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Factors affecting feeding 6–23 months age children according to minimum acceptable diet in Ethiopia: A multilevel analysis of the Ethiopian Demographic Health Survey

BACKGROUND: Though infant and young children should be fed according to a minimum acceptable diet to ensure appropriate growth and development, only 7% of Ethiopian 6–23 months age children meet the minimum acceptable dietary standards, which is lower than the national target of 11% set for 2016. Th...

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Autores principales: Tassew, Aberash Abay, Tekle, Dejen Yemane, Belachew, Abate Bekele, Adhena, Beyene Meressa
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6383941/
https://www.ncbi.nlm.nih.gov/pubmed/30789922
http://dx.doi.org/10.1371/journal.pone.0203098
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author Tassew, Aberash Abay
Tekle, Dejen Yemane
Belachew, Abate Bekele
Adhena, Beyene Meressa
author_facet Tassew, Aberash Abay
Tekle, Dejen Yemane
Belachew, Abate Bekele
Adhena, Beyene Meressa
author_sort Tassew, Aberash Abay
collection PubMed
description BACKGROUND: Though infant and young children should be fed according to a minimum acceptable diet to ensure appropriate growth and development, only 7% of Ethiopian 6–23 months age children meet the minimum acceptable dietary standards, which is lower than the national target of 11% set for 2016. Therefore, this study aims to assess the individual and community level factors affecting feeding according to minimum acceptable diet among 6–23 months age children in Ethiopia. METHODS: This study analyzed retrospectively a cross-sectional data on a weighted sample of 2919 children aged 6–23 months nested within 617 clusters after extracting from Ethiopian Demographic and Health Survey 2016 via the link www.measuredhs.com. By employing bi-variate multilevel logistic regression model, variables which were significant at the p-value < 0.25 were included in multivariable multilevel logistic regression analysis. Finally, variables with a p-value < 0.05 were considered as significant predictors of minimum acceptable diet. RESULTS: Only 6.1% of 6–23 months age children feed minimum acceptable diet in Ethiopia. Children 18–23 months age (AOR = 3.7, 95%CI 1.9, 7.2), father’s with secondary or higher education (AOR = 2.1, 95%CI 1.2, 3.6), Employed mothers (AOR = 1.7, 95%CI 1.2, 2.5), mothers have access to drinking water (AOR = 1.9, 95%CI 1.2, 2.9), mothers with media exposure (AOR = 2.1 95%CI 1.1, 2.7) were positive individual level predictors. Urban mothers (AOR = 4.8, 95%CI 1.7, 13.2)) and agrarian dominant region (AOR = 5.6, 95%CI 2.2, 14.5) were community level factors that significantly associated with a minimum acceptable diet of 6–23 months age children. CONCLUSION: Both individual and community level factors were significantly associated with a minimum acceptable diet of 6–23 months age children in Ethiopia, suggesting that nutritional interventions designed to improve child health should not only be implemented at the individual level but tailored to community context as well.
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spelling pubmed-63839412019-03-09 Factors affecting feeding 6–23 months age children according to minimum acceptable diet in Ethiopia: A multilevel analysis of the Ethiopian Demographic Health Survey Tassew, Aberash Abay Tekle, Dejen Yemane Belachew, Abate Bekele Adhena, Beyene Meressa PLoS One Research Article BACKGROUND: Though infant and young children should be fed according to a minimum acceptable diet to ensure appropriate growth and development, only 7% of Ethiopian 6–23 months age children meet the minimum acceptable dietary standards, which is lower than the national target of 11% set for 2016. Therefore, this study aims to assess the individual and community level factors affecting feeding according to minimum acceptable diet among 6–23 months age children in Ethiopia. METHODS: This study analyzed retrospectively a cross-sectional data on a weighted sample of 2919 children aged 6–23 months nested within 617 clusters after extracting from Ethiopian Demographic and Health Survey 2016 via the link www.measuredhs.com. By employing bi-variate multilevel logistic regression model, variables which were significant at the p-value < 0.25 were included in multivariable multilevel logistic regression analysis. Finally, variables with a p-value < 0.05 were considered as significant predictors of minimum acceptable diet. RESULTS: Only 6.1% of 6–23 months age children feed minimum acceptable diet in Ethiopia. Children 18–23 months age (AOR = 3.7, 95%CI 1.9, 7.2), father’s with secondary or higher education (AOR = 2.1, 95%CI 1.2, 3.6), Employed mothers (AOR = 1.7, 95%CI 1.2, 2.5), mothers have access to drinking water (AOR = 1.9, 95%CI 1.2, 2.9), mothers with media exposure (AOR = 2.1 95%CI 1.1, 2.7) were positive individual level predictors. Urban mothers (AOR = 4.8, 95%CI 1.7, 13.2)) and agrarian dominant region (AOR = 5.6, 95%CI 2.2, 14.5) were community level factors that significantly associated with a minimum acceptable diet of 6–23 months age children. CONCLUSION: Both individual and community level factors were significantly associated with a minimum acceptable diet of 6–23 months age children in Ethiopia, suggesting that nutritional interventions designed to improve child health should not only be implemented at the individual level but tailored to community context as well. Public Library of Science 2019-02-21 /pmc/articles/PMC6383941/ /pubmed/30789922 http://dx.doi.org/10.1371/journal.pone.0203098 Text en © 2019 Tassew et al http://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Research Article
Tassew, Aberash Abay
Tekle, Dejen Yemane
Belachew, Abate Bekele
Adhena, Beyene Meressa
Factors affecting feeding 6–23 months age children according to minimum acceptable diet in Ethiopia: A multilevel analysis of the Ethiopian Demographic Health Survey
title Factors affecting feeding 6–23 months age children according to minimum acceptable diet in Ethiopia: A multilevel analysis of the Ethiopian Demographic Health Survey
title_full Factors affecting feeding 6–23 months age children according to minimum acceptable diet in Ethiopia: A multilevel analysis of the Ethiopian Demographic Health Survey
title_fullStr Factors affecting feeding 6–23 months age children according to minimum acceptable diet in Ethiopia: A multilevel analysis of the Ethiopian Demographic Health Survey
title_full_unstemmed Factors affecting feeding 6–23 months age children according to minimum acceptable diet in Ethiopia: A multilevel analysis of the Ethiopian Demographic Health Survey
title_short Factors affecting feeding 6–23 months age children according to minimum acceptable diet in Ethiopia: A multilevel analysis of the Ethiopian Demographic Health Survey
title_sort factors affecting feeding 6–23 months age children according to minimum acceptable diet in ethiopia: a multilevel analysis of the ethiopian demographic health survey
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6383941/
https://www.ncbi.nlm.nih.gov/pubmed/30789922
http://dx.doi.org/10.1371/journal.pone.0203098
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