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埃塞俄比亚东部迪雷达瓦市公共卫生设施中接受产前保健随访的孕妇的多样化饮食摄入及相关因素

Diversified dietary intake and associated factors among pregnant mothers attending antenatal care follow-up in public health facilities of Dire Dawa, Eastern Ethiopia.

作者信息

Nigussie Efrata, Ferede Abebe, Markos Melese

机构信息

Public Health Expert at Ohio State Global One Health initiative, Dire Dawa City Administration, Dire Dawa, Ethiopia.

Department of Public Health, School of Health Science, Arsi University, Asella, Ethiopia.

出版信息

PLOS Glob Public Health. 2022 Jun 30;2(6):e0000002. doi: 10.1371/journal.pgph.0000002. eCollection 2022.

Abstract

Poor diversity dietary intake has great significance to women, pregnancy outcome and on her fetus or the growing and development of their baby collectively. Uncertainty of studies to examine whether pregnant women have been utilizing diversity dietary in their frequent intake and this has changed nutritional status. Therefore, this study aims to assess diversified dietary intake and associated factors among pregnant mothers attending antenatal care follow-up in public health facilities of Dire Dawa, Eastern Ethiopia. A facility-based cross-sectional study was conducted among 453 pregnant mothers randomly selected from the antenatal care unit at public health facilities from November 1-30/2020. Study subjects were selected with a systematic random sampling method from randomly selected antenatal care unity of health facilities in Dire Dawa Administration. A structured questionnaire and anthropometric measurements were used to collect data. Data were entered with kobo software and exported to Statistical Package for Social Science statistical software version 20 for analysis. Binary and multiple logistic regression models were used to declare the significance of independent variables at P<0.05. This study shows 55% (95% CI = (50-59.5) were inadequate diversified dietary intake. Having lower monthly income (Adjusted Odds Raito [AOR] = 4.4, Confident interval [95%CI] = 1.3-14.6), elementary educational status of mothers (AOR = 3.8, 95%CI = 1.5-9.9), consumption of two meals per day (AOR = 16.6, 95% CI = 2.04-135.8), didn't get antenatal care counseling (AOR = 2.2, 95% CI = 1.1-2.8) were significantly associated with diversified dietary. The result revealed that around 55% of respondents had inadequate dietary diversity. low household income, had less maternal education level and, consuming two meals per day, and no information about dietary diversity has contributed to inadequate dietary diversity. Accordingly, go forward in the right side of those variables were the core recommendation of this study.

摘要

饮食摄入多样性不足对女性、妊娠结局以及其胎儿或婴儿的生长发育都具有重大意义。关于孕妇在日常饮食中是否摄入多样化食物及其对营养状况的影响,相关研究尚无定论。因此,本研究旨在评估埃塞俄比亚东部迪雷达瓦市公共卫生机构中接受产前检查随访的孕妇的多样化饮食摄入情况及其相关因素。2020年11月1日至30日,在公共卫生机构的产前护理单元中,对453名随机选取的孕妇开展了一项基于机构的横断面研究。研究对象采用系统随机抽样方法,从迪雷达瓦行政区随机选取的卫生机构产前护理单元中选取。通过结构化问卷和人体测量来收集数据。数据使用Kobo软件录入,并导出到社会科学统计软件包20版进行分析。采用二元和多元逻辑回归模型来确定P<0.05时自变量的显著性。本研究表明,55%(95%置信区间=(50 - 59.5))的孕妇饮食摄入多样化不足。月收入较低(调整后的优势比[AOR]=4.4,置信区间[95%CI]=1.3 - 14.6)、母亲为小学教育水平(AOR = 3.8,95%CI = 1.5 - 9.9)、每天吃两餐(AOR = 16.6,95%CI = 2.04 - 135.8)、未接受产前护理咨询(AOR = 2.2,95%CI = 1.1 - 2.8)与多样化饮食显著相关。结果显示,约55%的受访者饮食多样性不足。家庭收入低、母亲教育水平低、每天吃两餐以及缺乏饮食多样性相关信息导致了饮食多样性不足。因此,针对这些变量采取相应措施是本研究的核心建议。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e837/10022029/228134d2205e/pgph.0000002.g001.jpg

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