Prevalence and predictors of malnutrition during adolescent pregnancy in southern Ethiopia: a community-based study

Yimer, Belete; Wolde, Awraris

doi:10.1186/s12884-022-04460-1

Cited by 10 publications

(6 citation statements)

References 23 publications

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“…Based on this, one-fourth, 25.6% (95% CI: 24.5–26.9), of AGYW in Ethiopia had undernourished. This is in line with the research report 26.4% conducted in southern Ethiopia [ 37 ]. This finding is higher than studies conducted in Gondar, Ethiopia in which 14.4% were undernourished [ 9 ].…”

Section: Discussionsupporting

confidence: 92%

Multilevel analysis of undernutrition and associated factors among adolescent girls and young women in Ethiopia

et al. 2022

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Background The consequences of undernutrition have serious implication for the health and future reproductive periods of adolescent girls and young women aged 15–24 years. Inspite of this, they are neglected age groups and there is limited information about the nutritional status of this age group in Ethiopia. Therefore, estimating the extent and associated factors of undernutrition among adolescent girls and young women in a national context using multilevel analysis is essential. Methods Secondary data analysis was conducted from the Ethiopian Demographic and Health Survey 2016. A total sample weight of 5362 adolescent girls and young women was included in this study. A multilevel mixed-effect binary logistic regression model with cluster-level random effects was fitted to determine the associated factors of undernutrition among adolescent girls and young women in Ethiopia. Finally, the odds ratios along with the 95% confidence interval was generated to determine the individual and community level factors of undernutrition. A p-value less than 0.05 was declared as the level of statistical significance. Results Overall, 25.6% (95%CI: 24.5–26.9) of adolescent girls and young women were undernourished. Statistically significant individual level factors includes adolescent girls and young women aged 15–19 years (AOR: 1.53, 95%CI: 1.32–1.77), individual media exposure (AOR: 0.82, 95%CI: 0.69–0.97), and unprotected drinking water source (AOR: 1.24, 95%CI: 1.04–1.48). Whereas, Southern Nations, Nationalities, and Peoples' Region (AOR: 0.33, 95%CI: 0.13–0.83) and rural residence (AOR: 1.69, 95%CI: 1.24–2.32), were community level factors for adolescent girls and young women undernutrition. Conclusion One quarter of the Ethiopian adolescent girls and young women were undernourished. Therefore, the Ethiopian government should better engage this age group in different aspects of the food system. To improve nutritional status, public health interventions such as increased media exposure for rural residents and interventions that improve access to protected water sources will be critical.

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Section: Discussionsupporting

confidence: 92%

Multilevel analysis of undernutrition and associated factors among adolescent girls and young women in Ethiopia

et al. 2022

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“…Specifically, the findings revealed that the prevalence of undernutrition in Gondar is 61.3%. This figure is higher than the findings of other studies, which have reported a prevalence of 26.4% in southern Ethiopia ( 28 ) and 14.4% in Gondar ( 9 ). A possible reason for this difference might be the differences in study population, period, and sample size.…”

Section: Discussioncontrasting

confidence: 78%

The prevalence of undernutrition among students attending traditional Ethiopian orthodox Tewahedo church schools in northwest Ethiopia

Shiferaw,

Asmamaw,

Engidaw

et al. 2023

Front. Public Health

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BackgroundUndernutrition is a major public health concern affecting the health, growth, development, and academic performance of adolescents studying in school. During this crucial period, dietary patterns have a vital impact on lifetime nutritional status and health. The problem of undernutrition among particular groups of adolescents attending traditional schools has not previously been studied. Therefore, this study aimed to assess the prevalence of undernutrition and associated factors among adolescents aged 10–19 years attending Orthodox Church schools in northwest Ethiopia.MethodsAn institution-based, cross-sectional study design was employed, with data collected from March 1 to 30, 2021. A simple random sampling technique was used to recruit a total of 848 male attendees of traditional schools. Data were collected via an interviewer-administered semi-structured questionnaire. The nutritional status of participants was assessed using anthropometric measurements. The WHO Anthroplus software was used for analysis. Both bivariable and multivariable logistic regression analyses were conducted to identify the factors associated with nutritional status. The degree of association between the independent variables and the dependent variable was assessed using odds ratios, reported with 95% confidence intervals, and a threshold of p ≤ 0.05.ResultsThe prevalence of undernutrition was found to be 61.3% [95% CI: 58.1, 64.6]. The likelihood of developing undernutrition was elevated among those adolescents who were following the traditional school levels of dikuna (AOR = 4.3, 95% CI = 1.3, 13.6), kinne (AOR = 4.5, 95% CI = 1.4, 14.6), aquaquame (AOR = 9.9, 95% CI = 2.5, 39.88), tirguame (AOR = 6.4, 95% CI = 1.6, 25.6), and among those whose mothers had no formal education [AOR = 3.7, 95% CI: 1.2, 12.8]. In contrast, those adolescents who always washed their hands after a toilet visit had lower odds of undernutrition than their counterparts [AOR = 0.7, 95%CI: 0.5, 0.98].ConclusionMore than three out of five participating male adolescents were undernourished. Thus, to improve the nutritional status of adolescents studying in traditional church schools, extensive health education for these adolescents is essential. Moreover, the establishment of well-resourced traditional religious school, equipped for the provision of an adequate, diversified diet, is important. Developing the habit of handwashing after visiting the toilet and before and after food preparation is also recommended for adolescent students.

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“…Further research into undernutrition related to older children and adolescents is crucial as the drivers of poor nutrition and ultimately interventions to address this issue differ in this population compared to the U5 children. Adolescents in particular have more choice of what they eat ( 27 ) and many may have their own families to feed ( 28 ). A multidisciplinary approach to addressing this burden is necessary along with greater global investment ( 4 ).…”

Section: Discussionmentioning

confidence: 99%

Undernutrition in older children and adolescents in peri-urban Zambia

Sridhar,

Kang,

Madzorera

et al. 2023

Front. Public Health

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BackgroundAdolescents make up roughly a quarter of the population in Zambia; however, most nutrition-related programming is targeted at the under-five population. Understanding the scale of undernutrition in older children and adolescents is fundamental to alleviating food insecurity and addressing undernutrition across all age groups.MethodsA cross-sectional survey was performed in four low-income, peri-urban compounds in Chilanga District which included anthropometric measurements of children between ages 6 months-19 years and a household-level diet diversity and food security questionnaire. Wasting was used for children under 5 and thinness for children 5–19 years. Descriptive analysis and multivariate logistic regression were conducted to quantify the prevalence and distribution of malnutrition and understand the impact of food security.ResultsWe surveyed 393 households and 1,004 children between the ages of 6 months and 19 years. Children aged 6–9 years had the highest prevalence of severe thinness (5.2%) and adolescents (10–19 years) had the highest rates of moderate thinness (6.5%). Across all age groups, more than 75% of children were in households that worried about running out of food in the previous month. 24.9% of adolescents and 28.4% of older children were in households were more likely to go a whole day without eating compared to 16.9% of children under 5.ConclusionOur survey indicated that malnutrition in adolescents and older children living in Chilanga district was comparable to those under 5. Interventions to address undernutrition must be targeted at older children and adolescents in order to ameliorate this burden.

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Prevalence and predictors of malnutrition during adolescent pregnancy in southern Ethiopia: a community-based study

Cited by 10 publications

References 23 publications

Multilevel analysis of undernutrition and associated factors among adolescent girls and young women in Ethiopia

Multilevel analysis of undernutrition and associated factors among adolescent girls and young women in Ethiopia

The prevalence of undernutrition among students attending traditional Ethiopian orthodox Tewahedo church schools in northwest Ethiopia

Undernutrition in older children and adolescents in peri-urban Zambia

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