دورية أكاديمية
أعرض في EDS

Maternal and household factors affecting the dietary diversity of preschool children in eastern Ethiopia: a cross-sectional study.

التفاصيل البيبلوغرافية
العنوان: Maternal and household factors affecting the dietary diversity of preschool children in eastern Ethiopia: a cross-sectional study.
المؤلفون: Roba AA; Haramaya University College of Health and Medical Sciences, Harar, Ethiopia akliltimnathserah@gmail.com.; Institute of Health Science, Erciyes University, Kayseri, Turkey., Başdaş Ö; Faculty of Health Science, Erciyes University, Kayseri, Turkey., Brewis A; School of Human Evolution and Social Change, Arizona State University, Tempe, Arizona, USA., Roba KT; Haramaya University College of Health and Medical Sciences, Harar, Ethiopia.
المصدر: BMJ open [BMJ Open] 2024 Mar 21; Vol. 14 (3), pp. e080616. Date of Electronic Publication: 2024 Mar 21.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: BMJ Publishing Group Ltd Country of Publication: England NLM ID: 101552874 Publication Model: Electronic Cited Medium: Internet ISSN: 2044-6055 (Electronic) Linking ISSN: 20446055 NLM ISO Abbreviation: BMJ Open Subsets: MEDLINE
أسماء مطبوعة: Original Publication: [London] : BMJ Publishing Group Ltd, 2011-
مواضيع طبية MeSH: Nutritional Status* , Drinking Water*, Female ; Humans ; Child, Preschool ; Cross-Sectional Studies ; Ethiopia/epidemiology ; Food Supply ; Surveys and Questionnaires
مستخلص: Objective: Investigate the association between the dietary diversity of preschool children and proximate factors including household food insecurity, maternal food choice, preferences, khat use, and levels of depressive symptoms.
Design: Cross-sectional survey of randomly selected households.
Setting: Haramaya Health and Demographic Surveillance site in Eastern Ethiopia, predominantly smallholder farming households.
Participants: 678 preschool children (24-59 months) and their mothers.
Methods: The key outcome, the adequacy of dietary diversity of preschool children, was calculated using a 24-hour parental dietary recall. Binary logistic regression was then used to identify maternal and household factors associated with dietary adequacy versus inadequacy.
Results: The majority (80.53%) of surveyed children had low dietary diversity (mean Dietary Diversity (MDD)) score of 3.06±1.70 on a 7-point scale). Approximately 80% of households exhibited food insecurity. Households with greater food security (adjusted OR (AOR)=1.96, 95% CI 1.19 to 3.23), healthier maternal food choice (AOR=2.19, 95% CI 1.12 to 4.31) and broader maternal food preferences (AOR=4.95, 95% CI 1.11 to 21.95) were all associated with higher dietary diversity of their preschool children (p≤0.05). Other covariates associated with adequate child dietary diversity included improved household drinking water sources (AOR=1.84, 95% CI 1.16 to 2.92) and family planning use (AOR=1.69, 95% CI 1.00 to 2.86). Despite predictions, however, maternal depression and khat consumption were not identified as factors.
Conclusions: The dietary diversity of preschool children is extremely low-a pattern observed in both food-secure and food-insecure households. Key factors include maternal selection of food for convenience and ease, preferences that do not include animal protein or healthier food choices, and lack of access to improved drinking water sources. Interventions around maternal food choice and preferences could improve preschool children's nutritional health.
Competing Interests: Competing interests: None declared.
(© Author(s) (or their employer(s)) 2024. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.)
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فهرسة مساهمة: Keywords: Community child health; Community-Based Participatory Research; Cross-Sectional Studies; NUTRITION & DIETETICS; PUBLIC HEALTH
المشرفين على المادة: 0 (Drinking Water)
تواريخ الأحداث: Date Created: 20240321 Date Completed: 20240325 Latest Revision: 20240327
رمز التحديث: 20240327
مُعرف محوري في PubMed: PMC10961529
DOI: 10.1136/bmjopen-2023-080616
PMID: 38514138
قاعدة البيانات: MEDLINE
الوصف
تدمد:2044-6055
DOI:10.1136/bmjopen-2023-080616