits were verified. Both a Chi-Square and a Linear Trend tests were used to analyze the data. Results Three hundred and fifty nine students participated, most of them aged between 6 and 10. More than one third consumed extra institutional foods (44.0%), with the highest frequency of consumption during the mid-morning snack (34.0%). These foods mainly originated from their own households (48.7%) and one of the main items consumed was carton juice. There was an association between adolescents and mothers with higher education levels and the consumption of these items during lunch, and between students who are non-overweight and their consumption in the afternoon snack. The preferred foods were chocolate milk and bread with butter/margarine, rice and beans, passion fruit juice, and bread with cheese/requeijão and less preferably: caramelized milk and salt biscuit, beans and beets, coconut porridge and bread with cheese. Conclusion There was a high frequency of extra institutional food consumption, associated to the age group, to a higher educational level of the mother and students who are non-overweight. Foods of higher and lower preference included dairy foods and beans.

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