Dietary Diversity Among Pregnant Women in Gurage Zone, South Central Ethiopia: Assessment Based on Longitudinal Repeated Measurement
Teshome Gensa Geta,1,2 Samson Gebremedhin,3 Akinyinka O Omigbodun2,4 1Department of Biomedical Science, College of Medicine and Health Science, Wolkite University, Wolkite, Ethiopia; 2Pan African University, Life and Earth Science Institutes (Including Health and Agriculture), Ibadan, Nigeria; 3Scho...
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Dove Medical Press
2022-04-01
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| Series: | International Journal of Women's Health |
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| Online Access: | https://www.dovepress.com/dietary-diversity-among-pregnant-women-in-gurage-zone-south-central-et-peer-reviewed-fulltext-article-IJWH |
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| author | Geta TG Gebremedhin S Omigbodun AO |
| author_facet | Geta TG Gebremedhin S Omigbodun AO |
| author_sort | Geta TG |
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| description | Teshome Gensa Geta,1,2 Samson Gebremedhin,3 Akinyinka O Omigbodun2,4 1Department of Biomedical Science, College of Medicine and Health Science, Wolkite University, Wolkite, Ethiopia; 2Pan African University, Life and Earth Science Institutes (Including Health and Agriculture), Ibadan, Nigeria; 3School of Public Health, College of Health Science and Medicine, Addis Ababa University, Addis Ababa, Ethiopia; 4Department of Obstetrics & Gynaecology, College of Medicine, University of Ibadan, Ibadan, NigeriaCorrespondence: Teshome Gensa Geta, Tel +251 910686501, Email teshgen2006@gmail.comPurpose: Dietary diversity is a key proxy indicator of nutrient adequacy; however, limited studies have been done on it among pregnant women in Ethiopia. The study aimed to examine the prevalence of sub-optimal dietary diversity and its associated factors among pregnant women in Gurage zone, South Central Ethiopia.Materials and Methods: A mixed-method approach, a longitudinal study complemented with an exploratory qualitative study, was conducted. In the longitudinal study, a consecutively included sample of 668 pregnant women was followed in three rounds of survey. Dietary diversity was assessed using the minimum dietary diversity score for women (MDD-W) tool. The average of three dietary diversity scores was used to define overall diversity. Consuming less than 5 of 10 standard food groups was considered as suboptimal dietary diversity. Multivariable logistic regression analysis was used to identify predictors of suboptimal dietary diversity. Qualitative data were analysed using the thematic analysis method.Results: During the 16 to 20, 28 to 29 and 36 to 37 weeks of gestation surveys, 75.0, 78.7 and 76.5% of the women had sub-optimal dietary diversity. In aggregate, 84.4% (95% CI: 81.6, 87.3) of the women had sub-optimal dietary diversity. Rural residents (AOR: 1.91, 95% CI: 1.01, 3.62), women with no formal education (AOR: 5.51, 95% CI: 1.96, 15.53) and from food insecure households (AOR: 2.44, 95% CI: 1.07, 5.59) had higher odds of suboptimal dietary diversity. Women with higher nutritional knowledge (AOR: 0.92, 95% CI: 0.87, 0.98) were less likely to have suboptimal dietary diversity. Food taboos, poor nutritional literacy and pregnancy complications were also reported as factors affecting dietary diversity.Conclusion: Majority of pregnant women in the area had sub-optimal dietary diversity. Improving the socio-economic status and promoting nutrition knowledge may improve women’s dietary diversity.Keywords: dietary diversity, pregnant women, maternal nutrition, Ethiopia |
| first_indexed | 2024-12-12T22:42:29Z |
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| institution | Directory Open Access Journal |
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| language | English |
| last_indexed | 2024-12-12T22:42:29Z |
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| series | International Journal of Women's Health |
| spelling | doaj.art-7fd27245da6e4796b2b19a5ee3f535fb2022-12-22T00:09:18ZengDove Medical PressInternational Journal of Women's Health1179-14112022-04-01Volume 1459961574776Dietary Diversity Among Pregnant Women in Gurage Zone, South Central Ethiopia: Assessment Based on Longitudinal Repeated MeasurementGeta TGGebremedhin SOmigbodun AOTeshome Gensa Geta,1,2 Samson Gebremedhin,3 Akinyinka O Omigbodun2,4 1Department of Biomedical Science, College of Medicine and Health Science, Wolkite University, Wolkite, Ethiopia; 2Pan African University, Life and Earth Science Institutes (Including Health and Agriculture), Ibadan, Nigeria; 3School of Public Health, College of Health Science and Medicine, Addis Ababa University, Addis Ababa, Ethiopia; 4Department of Obstetrics & Gynaecology, College of Medicine, University of Ibadan, Ibadan, NigeriaCorrespondence: Teshome Gensa Geta, Tel +251 910686501, Email teshgen2006@gmail.comPurpose: Dietary diversity is a key proxy indicator of nutrient adequacy; however, limited studies have been done on it among pregnant women in Ethiopia. The study aimed to examine the prevalence of sub-optimal dietary diversity and its associated factors among pregnant women in Gurage zone, South Central Ethiopia.Materials and Methods: A mixed-method approach, a longitudinal study complemented with an exploratory qualitative study, was conducted. In the longitudinal study, a consecutively included sample of 668 pregnant women was followed in three rounds of survey. Dietary diversity was assessed using the minimum dietary diversity score for women (MDD-W) tool. The average of three dietary diversity scores was used to define overall diversity. Consuming less than 5 of 10 standard food groups was considered as suboptimal dietary diversity. Multivariable logistic regression analysis was used to identify predictors of suboptimal dietary diversity. Qualitative data were analysed using the thematic analysis method.Results: During the 16 to 20, 28 to 29 and 36 to 37 weeks of gestation surveys, 75.0, 78.7 and 76.5% of the women had sub-optimal dietary diversity. In aggregate, 84.4% (95% CI: 81.6, 87.3) of the women had sub-optimal dietary diversity. Rural residents (AOR: 1.91, 95% CI: 1.01, 3.62), women with no formal education (AOR: 5.51, 95% CI: 1.96, 15.53) and from food insecure households (AOR: 2.44, 95% CI: 1.07, 5.59) had higher odds of suboptimal dietary diversity. Women with higher nutritional knowledge (AOR: 0.92, 95% CI: 0.87, 0.98) were less likely to have suboptimal dietary diversity. Food taboos, poor nutritional literacy and pregnancy complications were also reported as factors affecting dietary diversity.Conclusion: Majority of pregnant women in the area had sub-optimal dietary diversity. Improving the socio-economic status and promoting nutrition knowledge may improve women’s dietary diversity.Keywords: dietary diversity, pregnant women, maternal nutrition, Ethiopiahttps://www.dovepress.com/dietary-diversity-among-pregnant-women-in-gurage-zone-south-central-et-peer-reviewed-fulltext-article-IJWHdietary diversitypregnant womenmaternal nutritionethiopia |
| spellingShingle | Geta TG Gebremedhin S Omigbodun AO Dietary Diversity Among Pregnant Women in Gurage Zone, South Central Ethiopia: Assessment Based on Longitudinal Repeated Measurement International Journal of Women's Health dietary diversity pregnant women maternal nutrition ethiopia |
| title | Dietary Diversity Among Pregnant Women in Gurage Zone, South Central Ethiopia: Assessment Based on Longitudinal Repeated Measurement |
| title_full | Dietary Diversity Among Pregnant Women in Gurage Zone, South Central Ethiopia: Assessment Based on Longitudinal Repeated Measurement |
| title_fullStr | Dietary Diversity Among Pregnant Women in Gurage Zone, South Central Ethiopia: Assessment Based on Longitudinal Repeated Measurement |
| title_full_unstemmed | Dietary Diversity Among Pregnant Women in Gurage Zone, South Central Ethiopia: Assessment Based on Longitudinal Repeated Measurement |
| title_short | Dietary Diversity Among Pregnant Women in Gurage Zone, South Central Ethiopia: Assessment Based on Longitudinal Repeated Measurement |
| title_sort | dietary diversity among pregnant women in gurage zone south central ethiopia assessment based on longitudinal repeated measurement |
| topic | dietary diversity pregnant women maternal nutrition ethiopia |
| url | https://www.dovepress.com/dietary-diversity-among-pregnant-women-in-gurage-zone-south-central-et-peer-reviewed-fulltext-article-IJWH |
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