Mekonen Enyew Getaneh
Department of Surgical Nursing, School of Nursing, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia.
BMC Public Health. 2024 Jul 31;24(1):2060. doi: 10.1186/s12889-024-19628-x.
Child undernutrition is a major public health problem in sub-Saharan Africa. Children who eat animal-based foods have higher intakes of various nutrients that are important for optimal linear growth. However, the prevalence of animal-source food consumption was low across many countries. Therefore, this study aimed to determine the prevalence of good consumption of animal-source foods and its determinants among children aged 6 to 23 months in sub-Saharan African countries.
A cross-sectional pooled dataset using recent demographic and health surveys from 19 sub-Saharan African countries was employed. A total weighted sample of 65,742 children aged 6 to 23 months was included in the study. Data extracted from the recent DHS data sets were cleaned, recorded, and analyzed using STATA/SE version 14.0 statistical software. Descriptive analysis was carried out to present both individual and community-level variables using frequencies and percentages. A multilevel mixed-effects logistic regression was used to determine the factors associated with the outcome variable. Finally, variables with a p-value less than 0.05 and an adjusted odds ratio with a 95% confidence interval were declared statistically significant.
In this study, 43.1% (95% CI: 42.7-43.5%) of children aged 6 to 23 months consumed animal-source foods. Factors like maternal education [AOR = 1.36; 95% CI (1.28, 1.44)], maternal occupation [AOR = 1.24; 95% CI (1.18, 1.31)], exposure to media [AOR = 1.30; 95% CI (1.24, 1.36)], wealth index [AOR = 1.16; 95% CI (1.10, 1.23)] & [AOR = 1.28; 95% CI (1.21, 1.36)], owned a mobile telephone [AOR = 1.23; 95% CI (1.17, 1.29)], ANC visits [AOR = 1.20; 95% CI (1.15, 1.25)], place of delivery [AOR = 1.09; 95% CI (1.04, 1.14)], PNC checkup [AOR = 1.34; 95% CI (1.28, 1.39)], the current age of the child [AOR = 1.99; 95% CI (1.85, 2.14)], [AOR = 3.34; 95% CI (3.14, 3.56)], & [AOR = 4.3; 95% CI (4.10, 4.66)], birth interval [AOR = 0.92; 95% CI (0.87, 0.97)], residence [AOR = 1.43; 95% CI (1.35, 1.50)], community illiteracy [AOR = 0.91; 95% CI (0.86, 0.96)], and community poverty [AOR = 1.07; 95% CI (1.01, 1.14)] were significantly associated with consumption of animal-source foods.
Less than half of children aged 6 to 23 months consumed any type of animal-source foods in sub-Saharan African countries. Higher educational level, non-agricultural work, exposure to media, high economic status, having a mobile telephone, attending 4 + ANC visits, health facility delivery, PNC checkups, older children, a birth interval of 24 months, urban residency, community literacy, and low community poverty were determinates of good consumption of animal source foods. Women empowerment, dissemination of nutrition-related information through mass media, promotion of health facility delivery, and improving utilization of maternal health services are recommended to improve infant and child feeding practices.
儿童营养不良是撒哈拉以南非洲地区的一个主要公共卫生问题。食用动物性食物的儿童对各种对最佳线性生长至关重要的营养素摄入量更高。然而，许多国家动物性食物的消费普及率较低。因此，本研究旨在确定撒哈拉以南非洲国家6至23个月大儿童中动物性食物的良好消费普及率及其决定因素。
采用了一个横断面汇总数据集，该数据集使用了来自19个撒哈拉以南非洲国家最近的人口与健康调查数据。本研究纳入了65742名年龄在6至23个月的儿童的加权样本。从最近的 DHS 数据集中提取的数据经过清理、记录，并使用STATA/SE 14.0统计软件进行分析。进行描述性分析以使用频率和百分比呈现个体和社区层面的变量。采用多水平混合效应逻辑回归来确定与结果变量相关的因素。最后，p值小于0.05且调整后的优势比具有95%置信区间的变量被宣布具有统计学意义。
在本研究中，6至23个月大的儿童中有43.1%（95%CI：42.7 - 43.5%）食用动物性食物。诸如母亲教育程度[AOR = 1.36；95%CI（1.28，1.44）]、母亲职业[AOR = 1.24；95%CI（1.18，1.31）]、接触媒体[AOR = 1.30；95%CI（1.24，1.36）]、财富指数[AOR = 1.16；95%CI（1.10，1.23）]和[AOR = 1.28；95%CI（1.21，1.36）]、拥有移动电话[AOR = 1.23；95%CI（1.17，1.29）]、产前检查次数[AOR = 1.20；95%CI（1.15，1.25）]、分娩地点[AOR = 1.09；95%CI（1.04，1.14）]、产后检查[AOR = 1.34；95%CI（1.28，1.39）]、儿童当前年龄[AOR = 1.99；95%CI（1.85，2.14）]、[AOR = 3.34；9
