卢旺达6至23个月儿童最低可接受饮食的相关因素

Factors Associated With Minimum Acceptable Diet among Children Aged 6 to 23 Months in Rwanda.

作者信息

Harindintwari Ildephonse, Mochama Monica, Nsanzabera Charles, Kubahoniyesu Theogene

机构信息

School of Public Health, Mount Kigali University, Kigali, Rwanda.

African Institute of Research for Public Health and Development, Bujumbura, Burundi.

出版信息

Rwanda J Med Health Sci. 2024 Nov 30;7(3):445-453. doi: 10.4314/rjmhs.v7i3.6. eCollection 2024 Nov.

DOI:10.4314/rjmhs.v7i3.6

PMID:40567460

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12110481/

Abstract

BACKGROUND

Globally, one in two children aged 6 to 23 months fails to meet recommended dietary practices, with 70% fail to meet dietary diversity or meal frequency. This study assessed factors associated with the minimum acceptable diet (MAD) among children aged 6 to 23 months in Rwanda.

METHODS

This cross-sectional study utilized secondary data from the 2019-2020 Rwanda Demographic and Health Survey (RDHS), analyzing 1,203 children. Weighted data were analyzed using STATA version 17, employing bivariate and multivariable logistic regression at a 5% significance level.

RESULTS

The prevalence of MAD was 23.9%. Among breastfed children aged 6-8 months, 27.09% achieved the minimum meal frequency (MMF), while only 11.9% of children aged 9-23 months met the MMF. Significant factors associated with MAD included residence in the Eastern Province (AOR: 1.66; 95% CI: 1.02-2.27), access to nutrition-related information (AOR: 1.72; 95% CI: 1.03-2.41), and household wealth, with the richest households showing the highest odds (AOR: 5.93; 95% CI: 3.08-11.42). Delivery in health facilities also increased odds (AOR: 3.42; 95% CI: 1.20-9.77).

CONCLUSION

The low prevalence of MAD highlights the need for promoting dietary diversity and meal frequency, support low-income households to improve child feeding practices.

摘要

背景

在全球范围内，每两名6至23个月大的儿童中就有一名未达到推荐的饮食习惯，70%的儿童未达到饮食多样性或进餐频率要求。本研究评估了卢旺达6至23个月大儿童中与最低可接受饮食（MAD）相关的因素。

方法

这项横断面研究利用了2019 - 2020年卢旺达人口与健康调查（RDHS）的二手数据，分析了1203名儿童。使用STATA 17版本对加权数据进行分析，在5%的显著性水平下采用双变量和多变量逻辑回归。

结果

MAD的患病率为23.9%。在6至8个月大的母乳喂养儿童中，27.09%达到了最低进餐频率（MMF），而9至23个月大的儿童中只有11.9%达到了MMF。与MAD相关的显著因素包括居住在东部省份（调整后比值比[AOR]：1.66；95%置信区间[CI]：1.02 - 2.27）、获取营养相关信息（AOR：1.72；95% CI：1.03 - 2.41）以及家庭财富，最富裕的家庭显示出最高的几率（AOR：5.93；95% CI：3.08 - 11.42）。在医疗机构分娩也增加了几率（AOR：3.42；95% CI：1.20 - 9.77）。