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埃塞俄比亚提格雷州拉亚阿泽博地区阿拉马塔综合医院孕妇的最低饮食多样性得分及相关因素

Minimum Dietary Diversity Score and Associated Factors among Pregnant Women at Alamata General Hospital, Raya Azebo Zone, Tigray Region, Ethiopia.

作者信息

Jemal Kemal, Awol Mukemil

机构信息

College of Health Sciences, School of Nursing and Midwifery, Salale University, Fitche, Ethiopia.

出版信息

J Nutr Metab. 2019 May 2;2019:8314359. doi: 10.1155/2019/8314359. eCollection 2019.

Abstract

BACKGROUND

Consumption of diversified food during pregnancy found very important and critical to determine healthy pregnancy outcome. Low dietary diversity has a major adverse effect on mothers, fetus, and life of new born. Dietary diversity is still low in low-resourced countries. Therefore, this study aims to determine prevalence of minimum dietary diversity score (MDDS) and associated factors among pregnant women.

METHODS

Facility-based cross-sectional study was conducted from April to May, 2017, in Alamata General Hospital (AGH). Data were collected using a pretested and structured self-interview questionnaire. A systematic sampling technique was used to select study participants. Binary logistic regression and odds ratio with 95% confidence interval (CI) were carried out to see the association between variables and the outcomes.

RESULTS

From a survey of 412 participants, 61.2% had high MDDS and 38.8% had low MDDS. Multivariate analysis revealed that being government employees (AOR = 4.87, CI: 1.70-13.95), merchant (AOR = 4.67, CI: 1.81-12.05), secured food (AOR = 3.85, CI: 2.12-6.97), and eating three meals and above (AOR = 2.66, CI: 1.47-4.82) were significantly associated with high MDDS among pregnant women.

CONCLUSIONS

In our study, minimum dietary diversity shows small increment from previous study. Screening and special emphases should be given by a health-care provider on women diet during antenatal follow-up at health-care settings.

摘要

背景

孕期摄入多样化食物对于确保健康的妊娠结局至关重要。低饮食多样性对母亲、胎儿及新生儿的生命均有重大不利影响。在资源匮乏的国家,饮食多样性仍然较低。因此,本研究旨在确定孕妇最低饮食多样性评分(MDDS)的患病率及其相关因素。

方法

于2017年4月至5月在阿拉马塔综合医院(AGH)开展了一项基于机构的横断面研究。使用经过预测试的结构化自填问卷收集数据。采用系统抽样技术选取研究参与者。进行二元逻辑回归分析并计算95%置信区间(CI)的比值比,以观察变量与结局之间的关联。

结果

在对412名参与者的调查中,61.2%的人MDDS较高,38.8%的人MDDS较低。多变量分析显示,政府雇员(调整后比值比[AOR]=4.87,CI:1.70 - 13.95)、商人(AOR = 4.67,CI:1.81 - 12.05)、有保障的食物(AOR = 3.85,CI:2.12 - 6.97)以及一日三餐及以上(AOR = 2.66,CI:1.47 - 4.82)与孕妇较高的MDDS显著相关。

结论

在我们的研究中,最低饮食多样性相较于之前的研究略有增加。在医疗机构进行产前随访时,医护人员应针对女性饮食进行筛查并给予特别关注。

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