Effect of Food Insecurity and Other Possible Factors Associated with Low Birth Weight Among Mothers Who Gave Birth to Live Newborns in West Ethiopia: A Facility-Based Unmatched Case–Control Study

Markos Desalegn, Bekana Terefe, Haile Bikila Department of Public Health, Institute of Health Science, Wollega University, Nekemte, EthiopiaCorrespondence: Markos DesalegnDepartment of Public Health, Institute of Health Science, Wollega University, Nekemte, EthiopiaTel +251927619190Email markosdesal...

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Main Authors: Desalegn M, Terefe B, Bikila H
Format: Article
Language:English
Published: Dove Medical Press 2021-09-01
Series:Nutrition and Dietary Supplements
Subjects:
Online Access:https://www.dovepress.com/effect-of-food-insecurity-and-other-possible-factors-associated-with-l-peer-reviewed-fulltext-article-NDS
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author Desalegn M
Terefe B
Bikila H
author_facet Desalegn M
Terefe B
Bikila H
author_sort Desalegn M
collection DOAJ
description Markos Desalegn, Bekana Terefe, Haile Bikila Department of Public Health, Institute of Health Science, Wollega University, Nekemte, EthiopiaCorrespondence: Markos DesalegnDepartment of Public Health, Institute of Health Science, Wollega University, Nekemte, EthiopiaTel +251927619190Email markosdesalegn@gmail.comBackground: More than 20 million births annually in developing countries are classed as low birth weight, with short- and long-term consequences. Food insecurity is the major determinant of low birth weight in developing countries.Objective: This study aimed to identify the effects of food insecurity and other possible factors associated with low birth weight in West Wollega, West Ethiopia.Methods: This facility-based unmatched case–control study was conducted among mothers who gave birth to live newborns in randomly selected hospitals in West Wollega. Data were collected using a structured interviewer-administered questionnaire. Collected data were coded and entered into Epi Info version 7.2.0.1 and analyzed by SPSS version 24. Adjusted odds ratios were used to identify predictors of low birth weight at a p-value less than 0.05.Results: The study indicated that the mother living in a food-insecure household (AOR [95% CI] = 2.9 [1.05– 8]), uneducated mother (AOR [95% CI] = 5 [1.8– 14]), birth interval of < 24 months (AOR [95% CI] = 4.6 [1.2– 18]), age at first birth of < 18 years (AOR [95% CI] = 4 [1.1– 15]), late initiation of antenatal care (ANC) (AOR [95% CI] = 4.4 [1.3– 15.7]), pregnancy-induced hypertension (AOR [95% CI] = 3.6 [1.03– 12.9]), and maternal mid-upper arm circumference (MUAC) of < 23 cm (AOR [95% CI] = 11 [4– 35]) were predictors of low birth weight.Conclusion: Household food insecurity, a birth interval of < 24 months, age at first birth < 18 years, late initiation of first ANC, pregnancy-induced hypertension, and maternal MUAC of < 23 cm were predictors of low birth weight in this study. Early screening for medical and obstetric conditions, as well as maternal nutritional status and household food insecurity, is a key action needed to reduce low birth weight in this study area.Keywords: low birth weight, predictors, newborn, food insecurity
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spelling doaj.art-04ad32cfc4374cfeb22ff826b9820cc82022-12-21T22:37:19ZengDove Medical PressNutrition and Dietary Supplements1179-14892021-09-01Volume 1313314368626Effect of Food Insecurity and Other Possible Factors Associated with Low Birth Weight Among Mothers Who Gave Birth to Live Newborns in West Ethiopia: A Facility-Based Unmatched Case&ndash;Control StudyDesalegn MTerefe BBikila HMarkos Desalegn, Bekana Terefe, Haile Bikila Department of Public Health, Institute of Health Science, Wollega University, Nekemte, EthiopiaCorrespondence: Markos DesalegnDepartment of Public Health, Institute of Health Science, Wollega University, Nekemte, EthiopiaTel +251927619190Email markosdesalegn@gmail.comBackground: More than 20 million births annually in developing countries are classed as low birth weight, with short- and long-term consequences. Food insecurity is the major determinant of low birth weight in developing countries.Objective: This study aimed to identify the effects of food insecurity and other possible factors associated with low birth weight in West Wollega, West Ethiopia.Methods: This facility-based unmatched case–control study was conducted among mothers who gave birth to live newborns in randomly selected hospitals in West Wollega. Data were collected using a structured interviewer-administered questionnaire. Collected data were coded and entered into Epi Info version 7.2.0.1 and analyzed by SPSS version 24. Adjusted odds ratios were used to identify predictors of low birth weight at a p-value less than 0.05.Results: The study indicated that the mother living in a food-insecure household (AOR [95% CI] = 2.9 [1.05– 8]), uneducated mother (AOR [95% CI] = 5 [1.8– 14]), birth interval of < 24 months (AOR [95% CI] = 4.6 [1.2– 18]), age at first birth of < 18 years (AOR [95% CI] = 4 [1.1– 15]), late initiation of antenatal care (ANC) (AOR [95% CI] = 4.4 [1.3– 15.7]), pregnancy-induced hypertension (AOR [95% CI] = 3.6 [1.03– 12.9]), and maternal mid-upper arm circumference (MUAC) of < 23 cm (AOR [95% CI] = 11 [4– 35]) were predictors of low birth weight.Conclusion: Household food insecurity, a birth interval of < 24 months, age at first birth < 18 years, late initiation of first ANC, pregnancy-induced hypertension, and maternal MUAC of < 23 cm were predictors of low birth weight in this study. Early screening for medical and obstetric conditions, as well as maternal nutritional status and household food insecurity, is a key action needed to reduce low birth weight in this study area.Keywords: low birth weight, predictors, newborn, food insecurityhttps://www.dovepress.com/effect-of-food-insecurity-and-other-possible-factors-associated-with-l-peer-reviewed-fulltext-article-NDSlow birth weightpredictorsnewbornfood insecurity
spellingShingle Desalegn M
Terefe B
Bikila H
Effect of Food Insecurity and Other Possible Factors Associated with Low Birth Weight Among Mothers Who Gave Birth to Live Newborns in West Ethiopia: A Facility-Based Unmatched Case&ndash;Control Study
Nutrition and Dietary Supplements
low birth weight
predictors
newborn
food insecurity
title Effect of Food Insecurity and Other Possible Factors Associated with Low Birth Weight Among Mothers Who Gave Birth to Live Newborns in West Ethiopia: A Facility-Based Unmatched Case&ndash;Control Study
title_full Effect of Food Insecurity and Other Possible Factors Associated with Low Birth Weight Among Mothers Who Gave Birth to Live Newborns in West Ethiopia: A Facility-Based Unmatched Case&ndash;Control Study
title_fullStr Effect of Food Insecurity and Other Possible Factors Associated with Low Birth Weight Among Mothers Who Gave Birth to Live Newborns in West Ethiopia: A Facility-Based Unmatched Case&ndash;Control Study
title_full_unstemmed Effect of Food Insecurity and Other Possible Factors Associated with Low Birth Weight Among Mothers Who Gave Birth to Live Newborns in West Ethiopia: A Facility-Based Unmatched Case&ndash;Control Study
title_short Effect of Food Insecurity and Other Possible Factors Associated with Low Birth Weight Among Mothers Who Gave Birth to Live Newborns in West Ethiopia: A Facility-Based Unmatched Case&ndash;Control Study
title_sort effect of food insecurity and other possible factors associated with low birth weight among mothers who gave birth to live newborns in west ethiopia a facility based unmatched case ndash control study
topic low birth weight
predictors
newborn
food insecurity
url https://www.dovepress.com/effect-of-food-insecurity-and-other-possible-factors-associated-with-l-peer-reviewed-fulltext-article-NDS
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