Minas Selamu, Ayele Behailu Hawulte, Sisay Mekonnen, Tusa Biruk Shalmeno, Roba Kedir Teji
West Hararghe Zonal Health Department, Chiro, Ethiopia.
School of Public Health, College of Health and Medical Sciences, Haramaya University, Harar, Ethiopia.
Front Nutr. 2022 Oct 4;9:922774. doi: 10.3389/fnut.2022.922774. eCollection 2022.
Lactating mothers are extremely vulnerable to both macro and micronutrient deficiencies due to the increased nutritional requirements and high magnitude of food insecurity in low-income countries. However, there are a dearth of studies conducted in sub-Saharan African countries regarding this study area. Thus, this study aimed to assess the magnitude of food insecurity and its associated factors among lactating mothers in the Chiro district, eastern Ethiopia.
A community-based cross-sectional study was conducted among 446 randomly selected lactating mothers from 1-30 June, 2020. Data were collected through face-to-face interviews using a structured and pre-tested questionnaire. Data were entered using EpiData version 3.1 and exported to STATA version 14.2 for cleaning and analysis. Bi-variable and multivariable binary logistic regression analyses were fitted to check the association between independent variables and food insecurity. The level of statistical significance was declared at a -value < 0.05.
The magnitude of food insecurity among lactating mothers was 68.8 % (95 % CI: 64.4, 72.9) and 12.1% (95 % CI: 9.4, 15.5) were severely food insecure. Residing in the rural (AOR =2.36, 95% CI:1.21, 4.62), poor wealth indices (AOR =4.68, 95% CI:2.02, 10.8), owning farmland of less than a hectare (AOR =2.35, 95% CI:1.06, 5.19), mothers who had less than three meals a day (AOR =2.70, 95% CI:1.33, 5.46), and who did not have their own income (AOR =2.32, 95% CI:1.36, 3.96) were significantly associated factors with food insecurity among lactating mothers.
Food insecurity is highly prevalent in lactating mothers' households. Therefore, the government and other stakeholders need to take action that addresses factors affecting mothers' food security status through strengthening nutrition-sensitive interventions.
由于低收入国家营养需求增加且粮食不安全程度高,哺乳期母亲极易出现宏量营养素和微量营养素缺乏的情况。然而,撒哈拉以南非洲国家在这一研究领域开展的研究较少。因此,本研究旨在评估埃塞俄比亚东部奇罗地区哺乳期母亲的粮食不安全程度及其相关因素。
2020年6月1日至30日,对446名随机选取的哺乳期母亲进行了一项基于社区的横断面研究。通过面对面访谈,使用结构化且经过预测试的问卷收集数据。数据使用EpiData 3.1版本录入,并导出到STATA 14.2版本进行清理和分析。采用双变量和多变量二元逻辑回归分析来检验自变量与粮食不安全之间的关联。统计学显著性水平设定为P值<0.05。
哺乳期母亲中粮食不安全的比例为68.8%(95%置信区间:64.4, 72.9),严重粮食不安全的比例为12.1%(95%置信区间:9.4, 15.5)。居住在农村(调整后比值比[AOR]=2.36,95%置信区间:1.21, 4.62)、财富指数低(AOR =4.68,95%置信区间:2.02, 10.8)、拥有农田不足一公顷(AOR =2.35,95%置信区间:1.06, 5.19)、每天用餐少于三餐的母亲(AOR =2.70,95%置信区间:1.33, 5.46)以及没有自己收入的母亲(AOR =2.32,95%置信区间:1.36, 3.96)是哺乳期母亲粮食不安全的显著相关因素。
哺乳期母亲家庭中粮食不安全现象非常普遍。因此,政府和其他利益相关者需要采取行动,通过加强营养敏感型干预措施来解决影响母亲粮食安全状况的因素。