School of Public Health, College of Health Sciences, Mizan-Tepi University, Mizan Teferi, Ethiopia
School of Public Health, College of Health Sciences, Addis Ababa University, Addis Ababa, Ethiopia.
BMJ Open. 2021 May 10;11(5):e044284. doi: 10.1136/bmjopen-2020-044284.
The main objective of this study was to assess the prevalence of a minimum acceptable diet (MAD) and associated factors.
Community-based cross-sectional study SETTING: Debre Berhan Town, Ethiopia.
An aggregate of 531 infants and young children mother/caregiver pairs participated in this study. A one-stage cluster sampling method was used to select study participants and clusters were selected using a lottery method. Descriptive statistics were calculated for all study variables. Statistical analysis was performed on data to determine which variables are associated with MAD and the results of the adjusted OR with 95% CI. P value of <0.05 considered statistically significant.
Prevalence of MAD and associated factors RESULTS: The overall prevalence of MAD was 31.6% (95% CI: 27.7 to 35.2). Having mother attending secondary (adjusted OR, AOR=4.9, 95% CI: 1.3 to 18.9) and college education (AOR=6.4, 95% CI: 1.5 to 26.6), paternal primary education (AOR=1.3, 95% CI: 1.5 to 2.4), grouped in the aged group of 12-17 months (AOR=1.8, 95% CI: (1.0 to 3.4) and 18-23 months (AOR=2.2, 95% CI: 1.2 to 3.9), having four antenatal care (ANC) visits (AOR=2.0, 95% CI: 1.0 to 3.9), utilising growth monitoring (AOR=1.8, 95% CI: 1.1 to 2.9), no history of illness 2 weeks before the survey (AOR=2.9, 95% CI: 1.5 to 6.0) and living in the household with home garden (AOR=2.5, 95% CI: 1.5 to 4.3) were positively associated with increase the odds of MAD.
Generally, the result of this study showed that the prevalence of minimum acceptable was very low. Parent educational status, ANC visits, infant and young child feeding advice, child growth monitoring practice, age of a child, a child has no history of illness 2 weeks before the survey, and home gardening practice were the predictors of MAD. Therefore, comprehensive intervention strategies suitable to the local context are required to improve the provision of MAD.
本研究的主要目的是评估最低可接受饮食（MAD）的流行情况及其相关因素。
基于社区的横断面研究。
埃塞俄比亚德布雷伯汉镇。
共有 531 名婴儿和幼儿的母亲/照顾者参与了这项研究。采用单阶段聚类抽样方法选择研究参与者，使用抽签法选择聚类。对所有研究变量进行描述性统计。对数据进行统计分析，以确定哪些变量与 MAD 相关，并得出调整后的比值比（OR）及其 95%置信区间（CI）。P 值<0.05 被认为具有统计学意义。
MAD 的流行情况及相关因素。
MAD 的总体流行率为 31.6%（95%CI：27.7%至 35.2%）。母亲接受过中等教育（调整后的比值比，OR=4.9，95%CI：1.3 至 18.9）和大学教育（OR=6.4，95%CI：1.5 至 26.6）、父亲接受过初等教育（OR=1.3，95%CI：1.5 至 2.4）、12-17 月龄组（OR=1.8，95%CI：1.0 至 3.4）和 18-23 月龄组（OR=2.2，95%CI：1.2 至 3.9）、接受过 4 次产前检查（OR=2.0，95%CI：1.0 至 3.9）、使用生长监测（OR=1.8，95%CI：1.1 至 2.9）、在调查前两周没有患病史（OR=2.9，95%CI：1.5 至 6.0）和家庭有菜园（OR=2.5，95%CI：1.5 至 4.3）与增加 MAD 的可能性呈正相关。
总的来说，本研究结果表明，最低可接受饮食的流行率非常低。父母的教育状况、产前检查次数、婴幼儿喂养建议、儿童生长监测实践、儿童年龄、儿童在调查前两周无患病史以及家庭菜园实践是 MAD 的预测因素。因此，需要制定适合当地情况的综合干预策略，以改善 MAD 的提供。
