Gizachew Tuke, Lencha Bikila, Beressa Girma, Geda Biftu
Siraro District Health Office, West Arsi Health Office, Oromia Regional Health Bureau, Siraro, Oromia, Ethiopia.
Department of Public Health, MaddaWalabu University, Shashemene, Oromia, Ethiopia.
BMC Nutr. 2024 Sep 3;10(1):116. doi: 10.1186/s40795-024-00919-w.
Ethiopia is reported to have one of the highest prevalence of underweight among lactating mothers in Africa. In our study setting, the nutritional report from the district health office showed a high number of underweight lactating mothers and recurrent malnutrition problems. However, the determinants of underweight among lactating mothers were not well understood in our study setting. The study aimed to assess the determinants of underweight among lactating mothers in public health facilities of Siraro District, Southern Ethiopia.
Unmatched case control study was conducted among 390 (130 cases and 260 controls) lactating mothers in public health facilities of Siraro District from April 30 to May 30/2022. Cases were lactating mothers with BMI < 18.5 kg/m and controls were mothers whose BMI was ≥ 18.5 kg/m. To identify the determinants of underweight, bivariate and multivariable binary logistic regression analysis were carried out. The final model was interpreted using adjusted odds ratio (AOR), along with a 95% confidence interval (CI). Significance was declared at p-value < 0.05.
Multivariable logistic regression analysis revealed that having; antenatal care visits [AOR = 0.43, 95% CI (0.26,0.72)], latrine availability [AOR = 0.50,95% CI (0.27,0.93)], poor food consumption score [AOR = 5.40, 95% CI (3.15,9.27)], inadequate dietary diversity score [AOR = 1.66, 95% CI (1.20,2.78)], medium [AOR = 3.34, 95% CI (1.52,7.33)] and poor wealth index [AOR = 6.32, 95%CI(3.12,12.81)] were significantly associated with being underweight among lactating mothers.
Antenatal care visits, latrine availability, poor food consumption scores, inadequate dietary diversity score, medium and poor wealth index were the determinants of underweight. A multi-sectoral approach focusing on latrine construction, economic empowerment and food diversification, as well as ongoing awareness creation, is essential to increase the nutritional status of lactating mothers and break the vicious cycle of malnutrition.
据报道，埃塞俄比亚是非洲哺乳期母亲体重不足患病率最高的国家之一。在我们的研究环境中，地区卫生办公室的营养报告显示，体重不足的哺乳期母亲数量众多，且存在反复出现的营养不良问题。然而，在我们的研究环境中，哺乳期母亲体重不足的决定因素尚未得到充分了解。该研究旨在评估埃塞俄比亚南部西拉罗区公共卫生设施中哺乳期母亲体重不足的决定因素。
2022年4月30日至5月30日，在西拉罗区公共卫生设施中的390名（130例病例和260名对照）哺乳期母亲中进行了非匹配病例对照研究。病例为体重指数（BMI）<18.5kg/m²的哺乳期母亲，对照为BMI≥18.5kg/m²的母亲。为了确定体重不足的决定因素，进行了二元和多变量二元逻辑回归分析。最终模型使用调整后的比值比（AOR）以及95%置信区间（CI）进行解释。p值<0.05时具有统计学意义。
多变量逻辑回归分析显示，进行产前检查[AOR=0.43，95%CI（0.26，0.72）]、有厕所[AOR=0.50，95%CI（0.27，0.93）]、食物消费得分低[AOR=5.40，95%CI（3.15，9.27）]、饮食多样性得分不足[AOR=1.66，95%CI（1.20，2.78）]、中等[AOR=3.34，95%CI（1.52，7.33）]和财富指数低[AOR=6.32，95%CI（3.12，12.81）]与哺乳期母亲体重不足显著相关。
产前检查、有厕所、食物消费得分低、饮食多样性得分不足、中等和财富指数低是体重不足的决定因素。采取多部门方法，重点关注厕所建设、经济赋权和食物多样化，以及持续开展提高认识活动，对于提高哺乳期母亲的营养状况和打破营养不良的恶性循环至关重要。
