School of Public Health, Haramaya University, Harar P.O. Box 235, Ethiopia.
Institute for Physical Activity and Nutrition (IPAN), School of Nutrition and Exercise Sciences, Deakin University, 221 Burwood Highway, Burwood, VIC 3125, Australia.
Nutrients. 2021 Dec 28;14(1):130. doi: 10.3390/nu14010130.
While the household in which a child grows up is considered a critical environment that influences nutrition outcomes, there is little research examining the influence of household composition and structure on complementary feeding practices. This study examined the influence of household structure and composition on complementary feeding practices, using the Ethiopian Demographic and Health Survey (EDHS), 2000 to 2016. The composition variables were calculated from the attributes of household members (alters) and the structure variables from their kinship status. A multilevel mixed-effects regression model, specifying survey rounds as the random effect, was used to examine the association between household structure/composition and the Minimum Meal Frequency (MMF) and Minimum Dietary Diversity (MDD). The average Marginal Effects (MEs) were calculated to facilitate practical interpretation. Children of caregivers with a higher number of alters (degree), unique number of kinship category (effect size), closely related (constraint), and mixed-age alters (age diversity) seemed to increase the probability of meeting the MDD. Degree and effective size decreased the probability of meeting MMF, while constraint increased it. Overall, this study revealed some associations between household structure and composition and complementary feeding practices. Hence, complementary feeding interventions could be adapted to account for the household structure and composition variations.
虽然儿童成长的家庭被认为是影响营养结果的关键环境，但几乎没有研究探讨家庭结构和组成对补充喂养实践的影响。本研究使用埃塞俄比亚人口与健康调查（EDHS），2000 年至 2016 年，考察了家庭结构和组成对补充喂养实践的影响。组成变量是根据家庭成员（亲属）的属性计算的，而结构变量则是根据他们的亲属关系状态计算的。使用多级混合效应回归模型，指定调查轮次为随机效应，来检验家庭结构/组成与最低餐频（MMF）和最低饮食多样性（MDD）之间的关系。计算平均边际效应（ME）以促进实际解释。照顾者的孩子有更多的亲属（度）、独特的亲属类别数量（效价）、近亲（约束）和混合年龄亲属（年龄多样性），似乎会增加满足 MDD 的可能性。度和有效大小降低了满足 MMF 的概率，而约束则增加了满足 MMF 的概率。总的来说，本研究揭示了家庭结构和组成与补充喂养实践之间的一些关联。因此，补充喂养干预措施可以适应家庭结构和组成的变化。
