Sema Alekaw, Belay Yalelet, Solomon Yonatan, Desalew Assefa, Misganaw Abebaw, Menberu Tameru, Sintayehu Yitagesu, Getachew Yibeltal, Guta Alemu, Tadesse Daniel
Dire Dawa University, Dire Dawa, Ethiopia.
Haramaya University, Harar, Ethiopia.
Glob Pediatr Health. 2021 Feb 22;8:2333794X21996630. doi: 10.1177/2333794X21996630. eCollection 2021.
Malnutrition because of poor dietary diversity contributing to child morbidity and mortality. Two-thirds of child mortality occurs within the first 2 years. However, there is limited data related to dietary diversity among children aged 6 to 23 months in Ethiopia. Thus, this study aimed to assess dietary diversity and factors among children aged 6 to 23 months in the study setting. : A community-based cross-sectional study conducted on 438 children aged 6 to 23 months in Dire Dawa, 1-30/02/2019. Simple random sampling was used to select study subjects. Data collected using a structured and pretested interview administered questionnaire. Data entered using EpiData 4.2 and analyzed with SPSS Version 22. Multivariable logistic regression was used to examine associated factors. Adjusted odd-ratio with 95% confidence interval (CI) used, and -value <.05 considered statistically significant. : The overall minimum dietary diversity practice was 24.4% (95% CI: 20.3, 28.5). Maternal education [AOR 2.20; 95% CI: 1.08, 4.52], decision-making [AOR = 2.5; 95% CI: 1.19, 5.29], antenatal care [AOR = 2.19; 95% CI: 1.20, 3.99], postnatal care [AOR = 6.4; 95% CI: 2.78, 14.94] and facility delivery [AOR = 2.66; 95% CI: 1.35, 5.25] were maternal factors. Moreover, child's age [AOR = 2.84; 95% CI: 1.39, 5.83], and child's sex [AOR = 2.85; 95% CI: 1.64, 4.94] were infant factors. : One-fourth of children practiced minimum dietary diversity. Child's age, birth interval, postnatal care, antenatal care, child's sex, mothers' decision-making, mothers' education, and place of delivery were significant predictors. Therefore, maternal education, empowering women, and improve maternal service utilization are crucial to improving dietary diversity.
由于饮食多样性差导致的营养不良会增加儿童发病和死亡风险。三分之二的儿童死亡发生在出生后的头两年。然而，埃塞俄比亚6至23个月大儿童的饮食多样性相关数据有限。因此，本研究旨在评估研究地区6至23个月大儿童的饮食多样性及其影响因素。：2019年2月1日至30日在迪雷达瓦对438名6至23个月大的儿童进行了一项基于社区的横断面研究。采用简单随机抽样方法选取研究对象。通过结构化且经过预测试的访谈问卷收集数据。数据录入EpiData 4.2并使用SPSS 22版本进行分析。采用多变量逻辑回归分析相关因素。使用调整后的比值比及95%置信区间（CI），P值<.05被认为具有统计学意义。：总体最低饮食多样性实践率为24.4%（95% CI：20.3，28.5）。母亲教育程度[AOR 2.20；95% CI：1.08，4.52]、决策能力[AOR = 2.5；95% CI：1.19，5.29]、产前护理[AOR = 2.19；95% CI：1.20，3.99]、产后护理[AOR = 6.4；95% CI：2.78，14.94]和设施分娩[AOR = 2.66；95% CI：1.35，5.25]是母亲因素。此外，儿童年龄[AOR = 2.84；95% CI：1.39，5.83]和儿童性别[AOR = 2.85；95% CI：1.64，4.94]是婴儿因素。：四分之一的儿童达到了最低饮食多样性标准。儿童年龄、生育间隔、产后护理、产前护理、儿童性别、母亲决策能力、母亲教育程度和分娩地点是显著的预测因素。因此，母亲教育、赋予妇女权力以及提高孕产妇服务利用率对于改善饮食多样性至关重要。
