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Individual and community-level factors associated with iron-rich food consumption among children aged 6–23 months in Rwanda: A multilevel analysis of Rwanda Demographic and Health Survey

BACKGROUND: Iron-rich food consumption has an invaluable effect for neonatal and fetal brain development as well as metabolic activities. Despite the public health importance of the consumption of iron-rich foods, there was no study, that assessed iron-rich food consumption in Rwanda. Therefore this...

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Autores principales: Eshetu, Habitu Birhan, Diress, Mengistie, Belay, Daniel Gashaneh, Seid, Mohammed Abdu, Chilot, Dagmawi, Sinamaw, Deresse, Simegn, Wudneh, Tareke, Abiyu Abadi, Seid, Abdulwase Mohammed, Andualem, Amare Agmas, Bitew, Desalegn Anmut, Gela, Yibeltal Yismaw, Kibret, Anteneh Ayelign
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9851500/
https://www.ncbi.nlm.nih.gov/pubmed/36656868
http://dx.doi.org/10.1371/journal.pone.0280466
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author Eshetu, Habitu Birhan
Diress, Mengistie
Belay, Daniel Gashaneh
Seid, Mohammed Abdu
Chilot, Dagmawi
Sinamaw, Deresse
Simegn, Wudneh
Tareke, Abiyu Abadi
Seid, Abdulwase Mohammed
Andualem, Amare Agmas
Bitew, Desalegn Anmut
Gela, Yibeltal Yismaw
Kibret, Anteneh Ayelign
author_facet Eshetu, Habitu Birhan
Diress, Mengistie
Belay, Daniel Gashaneh
Seid, Mohammed Abdu
Chilot, Dagmawi
Sinamaw, Deresse
Simegn, Wudneh
Tareke, Abiyu Abadi
Seid, Abdulwase Mohammed
Andualem, Amare Agmas
Bitew, Desalegn Anmut
Gela, Yibeltal Yismaw
Kibret, Anteneh Ayelign
author_sort Eshetu, Habitu Birhan
collection PubMed
description BACKGROUND: Iron-rich food consumption has an invaluable effect for neonatal and fetal brain development as well as metabolic activities. Despite the public health importance of the consumption of iron-rich foods, there was no study, that assessed iron-rich food consumption in Rwanda. Therefore this study aimed to assess iron-rich food consumption and associated factors among children aged 6–23 months using Rwanda Demographic and Health Survey (RDHS). METHODS: Secondary data analysis was done using RDHS-2019/20. Total weighted samples of 2455 children aged 6–23 months were included. Data coding, cleaning, and analysis were performed using Stata 16. Multilevel binary logistic regression were performed to identify factors associated with iron-rich food consumption. Adjusted Odds Ratio (AOR) with a 95% CI, and p-value <0.05 were used to declare statistical significance. RESULTS: The prevalence of good iron-rich food consumption was 23.56%(95% CI: 21.92,25.28). Northern province of Rwanda (AOR  =  0.26,95%CI: 0.15,0.46), mothers secondary education and above (AOR: 2.37, 95% CI: 1.41, 4.01), married mothers (AOR:1.31, 95% CI: 1.01,1.71), rich wealth status (AOR = 2.06, 95% CI: 1.48, 2.86), having post-natal visit (AOR = 1.45, 95% CI: 1.10,1.91), mothers media exposure (AOR: 1.75, 95% CI: 1.22, 2.52) and drugs given for intestinal parasite (AOR = 1.37, 95% CI: 1.04, 1.80) were associated with iron-rich food consumption. CONCLUSIONS: This study shows that overall iron-rich foods consumption was low in Rwanda. The residing in the North province, mother’s secondary and higher educational status, married marital status, rich and middle wealth status, having media exposure, drugs given for intestinal parasites, and having child’s post-natal checkup were variables significantly associated with iron-rich food consumption. The region-based intervention will improve the consumption of iron-rich food. In addition, health policies and programs should target educating mothers/caregivers, encouraging parents to live together, improving their wealth status, working on mass media access by the women, and encouraging mothers post-natal checkups to improve iron-rich food consumption.
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spelling pubmed-98515002023-01-20 Individual and community-level factors associated with iron-rich food consumption among children aged 6–23 months in Rwanda: A multilevel analysis of Rwanda Demographic and Health Survey Eshetu, Habitu Birhan Diress, Mengistie Belay, Daniel Gashaneh Seid, Mohammed Abdu Chilot, Dagmawi Sinamaw, Deresse Simegn, Wudneh Tareke, Abiyu Abadi Seid, Abdulwase Mohammed Andualem, Amare Agmas Bitew, Desalegn Anmut Gela, Yibeltal Yismaw Kibret, Anteneh Ayelign PLoS One Research Article BACKGROUND: Iron-rich food consumption has an invaluable effect for neonatal and fetal brain development as well as metabolic activities. Despite the public health importance of the consumption of iron-rich foods, there was no study, that assessed iron-rich food consumption in Rwanda. Therefore this study aimed to assess iron-rich food consumption and associated factors among children aged 6–23 months using Rwanda Demographic and Health Survey (RDHS). METHODS: Secondary data analysis was done using RDHS-2019/20. Total weighted samples of 2455 children aged 6–23 months were included. Data coding, cleaning, and analysis were performed using Stata 16. Multilevel binary logistic regression were performed to identify factors associated with iron-rich food consumption. Adjusted Odds Ratio (AOR) with a 95% CI, and p-value <0.05 were used to declare statistical significance. RESULTS: The prevalence of good iron-rich food consumption was 23.56%(95% CI: 21.92,25.28). Northern province of Rwanda (AOR  =  0.26,95%CI: 0.15,0.46), mothers secondary education and above (AOR: 2.37, 95% CI: 1.41, 4.01), married mothers (AOR:1.31, 95% CI: 1.01,1.71), rich wealth status (AOR = 2.06, 95% CI: 1.48, 2.86), having post-natal visit (AOR = 1.45, 95% CI: 1.10,1.91), mothers media exposure (AOR: 1.75, 95% CI: 1.22, 2.52) and drugs given for intestinal parasite (AOR = 1.37, 95% CI: 1.04, 1.80) were associated with iron-rich food consumption. CONCLUSIONS: This study shows that overall iron-rich foods consumption was low in Rwanda. The residing in the North province, mother’s secondary and higher educational status, married marital status, rich and middle wealth status, having media exposure, drugs given for intestinal parasites, and having child’s post-natal checkup were variables significantly associated with iron-rich food consumption. The region-based intervention will improve the consumption of iron-rich food. In addition, health policies and programs should target educating mothers/caregivers, encouraging parents to live together, improving their wealth status, working on mass media access by the women, and encouraging mothers post-natal checkups to improve iron-rich food consumption. Public Library of Science 2023-01-19 /pmc/articles/PMC9851500/ /pubmed/36656868 http://dx.doi.org/10.1371/journal.pone.0280466 Text en © 2023 Eshetu et al https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the terms of the Creative Commons Attribution License (https://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
Eshetu, Habitu Birhan
Diress, Mengistie
Belay, Daniel Gashaneh
Seid, Mohammed Abdu
Chilot, Dagmawi
Sinamaw, Deresse
Simegn, Wudneh
Tareke, Abiyu Abadi
Seid, Abdulwase Mohammed
Andualem, Amare Agmas
Bitew, Desalegn Anmut
Gela, Yibeltal Yismaw
Kibret, Anteneh Ayelign
Individual and community-level factors associated with iron-rich food consumption among children aged 6–23 months in Rwanda: A multilevel analysis of Rwanda Demographic and Health Survey
title Individual and community-level factors associated with iron-rich food consumption among children aged 6–23 months in Rwanda: A multilevel analysis of Rwanda Demographic and Health Survey
title_full Individual and community-level factors associated with iron-rich food consumption among children aged 6–23 months in Rwanda: A multilevel analysis of Rwanda Demographic and Health Survey
title_fullStr Individual and community-level factors associated with iron-rich food consumption among children aged 6–23 months in Rwanda: A multilevel analysis of Rwanda Demographic and Health Survey
title_full_unstemmed Individual and community-level factors associated with iron-rich food consumption among children aged 6–23 months in Rwanda: A multilevel analysis of Rwanda Demographic and Health Survey
title_short Individual and community-level factors associated with iron-rich food consumption among children aged 6–23 months in Rwanda: A multilevel analysis of Rwanda Demographic and Health Survey
title_sort individual and community-level factors associated with iron-rich food consumption among children aged 6–23 months in rwanda: a multilevel analysis of rwanda demographic and health survey
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9851500/
https://www.ncbi.nlm.nih.gov/pubmed/36656868
http://dx.doi.org/10.1371/journal.pone.0280466
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