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贝叶斯分析法在埃塞俄比亚西北部芬提-塞拉姆区哺乳期母亲饮食多样性中的应用:一项横断面研究。

Bayesian Analysis of Dietary Diversity among Lactating Mothers in Finote Selam District, Northwest Ethiopia: A Cross-Sectional Study.

机构信息

Department of Statistics, Debre Markos University, Debre Markos, Ethiopia.

Department of Applied Human Nutrition, Marie Stopes Ethiopia, Ethiopia.

出版信息

Biomed Res Int. 2021 Aug 29;2021:9604394. doi: 10.1155/2021/9604394. eCollection 2021.

Abstract

BACKGROUND

Dietary diversity is an essential element of diet quality. Lactation is one of the most complex and nutritionally demanding phases of the human life cycle, and the breastfed infant is dependent on mother nutrition. The objective of this study was to assess the prevalence of dietary diversity and its predictors among lactating mothers.

METHODS

A cross-sectional study design was employed in January 2020 among 416 lactating women using systematic sampling techniques. Data was collected using a structured interviewer-administered questionnaire. Bayesian estimation was used on logistic regression to identify the significant predictors of dietary diversity. Convergence of algorithm was assessed by using time series plot, density plot, and autocorrelation plot.

RESULT

The prevalence of adequate dietary diversity was 23.1%, and the significant predictors of dietary diversity were marital status of mother, education of spouse, occupation of mother and spouse, family size, gravidity, ANC follow up, nutritional education, wealth index, and food security status.

CONCLUSION

From the result, unmarried, having more family size, multigravidity, poor wealth indexed, and food in secured women were less likely to have adequate dietary diversity, whereas employed women, having ANC follow up and nutrition education, were strongly associated with adequate dietary diversity. Family planning should be given to minimize the impact of large family size of dietary diversity. Any concerned body should give attention to minimize food insecurity of lactating women. Attention should be given for ANC follow-up and nutritional education of mothers by health professional and policy maker.

摘要

背景

饮食多样性是饮食质量的一个重要组成部分。哺乳期是人类生命周期中最复杂和营养需求最高的阶段之一,母乳喂养的婴儿依赖于母亲的营养。本研究的目的是评估哺乳期母亲饮食多样性的流行情况及其预测因素。

方法

2020 年 1 月,采用横断面研究设计,采用系统抽样技术对 416 名哺乳期妇女进行研究。使用结构化访谈者管理的问卷收集数据。贝叶斯估计应用于逻辑回归,以确定饮食多样性的显著预测因素。通过时间序列图、密度图和自相关图评估算法的收敛性。

结果

适当饮食多样性的流行率为 23.1%,饮食多样性的显著预测因素为母亲的婚姻状况、配偶的教育程度、母亲和配偶的职业、家庭规模、孕次、ANC 随访、营养教育、财富指数和粮食安全状况。

结论

从结果来看,未婚、家庭规模较大、多胎次、财富指数较低和粮食有保障的妇女不太可能有适当的饮食多样性,而就业妇女、接受 ANC 随访和营养教育与适当的饮食多样性密切相关。应实行计划生育,以尽量减少大家庭规模对饮食多样性的影响。任何有关机构都应关注减少哺乳期妇女粮食不安全的问题。卫生专业人员和政策制定者应关注母亲的 ANC 随访和营养教育。

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