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Assessment of nutritional status and associated factors among adolescent girls in Afar, Northeastern Ethiopia: a cross-sectional study

BACKGROUND: A body of evidences showed that adolescent undernutrition is a serious public health problem in developing countries including Ethiopia. Adolescence period is the last chance for curbing the consequences of undernutrition and breaking the intergenerational cycle of malnutrition and poor...

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Autores principales: Hadush, Gebrehiwot, Seid, Oumer, Wuneh, Abel Gebre
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7903644/
https://www.ncbi.nlm.nih.gov/pubmed/33622414
http://dx.doi.org/10.1186/s41043-021-00227-0
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author Hadush, Gebrehiwot
Seid, Oumer
Wuneh, Abel Gebre
author_facet Hadush, Gebrehiwot
Seid, Oumer
Wuneh, Abel Gebre
author_sort Hadush, Gebrehiwot
collection PubMed
description BACKGROUND: A body of evidences showed that adolescent undernutrition is a serious public health problem in developing countries including Ethiopia. Adolescence period is the last chance for curbing the consequences of undernutrition and breaking the intergenerational cycle of malnutrition and poor health. Despite this fact, they have been considered as a low-risk group for poor health and nutrition problems than the young children or the very old. This study aimed to assess prevalence of nutritional status and associated factors among adolescent girls in Afar, Northeastern Ethiopia, 2017. METHODS: A school-based cross-sectional study design was conducted among 736 adolescent girls from February15 to March 05, 2017 in Afar, Northeastern Ethiopia, 2017. Multi-stage sampling technique was used to select study participants. A pretested and structured interviewer-administered questionnaire and anthropometric measurements was used to collect the data. The collected data were entered in to Epi Data version 3.1 and exported to SPSS version 20.0 for further statistical analysis. Body Mass Index for age (thinness) and height for age (stunting) was used to assess undernutrition of adolescent girls by using the new 2007 WHO Growth Reference. Data were analyzed using bivariate and multivariable logistic regression. The degree of association between dependent and independent variables were assessed using odds ratio with 95% confidence interval, and variables with p value < 0.05 were considered significant. RESULTS: The study revealed that the prevalence of thinness and stunting were 15.8% (95% CI 13.3–18.5%) and 26.6% (95% CI 23.5–29.9%), respectively. Being at an early adolescent age (AOR = 2.89, 95% CI 1.23–6.81) for thinness and being at an early adolescent age (AOR = 1.96, 95% CI 1.02–3.74), household food insecure (AOR = 2.88, 95% CI 1.15–7.21), menstruation status (AOR = 2.42, 95% CI 1.03–5.71), and availability of home latrine (AOR = 3.26, 95% CI 1.15–4.42) for stunting were the independent predictors among the adolescent girls. CONCLUSIONS: The prevalence of thinness and stunting is above the public health importance threshold level. Thus, Multi-sector-centered nutrition interventions to improve nutritional status of disadvantaged adolescent girls through providing comprehensive nutritional assessment and counseling services at community, school, and health facility levels, and creating household’s income-generating activities are recommended before they reach conception to break the intergenerational cycle effect of malnutrition.
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spelling pubmed-79036442021-03-01 Assessment of nutritional status and associated factors among adolescent girls in Afar, Northeastern Ethiopia: a cross-sectional study Hadush, Gebrehiwot Seid, Oumer Wuneh, Abel Gebre J Health Popul Nutr Research Article BACKGROUND: A body of evidences showed that adolescent undernutrition is a serious public health problem in developing countries including Ethiopia. Adolescence period is the last chance for curbing the consequences of undernutrition and breaking the intergenerational cycle of malnutrition and poor health. Despite this fact, they have been considered as a low-risk group for poor health and nutrition problems than the young children or the very old. This study aimed to assess prevalence of nutritional status and associated factors among adolescent girls in Afar, Northeastern Ethiopia, 2017. METHODS: A school-based cross-sectional study design was conducted among 736 adolescent girls from February15 to March 05, 2017 in Afar, Northeastern Ethiopia, 2017. Multi-stage sampling technique was used to select study participants. A pretested and structured interviewer-administered questionnaire and anthropometric measurements was used to collect the data. The collected data were entered in to Epi Data version 3.1 and exported to SPSS version 20.0 for further statistical analysis. Body Mass Index for age (thinness) and height for age (stunting) was used to assess undernutrition of adolescent girls by using the new 2007 WHO Growth Reference. Data were analyzed using bivariate and multivariable logistic regression. The degree of association between dependent and independent variables were assessed using odds ratio with 95% confidence interval, and variables with p value < 0.05 were considered significant. RESULTS: The study revealed that the prevalence of thinness and stunting were 15.8% (95% CI 13.3–18.5%) and 26.6% (95% CI 23.5–29.9%), respectively. Being at an early adolescent age (AOR = 2.89, 95% CI 1.23–6.81) for thinness and being at an early adolescent age (AOR = 1.96, 95% CI 1.02–3.74), household food insecure (AOR = 2.88, 95% CI 1.15–7.21), menstruation status (AOR = 2.42, 95% CI 1.03–5.71), and availability of home latrine (AOR = 3.26, 95% CI 1.15–4.42) for stunting were the independent predictors among the adolescent girls. CONCLUSIONS: The prevalence of thinness and stunting is above the public health importance threshold level. Thus, Multi-sector-centered nutrition interventions to improve nutritional status of disadvantaged adolescent girls through providing comprehensive nutritional assessment and counseling services at community, school, and health facility levels, and creating household’s income-generating activities are recommended before they reach conception to break the intergenerational cycle effect of malnutrition. BioMed Central 2021-02-23 /pmc/articles/PMC7903644/ /pubmed/33622414 http://dx.doi.org/10.1186/s41043-021-00227-0 Text en © The Author(s) 2021 Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. 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 in a credit line to the data.
spellingShingle Research Article
Hadush, Gebrehiwot
Seid, Oumer
Wuneh, Abel Gebre
Assessment of nutritional status and associated factors among adolescent girls in Afar, Northeastern Ethiopia: a cross-sectional study
title Assessment of nutritional status and associated factors among adolescent girls in Afar, Northeastern Ethiopia: a cross-sectional study
title_full Assessment of nutritional status and associated factors among adolescent girls in Afar, Northeastern Ethiopia: a cross-sectional study
title_fullStr Assessment of nutritional status and associated factors among adolescent girls in Afar, Northeastern Ethiopia: a cross-sectional study
title_full_unstemmed Assessment of nutritional status and associated factors among adolescent girls in Afar, Northeastern Ethiopia: a cross-sectional study
title_short Assessment of nutritional status and associated factors among adolescent girls in Afar, Northeastern Ethiopia: a cross-sectional study
title_sort assessment of nutritional status and associated factors among adolescent girls in afar, northeastern ethiopia: a cross-sectional study
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7903644/
https://www.ncbi.nlm.nih.gov/pubmed/33622414
http://dx.doi.org/10.1186/s41043-021-00227-0
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