Undernutrition and associated factors among lactating mothers in Chiro district, eastern Ethiopia: a community-based cross-sectional study.

IF 2.3 Q2 OBSTETRICS & GYNECOLOGY Frontiers in global women's health Pub Date : 2024-09-12 eCollection Date: 2024-01-01 DOI:10.3389/fgwh.2024.1440606
Mesfin Fekadu, Gudina Egata, Bezatu Mengestie, Hassen Abdi Adem, Ahmedin Aliyi Usso
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Abstract

Background: Maternal undernutrition during lactation is a worldwide public health problem. It causes impaired cognitive ability, poor productivity, irreversible loss, and intergenerational malnutrition, which has harmful effects on the next generation. Overall, there is little information on undernutrition and risk factors among lactating mothers, especially in resource-poor settings, including Ethiopia. This study assessed undernutrition and associated factors among lactating mothers in rural Chiro district, eastern Ethiopia.

Method: A community-based cross-sectional study was conducted among 629 lactating mothers in the Chiro district from July 2-30, 2019. Data were collected from participants using pretested, structured questionnaires and anthropometric measurements. Data were entered using EpiData version 3.1 and analyzed using SPSS version 27. Multivariable logistic regression analyses were used to identify factors associated with undernutrition.

Results: Undernutrition among lactating mothers was 26.9% (95% CI: 23.2%, 30.2%). Female-headed household (AOR = 0.34, 95% CI:0.13, 0.94), medium (AOR = 0.58, 95% CI: 0.38, 0.95) and rich (AOR = 0.30, 95% CI: 0.18, 0.51) wealth quintiles, lack of dietary advice (AOR = 1.62, 95% CI: 1.10, 2.39), chewing khat (AOR = 1.82, 95% CI: 1.23, 2.70), low dietary diversity (AOR = 3.10, 95% CI: 1.82, 5.29), and household food insecurity (AOR = 3.67, 95% CI:1.47, 9.20) were factors significantly associated with undernutrition.

Conclusions: Around one in every four lactating mothers in rural eastern Ethiopia had undernutrition. Poor wealth, lack of dietary feeding advice, substance use disorder, low minimum dietary diversity, and household food insecurity were factors significantly associated with the undernutrition of lactating mothers. Thus, focusing on implementing existing strategies/programs for effective nutritional interventions and poverty alleviation that enhance food security status would be essential to improving the nutritional status of lactating mothers and children.

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埃塞俄比亚东部奇罗地区哺乳期母亲的营养不良及其相关因素:一项基于社区的横断面研究。
背景:哺乳期母亲营养不良是一个世界性的公共卫生问题。它会导致认知能力受损、生产力低下、不可逆转的损失以及代际营养不良,从而对下一代产生有害影响。总体而言,有关哺乳期母亲营养不良和风险因素的信息很少,尤其是在资源匮乏的环境中,包括埃塞俄比亚。本研究评估了埃塞俄比亚东部奇罗区农村地区哺乳期母亲的营养不良状况及相关因素:2019年7月2日至30日,对Chiro地区的629名哺乳期母亲进行了一项基于社区的横断面研究。通过预先测试的结构化问卷和人体测量法收集参与者的数据。数据使用 EpiData 3.1 版输入,并使用 SPSS 27 版进行分析。多变量逻辑回归分析用于确定与营养不良相关的因素:哺乳期母亲的营养不良率为 26.9%(95% CI:23.2%,30.2%)。39)、咀嚼阿拉伯茶(AOR = 1.82,95% CI:1.23,2.70)、膳食多样性低(AOR = 3.10,95% CI:1.82,5.29)和家庭粮食不安全(AOR = 3.67,95% CI:1.47,9.20)是与营养不良显著相关的因素:结论:在埃塞俄比亚东部农村地区,大约每四名哺乳期母亲中就有一人营养不良。贫穷、缺乏膳食喂养建议、药物使用障碍、最低膳食多样性低和家庭粮食不安全是与哺乳期母亲营养不良密切相关的因素。因此,重点实施现有的有效营养干预和减贫战略/计划,提高粮食安全状况,对于改善哺乳期母亲和儿童的营养状况至关重要。
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