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Dietary diversity and associated factors among children 6-23 months of age in Gorche district, Southern Ethiopia: Cross-sectional study

BACKGROUND: Dietary diversity (DD) is useful indicator of dietary quality and nutrient adequacy. In developing countries limited evidence is available regarding predictors of DD during the critical complementary feeding period. The purpose of the study is to assess DD and predictors among children 6...

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Autores principales: Dangura, Dalecha, Gebremedhin, Samson
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5223415/
https://www.ncbi.nlm.nih.gov/pubmed/28068965
http://dx.doi.org/10.1186/s12887-016-0764-x
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author Dangura, Dalecha
Gebremedhin, Samson
author_facet Dangura, Dalecha
Gebremedhin, Samson
author_sort Dangura, Dalecha
collection PubMed
description BACKGROUND: Dietary diversity (DD) is useful indicator of dietary quality and nutrient adequacy. In developing countries limited evidence is available regarding predictors of DD during the critical complementary feeding period. The purpose of the study is to assess DD and predictors among children 6–23 months of age in rural Gorche district, Southern Ethiopia. METHOD: A community based cross-sectional study was conducted among 417 children aged 6–23 months in Gorche district. The children were selected using a stratified two-stage cluster sampling technique. DD in the preceding day of the survey was assessed using the standard 7-food group score without imposing a minimum intake restriction. Factors associated with DD were identified by modeling dietary diversity score (DDS) using linear regression analysis. RESULTS: Only 10.6% (95% CI: 7.6–13.6) of the children had the minimum recommended DD (≥4 food groups). In children born to literate fathers, the DD was increased by 0.26 as compared to their counterparts (p = 0.026). Children from households that grow vegetables and own livestock, the DDS was significantly increased by 0.32 (p = 0.032) and 0.51 (p = 0.001). As the age of the child increases by a month, the DD also increased by 0.04 (p = 0.001). Mothers that received Infant and Young Child Feeding (IYCF) education during their post-natal care, the DDS was increased by 0.21 (p = 0.037). Unit increase in maternal knowledge on IYCF was associated with 0.41 rise in DDS (p = 0.001). Other factors that showed positive association were: mother’s participation in cooking demonstration, exposure to IYCF information on the mass media and husband involvement in IYCF. CONCLUSION: Nutrition education, promotion of husbands’ involvement in IYCF and implementation of nutrition sensitive agriculture can significantly enhance DD of children. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (doi:10.1186/s12887-016-0764-x) contains supplementary material, which is available to authorized users.
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spelling pubmed-52234152017-01-11 Dietary diversity and associated factors among children 6-23 months of age in Gorche district, Southern Ethiopia: Cross-sectional study Dangura, Dalecha Gebremedhin, Samson BMC Pediatr Research Article BACKGROUND: Dietary diversity (DD) is useful indicator of dietary quality and nutrient adequacy. In developing countries limited evidence is available regarding predictors of DD during the critical complementary feeding period. The purpose of the study is to assess DD and predictors among children 6–23 months of age in rural Gorche district, Southern Ethiopia. METHOD: A community based cross-sectional study was conducted among 417 children aged 6–23 months in Gorche district. The children were selected using a stratified two-stage cluster sampling technique. DD in the preceding day of the survey was assessed using the standard 7-food group score without imposing a minimum intake restriction. Factors associated with DD were identified by modeling dietary diversity score (DDS) using linear regression analysis. RESULTS: Only 10.6% (95% CI: 7.6–13.6) of the children had the minimum recommended DD (≥4 food groups). In children born to literate fathers, the DD was increased by 0.26 as compared to their counterparts (p = 0.026). Children from households that grow vegetables and own livestock, the DDS was significantly increased by 0.32 (p = 0.032) and 0.51 (p = 0.001). As the age of the child increases by a month, the DD also increased by 0.04 (p = 0.001). Mothers that received Infant and Young Child Feeding (IYCF) education during their post-natal care, the DDS was increased by 0.21 (p = 0.037). Unit increase in maternal knowledge on IYCF was associated with 0.41 rise in DDS (p = 0.001). Other factors that showed positive association were: mother’s participation in cooking demonstration, exposure to IYCF information on the mass media and husband involvement in IYCF. CONCLUSION: Nutrition education, promotion of husbands’ involvement in IYCF and implementation of nutrition sensitive agriculture can significantly enhance DD of children. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (doi:10.1186/s12887-016-0764-x) contains supplementary material, which is available to authorized users. BioMed Central 2017-01-09 /pmc/articles/PMC5223415/ /pubmed/28068965 http://dx.doi.org/10.1186/s12887-016-0764-x Text en © The Author(s). 2017 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Research Article
Dangura, Dalecha
Gebremedhin, Samson
Dietary diversity and associated factors among children 6-23 months of age in Gorche district, Southern Ethiopia: Cross-sectional study
title Dietary diversity and associated factors among children 6-23 months of age in Gorche district, Southern Ethiopia: Cross-sectional study
title_full Dietary diversity and associated factors among children 6-23 months of age in Gorche district, Southern Ethiopia: Cross-sectional study
title_fullStr Dietary diversity and associated factors among children 6-23 months of age in Gorche district, Southern Ethiopia: Cross-sectional study
title_full_unstemmed Dietary diversity and associated factors among children 6-23 months of age in Gorche district, Southern Ethiopia: Cross-sectional study
title_short Dietary diversity and associated factors among children 6-23 months of age in Gorche district, Southern Ethiopia: Cross-sectional study
title_sort dietary diversity and associated factors among children 6-23 months of age in gorche district, southern ethiopia: cross-sectional study
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5223415/
https://www.ncbi.nlm.nih.gov/pubmed/28068965
http://dx.doi.org/10.1186/s12887-016-0764-x
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