Maternal characteristics and nutritional status among 6–59 months of children in Ethiopia: further analysis of demographic and health survey
Tóm tắt
Nutritional status of children influences their health status, which is a key determinant of human development. In Ethiopia, 28% of child mortality is caused by under nutrition. There is also some controversial evidence about the association between maternal characteristics and nutritional status of under five children. This study was aimed to assess the association between maternal characteristics and nutritional status among 6–59 months of children in Ethiopia. This was furtheranalysis ofthe 2016 Ethiopian Demographic and Health Surveyusing7452 children.. Generalized estimating equations was used to quantify the association of maternal factors with stunting and wasting. Both crude Odds ratio and adjusted odds ratio with the corresponding 95% confidence intervals were reported to show the strength of association. In multivariable analysis, variables with a p-value of < 0.05 were considered statistically significant. The higher odds of stunting were found among children whose mothers had no education (AOR = 1.58; 95%CI: 1.25, 2.0) and primary education (AOR = 1.42; 95%CI: 1.13, 1.78), underweight nutritional status (AOR = 1.59; 95%CI: 1.27, 2.0), and anemia (AOR = 1.16; 95%CI: 1.04, 1.30). Similarly, higher odds of wasting were observed among children whose mother had underweight nutritional status (AOR = 2.34; 95%CI: 1.65, 3.38), delivered at home (AOR = 1.31; 95%CI: 1.07, 1.60), and lower than 24 months birth interval (AOR = 1.31; 95%CI: 1.04, 1.64). Maternal education, nutritional status, and anemia were associated with child stunting. Also maternal nutritional status, place of delivery, and preceding birth interval were associated with wasting. Therefore, there is needed to enhance the nutritional status of children by improving maternal underweight nutritional status, maternal educational and maternal anemia status, prolonging birth interval, and promoting health facility delivery.
Tài liệu tham khảo
GIRMA W, Genbo T. Determinants of nutritional status of women and children in Ethiopia. Calverton, Maryland, USA: ORC macro; 2002.
WHO. World health report: make every mother and child count. Geneva: World Health Organization; 2005.
Christiaensen L, Alderman H. Child malnutrition in Ethiopia: can maternal knowledge augment the role of income? Econ Dev Cult Chang. 2004;52(2):287–312.
Mekonnen A, Jones N, Tefera B. Tackling Child Malnutrition in Ethiopia: Do the sustainable development poverty reduction Programme’s underlying young lives, save the children UK. In: Policy assumptions reflect local realities? . Working paper No19; 2005.
Shrimpton R, Victora CG, de Onis M, Lima RC, Blössner M, Clugston G. Worldwide timing of growth faltering: implications for nutritional interventions. Pediatrics. 2001;107(5).
Zere E, McIntyre D. Inequities in under-five child malnutrition in South Africa. Int J Equity Health. 2003;2(7).
Judith EB. Nutrition through the life Cycle.4th edition. USA: Wadsworth; 2011.
Le Cuziat G. Maximising the nutritional impact of food security and livelihoods interventions, a manual for field workers: ACF International; 2011.
Aliyu AA, Oguntunde OO, Dahiru T, Raji T. Prevalence and determinants of malnutrition among pre-school children in northern Nigeria. Pak J Nutr. 2012;11(11):1092–5.
Government FDRE. National nutrition program. In: June 2013–June; 2015.
EDHS. Central Statistical Agency (CSA) [Ethiopia] and ICF. In: Ethiopia Demographic and health survey: Addis Ababa, Ethiopia: Rockville, Maryland, USA, CSA and ICF; 2016.
Michael T. The role of maternal characteristics on nutritional status of Ethiopian children: Addis Ababa University, Department of Economics. Ethiopian Journal of Health Development; 2006.
WHO. Indicators for assessing infant and Young Child feeding practices Part 3 Country Profiles. 2010.
WHO. BMI classification. In: Global database on body mass index. World Health Organization, Department of Nutrition for health and development (NHD); 2004.
WHO. Iron defficiency Anemia, Assessment, Prevention, and control. In: A Guide for Program Managers. Geneva,Switzerland: World Health Organization; 2001.
Happiness S. Persistent child malnutrition in Tanzania: risks associated with traditional complementary foods (a review). Afr J Food Sci. 2010;4:679–92.
Abuya BA, Ciera J, Kimani-Murage E. Effect of mother's education on child's nutritional status in the slums of Nairobi. BMC Pediatr. 2012;12(80).
EDHS CSAII. Ethiopia Demographic and Health Survey. Addis Ababa, Ethiopia and Calverton, Maryland, USA: Central Statistical Agency and ICF international; 2011.
Macro. International Inc. Nutrition of Young Children and Women, Ethiopia. Calverton, Maryland, USA: Macro International Inc. 2008.
Yimer G. Malnutrition among children in southern Ethiopia: levels and risk factors. Ethiop J Health Dev. 2000;14(3):283–92.
Raj A, Saggurti N, Winter M, Labonte A, Decker MR, Balaiah D, et al. The effect of maternal child marriage on morbidity and mortality of children under 5 in India: cross-sectional study of a nationally representative sample. BMJ. 2010;340 (b4258).
Edris M. Assessment of nutritional status of preschool children of Gumbrit. Ethiop J Health Dev. 2006;21:125–9.
Adekanmbi VT, Kayode GA, Uthman OA. Individual and contextual factors associated with childhood stunting in Nigeria: a multilevel analysis. Maternal & child nutrition. 2013;9:244–59.
Semali IA, Tengia-Kessy A, Mmbaga EJ, Leyna G. Prevalence and determinants of stunting in under-five children in Central Tanzania: remaining threats to achieving millennium development goal 4. BMC Public Health. 2015;15(1153).
Correia LL, Silva AC e, Campos JS, Andrade FM d O, Machado MMT, Lindsay AC, et al. Prevalence and determinants of child undernutrition and stunting in semiarid region of Brazil. Revista Saude Publica. 2014;48:19–28.
Black RE, Allen LH, Bhutta ZA, Caulfield LE, de Onis M, Ezzati M, et al. Maternal and child undernutrition study group maternal and child undernutrition: global and regional exposures and health consequences, vol. 371; 2008. p. 243–60.
Ergin F, Okyay P, Atasoylu G. E. B. Nutritional status and risk factors of chronic malnutrition in children under five years of age in Aydin, a western city of Turkey. Turk J Pediatr. 2007;49:283–9.
Women and nutrition ,Nutrition Policy Discussion Paper,. Symposium report. 2001.
WHO. Global targets 2025:Anemia policy brief. 2014.
Thorne CJ, Roberts LM, Edwards DR, Haque MS, Cumbassa A, Last AR. Anaemia and malnutrition in children aged 0–59 months on the Bijagós archipelago, Guinea-Bissau, West Africa: a cross-sectional, population-based study. Paediatrics International Child Health. 2013;33(3):151–60.
Teller H, Yimar G. Levels and determinants of malnutrition in adolescent and adult women in southern Ethiopia. Ethiop J Health Dev. 2000;14(1):57–66.
Loaiza E. Maternal nutritional status. In: DHS Comparative Studies No.24. Calverton, Maryland, USA: Macro International Inc; 2002.
Genebo T, Girma W, Hadir J, Demmissie T. The association of children's nutritional status to maternal education in Ziggbaboto, Guragie zone SouthEthiopia. Ethiop J Health Dev. 2001;13(1):55–61.
Das S, Rahman RM. Application of ordinal logistic regression analysis in determining risk factors of child malnutrition in Bangladesh. Nutr J. 2011;10(124).
Rayhan M, MSH K. Factors causing malnutrition among under-five children in Bangladesh. Pak J Nutr. 2006;5(6):558–62.
Sommerfelt, et al. Children’s nutritional status. In: DHS Comparative Studies No. 12. Calverton, Maryland, USA: Macro International Inc; 2003.