Temesgen Habtamu, Yeneabat Tebikew, Teshome Muluken
1Department of Nutrition and Food Science, College of Health Sciences, Debre Markos University, Debre Markos, Ethiopia.
2Department of Midwifery, College Health Sciences, Debre Markos University, Debre Markos, Ethiopia.
BMC Nutr. 2018 Feb 17;4:5. doi: 10.1186/s40795-018-0214-2. eCollection 2018.
Child malnutrition accounted by poor dietary diversity is common in developing countries contributing for child morbidity and mortality. It also has an impact on child growth and development. Almost all nutritional related problems are preventable by implementing infant and child feeding strategies. The first two years of life are particularly important to reverse the nutritional problems by achieving dietary diversity feeding.The study aimed to assess dietary diversity and its associated factors among 6-23 months old children in Sinan , Northwest Ethiopia.
We conducted community based cross-sectional study among children aged 6-23 months in Sinan from February 16 to March 10, 2016. Random sampling technique was used to select 740 samples. Data on children's dietary diversity of the last 24 h were collected through interview of mothers. Data were entered into EpiData version 3.1 and analysis was performed using SPSS version 20. The bivariate and multivariable logistic regression analyses were done to identify the independent factors associated with sub-optimal dietary diversity among children aged 6-23 months.
Seven hundred thirty six samples were included in the analysis with the response rate of 99%. Optimum dietary diversity was observed in 13% children. The dominant food groups consumed were grains. Availability of media sources at household [Adjusted Odds Ratio (AOR) = 2.77 (1.65-4.68)], availability of cow milk in the household [AOR = 2.39 (1.31-4.35)], women's involvement in decision-making at household level [AOR = 2.07 (1.02-4.20)], institutional delivery service utilization [AOR = 2.40 (1.24-4.67)], receiving assisted delivery service [AOR = 2.36 (1.12-4.98)], receiving postnatal care [AOR = 2.07 (1.18-3.63)], distance far from the health center [AOR = 3.11 (1.66-5.83)] and meal frequency being four and above [AOR = 3.31 (1.53-7.18)] were associated with dietary diversity.
This study concluded that optimum dietary diversity among children aged 6-23 months in Sinan is low. Meal frequency is positively associated with dietary diversity. Women involvement at household decision making improves dietary diversity of children. Ensuring maternal health service utilization can contribute for better dietary diversity of children aged 6-23 months. Large scale an interventional based research has to be conducted.
在发展中国家，因饮食多样性差导致的儿童营养不良很常见，这是儿童发病和死亡的一个原因。它还会影响儿童的生长发育。几乎所有与营养相关的问题都可以通过实施婴幼儿喂养策略来预防。生命的头两年对于通过实现多样化饮食喂养来扭转营养问题尤为重要。本研究旨在评估埃塞俄比亚西北部锡南6至23个月大儿童的饮食多样性及其相关因素。
2016年2月16日至3月10日，我们在锡南对6至23个月大的儿童进行了一项基于社区的横断面研究。采用随机抽样技术选取740个样本。通过对母亲的访谈收集过去24小时儿童饮食多样性的数据。数据录入EpiData 3.1版本，并使用SPSS 20版本进行分析。进行双变量和多变量逻辑回归分析，以确定与6至23个月大儿童饮食多样性欠佳相关的独立因素。
736个样本纳入分析，应答率为99%。13%的儿童饮食多样性达到最佳。摄入的主要食物类别是谷物。家庭中有媒体资源[调整优势比（AOR）=2.77（1.65 - 4.68）]、家庭中有牛奶[AOR = 2.39（1.31 - 4.35）]、女性参与家庭决策[AOR = 2.07（1.02 - 4.20）]、利用机构分娩服务[AOR = 2.40（1.24 - 4.67）]、接受助产服务[AOR = 2.36（1.12 - 4.98）]、接受产后护理[AOR = 2.07（1.18 - 3.63）]、距离健康中心远[AOR = 3.11（1.66 - 5.83）]以及进餐次数为四次及以上[AOR = 3.31（1.53 - 7.18）]均与饮食多样性相关。
本研究得出结论，锡南6至23个月大儿童的最佳饮食多样性较低。进餐次数与饮食多样性呈正相关。女性参与家庭决策可改善儿童的饮食多样性。确保孕产妇利用保健服务有助于6至23个月大儿童获得更好的饮食多样性。必须开展大规模的基于干预的研究。
