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Gender-common and gender-specific determinants of child dietary diversity in eight Asia Pacific countries

BACKGROUND: Optimal child feeding practices contribute to reducing child undernutrition in low- and middle-income countries. Minimum dietary diversity (MDD) is a key indicator of complementary feeding quality for children aged 6-23 months. We aimed to examine the gender-common and gender-specific fa...

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Main Authors: Li, Huilin, Kim, Yunjeong, Park, Chulwoo, Kang, Minji, Kang, Yunhee
Format: Online Article Text
Language:English
Published: International Society of Global Health 2022
Subjects:
Online Access:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9526379/
https://www.ncbi.nlm.nih.gov/pubmed/36181506
http://dx.doi.org/10.7189/jogh.12.04058
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author Li, Huilin
Kim, Yunjeong
Park, Chulwoo
Kang, Minji
Kang, Yunhee
author_facet Li, Huilin
Kim, Yunjeong
Park, Chulwoo
Kang, Minji
Kang, Yunhee
author_sort Li, Huilin
collection PubMed
description BACKGROUND: Optimal child feeding practices contribute to reducing child undernutrition in low- and middle-income countries. Minimum dietary diversity (MDD) is a key indicator of complementary feeding quality for children aged 6-23 months. We aimed to examine the gender-common and gender-specific factors associated with the failure to meet MDD in eight Asia Pacific countries. METHODS: The study used data of children aged 6-23 months from the Demographic and Health Surveys (DHS) conducted in Afghanistan (n = 8410), Bangladesh (n = 2371), Nepal (n = 1478), Pakistan (n = 3490), Cambodia (n = 2182), Indonesia (n = 5133), Myanmar (n = 1379), and Timor-Leste (n = 2115). A total of 41 household, maternal, and child-level variables were examined for association with MDD using univariate and multivariable logistic regressions. All analyses accounted for the survey design and sampling weights. RESULTS: Being aged 6-11 months, not receiving Vitamin A supplementation, low maternal education, belonging to a low wealth quintile, and having two or more young children in the household were factors related to the failure to meet MDD among both male and female children. Mothers’ not watching TV or not being exposed to media at least once a week, delivery at home, young age, and engagement to non-agricultural work were only significant risk factors among female children. Non-professional delivery assistance, unsafe disposal of children’s stool, tolerant attitudes towards domestic violence, and rural residence were significant factors only among male children. CONCLUSIONS: It is possible that male and female children in the region may consume food in various ways, because the factors for meeting MDD are not the same for different genders of children. It is advised to enhance dietary diversity in child nutrition programmes through gender-specific activities.
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spelling pubmed-95263792022-10-11 Gender-common and gender-specific determinants of child dietary diversity in eight Asia Pacific countries Li, Huilin Kim, Yunjeong Park, Chulwoo Kang, Minji Kang, Yunhee J Glob Health Articles BACKGROUND: Optimal child feeding practices contribute to reducing child undernutrition in low- and middle-income countries. Minimum dietary diversity (MDD) is a key indicator of complementary feeding quality for children aged 6-23 months. We aimed to examine the gender-common and gender-specific factors associated with the failure to meet MDD in eight Asia Pacific countries. METHODS: The study used data of children aged 6-23 months from the Demographic and Health Surveys (DHS) conducted in Afghanistan (n = 8410), Bangladesh (n = 2371), Nepal (n = 1478), Pakistan (n = 3490), Cambodia (n = 2182), Indonesia (n = 5133), Myanmar (n = 1379), and Timor-Leste (n = 2115). A total of 41 household, maternal, and child-level variables were examined for association with MDD using univariate and multivariable logistic regressions. All analyses accounted for the survey design and sampling weights. RESULTS: Being aged 6-11 months, not receiving Vitamin A supplementation, low maternal education, belonging to a low wealth quintile, and having two or more young children in the household were factors related to the failure to meet MDD among both male and female children. Mothers’ not watching TV or not being exposed to media at least once a week, delivery at home, young age, and engagement to non-agricultural work were only significant risk factors among female children. Non-professional delivery assistance, unsafe disposal of children’s stool, tolerant attitudes towards domestic violence, and rural residence were significant factors only among male children. CONCLUSIONS: It is possible that male and female children in the region may consume food in various ways, because the factors for meeting MDD are not the same for different genders of children. It is advised to enhance dietary diversity in child nutrition programmes through gender-specific activities. International Society of Global Health 2022-10-01 /pmc/articles/PMC9526379/ /pubmed/36181506 http://dx.doi.org/10.7189/jogh.12.04058 Text en Copyright © 2022 by the Journal of Global Health. All rights reserved. https://creativecommons.org/licenses/by/4.0/This work is licensed under a Creative Commons Attribution 4.0 International License.
spellingShingle Articles
Li, Huilin
Kim, Yunjeong
Park, Chulwoo
Kang, Minji
Kang, Yunhee
Gender-common and gender-specific determinants of child dietary diversity in eight Asia Pacific countries
title Gender-common and gender-specific determinants of child dietary diversity in eight Asia Pacific countries
title_full Gender-common and gender-specific determinants of child dietary diversity in eight Asia Pacific countries
title_fullStr Gender-common and gender-specific determinants of child dietary diversity in eight Asia Pacific countries
title_full_unstemmed Gender-common and gender-specific determinants of child dietary diversity in eight Asia Pacific countries
title_short Gender-common and gender-specific determinants of child dietary diversity in eight Asia Pacific countries
title_sort gender-common and gender-specific determinants of child dietary diversity in eight asia pacific countries
topic Articles
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9526379/
https://www.ncbi.nlm.nih.gov/pubmed/36181506
http://dx.doi.org/10.7189/jogh.12.04058
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