Bikila Girma Cheru, Arero Godana, Kalu Sultan, Roba Kedir Teji, Charkos Tesfaye Getachew
Department of Public Health, Adama Hospital Medical College, Adama, Ethiopia.
School of Nursing and Midwifery, College of Health and Medical Sciences, Haramaya University, Harar, Ethiopia.
PLoS One. 2024 Dec 27;19(12):e0315121. doi: 10.1371/journal.pone.0315121. eCollection 2024.
A minimum acceptable diet for children aged 6-23 months is limited globally, with Ethiopia's proportion reducing to one in nine. This study was aimed to assess the prevalence of the minimum acceptable diet and associated factors among children aged 6-23 months in Dera town, Oromia, Ethiopia.
A community-based cross-sectional study was conducted. Systematic random sampling techniques were used to select the study subjects. The data was coded, entered into Epi-Info version 7, and then exported to SPSS version 24 for analysis. The variance inflation factor and tolerance test are used to check multicollinearity. Descriptive statistics of frequency (%) were used. Hosmer and Lemeshow's goodness-of-fit test at a P-value > 0.05 is considered the model fit. Bivariate and multivariate logistic regression analyses were computed with a 95% confidence interval, and a P-value < 0.05 was, considered statistically significant.
A total of 430 study subjects were included in this study. The prevalence of a minimum acceptable diet was 36.5% (95% confidence interval (CI): 32, 41%). In the adjusted model, mothers attaining a primary school (adjusted odds ratio (AOR) = 2.7, 95%CI: 1.3, 4.8), college and above education (AOR = 4.3, 95%CI: 1.4, 13), child age between 12-17 months (AOR = 6.2, 95%CI: 2.80, 13.50) and 18-23 months (AOR = 4.61, 95%CI: 2.04, 10.40), ANC visit four or more (AOR = 2.0, 95%CI: 1.2, 3.4), and not feeding breast (AOR = 0.15, 95% CI: 0.07, 0.31) were significantly associated with meeting the minimum acceptable diet.
This study showed that the practice of a minimum acceptable diet was low, according to the World Food Program target. Mothers' educational status, antenatal care visits, age of the child, and breastfeeding were the predictors of the minimum acceptable diet.
全球范围内，6至23个月大儿童的最低可接受饮食情况不容乐观，埃塞俄比亚的达标比例降至九分之一。本研究旨在评估埃塞俄比亚奥罗米亚州德拉镇6至23个月大儿童的最低可接受饮食普及率及相关因素。
开展了一项基于社区的横断面研究。采用系统随机抽样技术选取研究对象。数据进行编码后录入Epi-Info 7版本，然后导出至SPSS 24版本进行分析。使用方差膨胀因子和容忍度检验来检查多重共线性。采用频率（%）的描述性统计方法。P值>0.05时的Hosmer和Lemeshow拟合优度检验被视为模型拟合良好。计算双变量和多变量逻辑回归分析，置信区间为95%，P值<0.05被认为具有统计学意义。
本研究共纳入430名研究对象。最低可接受饮食的普及率为36.5%（95%置信区间（CI）：32，41%）。在调整模型中，母亲达到小学学历（调整后优势比（AOR）=2.7，95%CI：1.3，4.8）、大专及以上学历（AOR = 4.3，95%CI：1.4，13）、儿童年龄在12至17个月之间（AOR = 6.2，95%CI：2.80，13.50）和18至23个月之间（AOR = 4.61，95%CI：2.04，10.40）、产前检查四次及以上（AOR = 2.0，95%CI：1.2，3.4）以及非母乳喂养（AOR = 0.15，95%CI：0.07，0.31）与达到最低可接受饮食显著相关。
本研究表明，根据世界粮食计划署的目标，最低可接受饮食的实施情况较差。母亲的教育程度、产前检查次数、儿童年龄和母乳喂养是最低可接受饮食的预测因素。
