Adem Nejib Ahmedteyib, Mezmur Haymanot, Jemal Mohammed, Firdisa Dawit, Gebremichael Berhe
Garamuleta General Hospital, Oromia Regional State, Garamuleta, Ethiopia.
School of Public Health, College of Health and Medical Sciences, Haramaya University, Harar, Ethiopia.
BMC Nutr. 2024 Dec 30;10(1):167. doi: 10.1186/s40795-024-00985-0.
Inadequate consumption of vitamin A during lactation significantly increases the risk of vitamin A deficiency disorders. However, there is scarce evidence on the consumption status of vitamin A-rich foods among lactating mothers in Ethiopia. Therefore, this study aimed to assess the magnitude of inadequate consumption of vitamin A-rich foods and associated factors among lactating mothers visiting public health facilities for child immunization and postnatal care in Girawa District, Eastern Ethiopia.
A facility-based cross-sectional study was carried out among 418 lactating mothers who visited public health facilities for child immunization and postnatal care in the Girawa district from January 20 to February 20, 2023. An interviewer-administered questionnaire was utilized to collect the data. The data were entered into EpiData version 4.6 and exported to STATA version 17 for analysis. Both bivariable and multivariable logistic regression analyses were performed to identify the factors associated with inadequate consumption of vitamin A-rich foods.
The magnitude of inadequate consumption of vitamin A-rich foods was 88.5% (95% confidence interval (CI): 85-92). A family size ≥ 4 (adjusted odds ratio (AOR) = 2.73, 95% CI = 1.18-6.33), low dietary diversity (AOR = 3.44, 95% CI = 1.36-8.70), household food insecurity (AOR = 3.66, 95% CI = 1.43-9.38) and having < 4 antenatal care (ANC) visits (AOR = 2.79, 95% CI = 1.10-7.06) were significantly associated with inadequate consumption of vitamin A-rich foods.
Nearly nine in ten mothers had inadequate intake of vitamin A-rich foods. High family size, low dietary diversity, household food insecurity and fewer ANC follow-up visits were the factors significantly associated with inadequate consumption of vitamin A-rich foods. Therefore, public health measures should focus on family planning, ANC, food security and nutritional counseling/education to improve the consumption of vitamin A-rich foods by lactating mothers.
哺乳期维生素A摄入不足会显著增加维生素A缺乏症的风险。然而，关于埃塞俄比亚哺乳期母亲富含维生素A食物的消费状况，证据稀少。因此，本研究旨在评估埃塞俄比亚东部吉拉瓦区前往公共卫生机构进行儿童免疫接种和产后护理的哺乳期母亲中，富含维生素A食物摄入不足的程度及相关因素。
2023年1月20日至2月20日，在吉拉瓦区对418名前往公共卫生机构进行儿童免疫接种和产后护理的哺乳期母亲开展了一项基于机构的横断面研究。采用访谈式问卷收集数据。数据录入EpiData 4.6版本，并导出至STATA 17版本进行分析。进行了双变量和多变量逻辑回归分析，以确定与富含维生素A食物摄入不足相关的因素。
富含维生素A食物摄入不足的比例为88.5%（95%置信区间（CI）：85 - 92）。家庭规模≥4（调整比值比（AOR）= 2.73，95% CI = 1.18 - 6.33）、饮食多样性低（AOR = 3.44，95% CI = 1.36 - 8.70）、家庭粮食不安全（AOR = 3.66，95% CI = 1.43 - 9.38）以及产前检查（ANC）次数<4次（AOR = 2.79，95% CI = 1.10 - 7.06）与富含维生素A食物摄入不足显著相关。
近十分之九的母亲富含维生素A食物的摄入量不足。家庭规模大、饮食多样性低、家庭粮食不安全以及产前检查随访次数少是与富含维生素A食物摄入不足显著相关的因素。因此，公共卫生措施应侧重于计划生育、产前检查、粮食安全以及营养咨询/教育，以提高哺乳期母亲对富含维生素A食物的消费量。
