Department of Clinical Nutrition and Dietetics, University of Cape Coast, Cape Coast, Ghana.
Department of Community Medicine, University of Cape Coast, Cape Coast, Ghana.
BMC Pediatr. 2022 Oct 7;22(1):581. doi: 10.1186/s12887-022-03651-1.
BACKGROUND: Optimal nutrition during the first two years of a child's life is critical for the reduction of morbidity and mortality. In Ghana, majority of children miss out on optimal nutrition and only few (13%) of children receive a Minimum Acceptable Diet (MAD). Several studies have investigated the influence of community-level factors on infants and young children feeding (IYCF) practices. However, little is known about the influence of maternal factors on IYCF practices in rural settings. Therefore, this study assessed the influence of maternal factors on the feeding indicators and nutritional status of children aged 6-23 months in two administrative districts in Ghana. METHODS: Data were collected among 935 mothers who had children aged 6-23 months and accessed 21 Child Welfare Clinics within the study area. The study involved a face- to-face interview using structured questionnaires to capture maternal characteristics, dietary intake and anthropometric measurements of children. Multivariate logistic regression was used to study the association between maternal factors and child nutrition outcomes (MAD, dietary diversity score (DDS) and anthropometric indicators) using Stata 16.0 software. RESULTS: Being employed (AOR = 3.07, 95% CI: 1.71-5.49, p < 0.001) and attaining secondary or higher education (AOR = 2.86, 95% CI: 1.42-5.78, p = 0.003) were significant predictors of children receiving MAD. Similarly, having an average decision-making autonomy increased the child's odds of receiving MAD (AOR = 1.68, 95% CI: 1.02-2.76, p = 0.040). Children of mothers who attained secondary or a higher level of education (AOR = 0.59, 95% CI: 0.36 -0.97, p = 0.040) and those whose mothers were employed (AOR = 0.71, 95% CI: 0.47-1.07, p = 0.043) were associated with a reduced risk of underweight and stunting respectively. Children of mothers with average financial independence status were more likely to receive diversified meals (AOR = 1.55, 95% CI: 1.01-2.38, p = 0.045). CONCLUSIONS: High educational level and being employed have positive influence on MAD, stunting and underweight of children. High decision-making power and average financial independence of mothers are good predictors of children receiving MAD. Family planning, women empowerment in decision-making, providing employment opportunities for mothers and promoting girl-child education are recommended.
背景:儿童生命的头两年的最佳营养对于降低发病率和死亡率至关重要。在加纳,大多数儿童都无法获得最佳营养,只有少数(13%)儿童接受最低可接受饮食(MAD)。已经有几项研究调查了社区层面因素对婴幼儿喂养(IYCF)实践的影响。然而,对于农村地区母亲因素对 IYCF 实践的影响知之甚少。因此,本研究评估了母亲因素对加纳两个行政区 6-23 个月儿童喂养指标和营养状况的影响。
方法:数据来自 935 名年龄在 6-23 个月之间的母亲,她们的孩子在研究区域内的 21 个儿童福利诊所就诊。该研究采用面对面访谈的方式,使用结构化问卷收集母亲特征、儿童饮食摄入和人体测量学数据。使用 Stata 16.0 软件进行多变量逻辑回归,研究母亲因素与儿童营养结局(MAD、饮食多样性评分(DDS)和人体测量指标)之间的关系。
结果:就业(AOR=3.07,95%CI:1.71-5.49,p<0.001)和接受中学或更高教育(AOR=2.86,95%CI:1.42-5.78,p=0.003)是儿童接受 MAD 的显著预测因素。同样,母亲有平均的决策自主权会增加孩子接受 MAD 的可能性(AOR=1.68,95%CI:1.02-2.76,p=0.040)。母亲接受中学或更高水平教育的儿童(AOR=0.59,95%CI:0.36-0.97,p=0.040)和就业母亲的儿童(AOR=0.71,95%CI:0.47-1.07,p=0.043)患消瘦和发育迟缓的风险较低。母亲财务独立状况处于平均水平的儿童更有可能获得多样化的膳食(AOR=1.55,95%CI:1.01-2.38,p=0.045)。
结论:高教育水平和就业对儿童 MAD、消瘦和发育迟缓有积极影响。母亲有较高的决策权和平均财务独立性是儿童获得 MAD 的良好预测因素。建议开展计划生育、增强妇女在决策中的权力、为母亲提供就业机会以及促进女童教育。
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