Department of Public Health, College of Medicine and Health Sciences, Wollo University, Dessie, Ethiopia.
Department of Nutrition and Dietetics, School of Public Health, College of Medicine and Health Science, Bahir Dar University, Bahir Dar, Ethiopia.
PLoS One. 2020 Oct 29;15(10):e0241341. doi: 10.1371/journal.pone.0241341. eCollection 2020.
In Ethiopia about 25% of rural women are chronically malnourished. Non-pregnant and non-lactating women present an opportunity to implement strategies to correct maternal and child health status and to potentiate improved pregnancy outcomes in developing countries like Ethiopia. The determinant factors of chronic energy deficiency vary across settings and contexts; hence, it is important to identify local determinant factors in order to implement effective and efficient intervention strategies.
To assess the determinants of chronic energy deficiency of non-pregnant, non-lactating rural women within the reproductive age group (15-49 years), in rural kebeles of Dera district, North West Ethiopia, 2019.
A community based unmatched case control study was conducted. A total of 552 participants were involved and a multi-stage sampling technique was used to select the samples. Data was collected from January 15 to February 30, 2019 using face-to-face interviews and anthropometric assessments. EPI-info version 7 and SPSS™ version 23 were used for data entry and analysis, respectively. Bivariable and multivariable logistic regression models were used to analyze the association between dependent and independent variables. Association was considered statistically significant at 95% CI with p-value < 0.05 in multivariable logistic regression.
A total of 548 non-pregnant, non-lactating women with 137 cases and 411 controls were included in the study with a response rate of 99.3%. High family size (AOR = 1.88, 95% CI: 1.085, 3.275), low educational status (AOR = 3.389, 95% CI: 1.075, 10.683), inadequate meal frequency (AOR = 5.345, 95% CI: 2.266, 12.608), absence of home garden (AOR = 5.612, 95% CI: 3.177, 9.915) and absence of latrine facility (AOR = 6.365, 95% CI: 3.534, 11.462) were found positively associated with chronic energy deficiency.
Inadequate meal frequency, absence of home gardening, absence of latrine facility, high family size and educational status of illiterate were the determinants of chronic energy deficiency, thus indicating the imperative for a multi-sectoral approach with health, agriculture and education entities developing and delivering interventions.
在埃塞俄比亚，约有 25%的农村妇女长期营养不良。非孕妇和非哺乳期妇女为实施策略提供了机会，以纠正母婴健康状况，并促进像埃塞俄比亚这样的发展中国家改善妊娠结局。慢性能量缺乏的决定因素因环境和背景而异；因此，确定当地的决定因素对于实施有效和高效的干预策略非常重要。
评估 2019 年在埃塞俄比亚西北部德拉地区农村地区生育年龄组（15-49 岁）的非孕妇和非哺乳期农村妇女慢性能量缺乏的决定因素。
进行了一项基于社区的非匹配病例对照研究。共有 552 名参与者参与，采用多阶段抽样技术选择样本。数据于 2019 年 1 月 15 日至 2 月 30 日通过面对面访谈和人体测量评估收集。EPI-info 版本 7 和 SPSS™ 版本 23 分别用于数据输入和分析。使用单变量和多变量逻辑回归模型分析因变量和自变量之间的关系。多变量逻辑回归中，在 95%CI 置信区间内，p 值<0.05 被认为具有统计学意义。
共纳入 548 名非孕妇和非哺乳期妇女，其中 137 例为病例，411 例为对照，应答率为 99.3%。大家庭规模（AOR=1.88，95%CI：1.085，3.275）、低教育程度（AOR=3.389，95%CI：1.075，10.683）、饮食频率不足（AOR=5.345，95%CI：2.266，12.608）、无家庭菜园（AOR=5.612，95%CI：3.177，9.915）和无厕所设施（AOR=6.365，95%CI：3.534，11.462）与慢性能量缺乏呈正相关。
饮食频率不足、无家庭菜园、无厕所设施、大家庭规模和文盲教育程度是慢性能量缺乏的决定因素，因此需要卫生、农业和教育实体采取多部门办法，制定和提供干预措施。
