Getahun Genanew K, Ahmed Sindew M, Degif Abinet B, Haile Mekonnen G
Menelik II Medical and Health Science College, Kotebe Metropolitan University.
Addis Ababa Medical and Business College, Addis Ababa, Ethiopia.
Ann Med Surg (Lond). 2023 Feb 6;85(3):383-389. doi: 10.1097/MS9.0000000000000239. eCollection 2023 Mar.
Malnutrition remains a global problem, particularly in sub-Saharan Africa, where Ethiopia is located. During pregnancy, inadequate nutritional diversification increases the risk of unfavorable maternal and fetal outcomes. Therefore, the aim of this study was to assess the dietary diversity score and associated factors among pregnant women in Batu district, Southern Ethiopia, in 2021.
A community-based cross-sectional study was conducted among randomly selected 594 pregnant women. Data were collected with a two-stage sampling technique through face-to-face interviews. The data were coded and entered into Statistical Package for the Social Sciences (SPSS) version 23. Bivariate and multivariable logistic regression analyses were applied to identify independent predictors of dietary diversity.
The magnitude of the unmet minimum dietary diversity score among pregnant women was 356 (59.9%). Furthermore, pregnant women with no formal education [adjusted odds ratio (AOR)=3.46; 95% CI: 1.99, 5.66], poor by the wealth index (AOR=2.23, 95% CI: 1.33, 3.73), having five or more children (AOR=1.75, 95% CI: 1.14, 2.71), multigravida (AOR=2.18, 95% CI: 1.34, 3.56), and pregnant women from only male-headed households (AOR=4.46, 95% CI: 2.86, 6.94) were associated with an unmet minimum dietary diversity score among pregnant women.
The prevalence of unmet minimum dietary diversity scores among pregnant women was found to be high. Moreover, low dietary diversity was linked to pregnant women with no formal education, multigravida, having more than five family members, male-headed households, and being poor by household wealth. As a result, nutritional diversity education should be prioritized, and health experts should provide guidance on dietary diversity and family planning services.
营养不良仍然是一个全球性问题,尤其是在埃塞俄比亚所在的撒哈拉以南非洲地区。孕期营养多样化不足会增加母婴不良结局的风险。因此,本研究旨在评估2021年埃塞俄比亚南部巴图地区孕妇的饮食多样性得分及相关因素。
对随机选取的594名孕妇进行了一项基于社区的横断面研究。采用两阶段抽样技术,通过面对面访谈收集数据。数据进行编码后录入社会科学统计软件包(SPSS)23版。应用双变量和多变量逻辑回归分析来确定饮食多样性的独立预测因素。
孕妇未达到最低饮食多样性得分的比例为356例(59.9%)。此外,未接受过正规教育的孕妇[调整优势比(AOR)=3.46;95%置信区间:1.99,5.66]、根据财富指数判定为贫困的孕妇(AOR=2.23,95%置信区间:1.33,3.73)、生育五个或更多子女的孕妇(AOR=1.75,95%置信区间:1.14,2.71)、多产妇(AOR=2.18,95%置信区间:1.34,3.56)以及仅来自男户主家庭的孕妇(AOR=4.46,95%置信区间:2.86,6.94)与孕妇未达到最低饮食多样性得分有关。
发现孕妇未达到最低饮食多样性得分的患病率很高。此外,饮食多样性低与未接受过正规教育、多产妇、家庭成员超过五人、男户主家庭以及家庭财富贫困的孕妇有关。因此,应优先开展营养多样性教育,健康专家应提供饮食多样性和计划生育服务方面的指导。