Getacher Lemma, Egata Gudina, Alemayehu Tadesse, Bante Agegnehu, Molla Abebaw
Department of Public Health, College of Health Sciences, Debre Berhan University, Debre Berhan, Ethiopia.
School of Public Health, College of Health and Medical Sciences, Haramaya University, Harar, Ethiopia.
J Nutr Metab. 2020 Dec 1;2020:1823697. doi: 10.1155/2020/1823697. eCollection 2020.
Low dietary diversity superimposed with poor-quality monotonous diets is a major problem that often results in undernutrition, mainly micronutrient deficiencies. However, there is limited evidence on minimum dietary diversity and associated factors among lactating mothers in resource-poor settings, including the study area. Therefore, the objective of the study is to assess the prevalence of minimum dietary diversity and associated factors among lactating mothers in Ataye District, Ethiopia.
A community-based cross-sectional study design was used among 652 lactating mothers aged 15-49 years from January 25 to April 30, 2018. Dietary diversity was measured by the minimum dietary diversity indicator for women (MDD-W) using the 24-hour dietary recall method. Data were entered into EpiData version 4.2.0.0 and exported to the statistical package for social science (SPSS) version 24 for analysis using the logistic regression model.
The prevalence of minimum dietary diversity among lactating mothers was 48.8% (95% CI: (44.7%, 52.9%). Having formal education ((AOR = 2.16, 95% CL: (1.14, 4.09)), a final say on household purchases ((AOR = 5.39, 95% CI: (2.34, 12.42)), home gardening practices ((AOR = 2.67, 95% CI: (1.49, 4.81)), a history of illness ((AOR = 0.47, 95% CI: (0.26, 0.85)), good knowledge of nutrition ((AOR = 5.11, 95% CI: (2.68, 9.78)), being from food-secure households ((AOR = 2.96, 95% CI: (1.45, 6.07)), and medium ((AOR = 5.94, 95% CI: (2.82, 12.87)) and rich wealth indices ((AOR = 3.55, 95% CI: (1.76, 7.13)) were significantly associated with minimum dietary diversity.
The prevalence of minimum dietary diversity among lactating mothers was low in the study area. It was significantly associated with mothers having a formal education, final say on the household purchase, home garden, good knowledge of nutrition, history of illness, food-secure households, and belonging to medium and rich household wealth indices. Therefore, efforts should be made to improve the mother's decision-making autonomy, nutrition knowledge, household food security, and wealth status.
低饮食多样性加上质量差的单调饮食是一个主要问题，常常导致营养不良，主要是微量营养素缺乏。然而，在包括研究区域在内的资源匮乏地区，关于哺乳期母亲的最低饮食多样性及其相关因素的证据有限。因此，本研究的目的是评估埃塞俄比亚阿塔耶区哺乳期母亲的最低饮食多样性患病率及其相关因素。
2018年1月25日至4月30日，对652名年龄在15 - 49岁的哺乳期母亲采用基于社区的横断面研究设计。使用24小时饮食回顾法，通过妇女最低饮食多样性指标（MDD - W）来衡量饮食多样性。数据录入EpiData 4.2.0.0版本，并导出到社会科学统计软件包（SPSS）24版本，使用逻辑回归模型进行分析。
哺乳期母亲的最低饮食多样性患病率为48.8%（95%置信区间：（44.7%，52.9%））。接受正规教育（（调整后比值比（AOR）= 2.16，95%置信区间：（1.14，4.09））、对家庭采购有最终决定权（（AOR = 5.39，95%置信区间：（2.34，12.42））、家庭园艺活动（（AOR = 2.67，95%置信区间：（1.49，4.81））、疾病史（（AOR = 0.47，95%置信区间：（0.26，0.85））、良好的营养知识（（AOR = 5.11，95%置信区间：（2.68，9.78））、来自粮食安全家庭（（AOR = 2.96，95%置信区间：（1.45，6.07））以及中等（（AOR = 5.94，95%置信区间：（2.82，12.87））和富裕财富指数（（AOR = 3.55，95%置信区间：（1.76，7.13））与最低饮食多样性显著相关。
研究区域内哺乳期母亲的最低饮食多样性患病率较低。它与母亲接受正规教育、对家庭采购有最终决定权、家庭园艺、良好的营养知识、疾病史、粮食安全家庭以及属于中等和富裕家庭财富指数显著相关。因此，应努力提高母亲的决策自主权、营养知识、家庭粮食安全和财富状况。
