Determinants of undernutrition among young children in Ethiopia
Abstract Ethiopia is one of the countries in sub-Saharan Africa with the highest burden of childhood undernutrition. Despite the high burden of this scourge, little is known about the magnitude and contributing determinants to anthropometric failure among children aged 0–23 months, a period regarded...
| Main Authors: | , , , , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Nature Portfolio
2022-12-01
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| Series: | Scientific Reports |
| Online Access: | https://doi.org/10.1038/s41598-022-25160-y |
| _version_ | 1811179143308509184 |
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| author | Biniyam Sahiledengle Lillian Mwanri Pammla Petrucka Abera Kumie Girma Beressa Daniel Atlaw Yohannes Tekalegn Demisu Zenbaba Fikreab Desta Zinash Teferu Debebe Wordofa Kenbon Seyoum Degefa Gomora Getahun Negash Kingsley Emwinyore Agho |
| author_facet | Biniyam Sahiledengle Lillian Mwanri Pammla Petrucka Abera Kumie Girma Beressa Daniel Atlaw Yohannes Tekalegn Demisu Zenbaba Fikreab Desta Zinash Teferu Debebe Wordofa Kenbon Seyoum Degefa Gomora Getahun Negash Kingsley Emwinyore Agho |
| author_sort | Biniyam Sahiledengle |
| collection | DOAJ |
| description | Abstract Ethiopia is one of the countries in sub-Saharan Africa with the highest burden of childhood undernutrition. Despite the high burden of this scourge, little is known about the magnitude and contributing determinants to anthropometric failure among children aged 0–23 months, a period regarded as the best window of opportunity for interventions against undernutrition. This study examined factors associated with undernutrition (stunting, wasting, and underweight) among Ethiopian children aged 0–23 months. This study used a total weighted sample of 2146 children aged 0–23 months from the 2019 Ethiopian Mini Demographic and Health Survey. The data were cleaned and weighted using STATA version 14.0. Height-for-age (HFA), weight-for-height (WFH), and weight-for-age (WFA) z-scores < − 2 SD were calculated and classified as stunted, wasting, and underweight, respectively. Multilevel mixed-effects logistic regression models adjusted for cluster and survey weights were used. Adjusted odds ratio (AOR) and 95% confidence interval (CI) were estimated. Statistical significance was declared at p < 0.05. The overall weighted prevalence of stunting, wasting, and underweight respectively were 27.21% [95% CI (25.32–29.18)], 7.80% [95% CI (6.71–9.03)], and 16.44% [95% CI (14.90–18.09)] among children aged 0–23 months in Ethiopia. Female children were less likely to be associated with stunting [AOR: 0.68, 95% CI (0.54–0.86)], wasting [AOR: 0.70, 95% CI (0.51, 0.98)], and underweight [AOR: 0.64, 95% CI (0.49, 0.83)] than their male counterparts. Conversely, older children aged 12–17 months [AOR: 2.22, 95% CI (1.52, 3.23)] and 18–23 months [AOR: 4.16, 95% CI (2.75, 6.27)] were significantly at an increased odds of becoming stunted. Similarly, the likelihood of being underweight was higher in older age groups: 6–11 months [AOR: 1.74, 95% CI (1.15, 2.63)], 12–17 months [AOR: 2.13, 95% CI (1.40, 3.24)], and 18–23 months [AOR: 4.08, 95% CI (2.58, 6.44)] compared with the children younger than 6 months. Lower wealth quintile was one of the other significant determinants of stunting and underweight. The study’s findings indicated that the most consistent significant risk factors for undernutrition among children aged 0–23 months are: male sex, older age groups and lower wealth quintile. These findings emphasize the importance of strengthening nutrition-specific and sensitive interventions that address the immediate and underlying drivers of childhood undernutrition in early life, as well as targeting low-income households with male children, in order for Ethiopia to meet the Sustainable Development Goals (SDGs) 1,2 and 3 by 2030. |
| first_indexed | 2024-04-11T06:30:53Z |
| format | Article |
| id | doaj.art-a1fb61d5554444b387061563215c05e4 |
| institution | Directory Open Access Journal |
| issn | 2045-2322 |
| language | English |
| last_indexed | 2024-04-11T06:30:53Z |
| publishDate | 2022-12-01 |
| publisher | Nature Portfolio |
| record_format | Article |
| series | Scientific Reports |
| spelling | doaj.art-a1fb61d5554444b387061563215c05e42022-12-22T04:40:06ZengNature PortfolioScientific Reports2045-23222022-12-0112111810.1038/s41598-022-25160-yDeterminants of undernutrition among young children in EthiopiaBiniyam Sahiledengle0Lillian Mwanri1Pammla Petrucka2Abera Kumie3Girma Beressa4Daniel Atlaw5Yohannes Tekalegn6Demisu Zenbaba7Fikreab Desta8Zinash Teferu9Debebe Wordofa10Kenbon Seyoum11Degefa Gomora12Getahun Negash13Kingsley Emwinyore Agho14Department of Public Health, Madda Walabu University Goba Referral HospitalCentre for Public Health Research, Equity and Human Flourishing, Torrens University AustraliaCollege of Nursing, University of SaskatchewanSchool of Public Health, College of Health Science, Addis Ababa UniversityDepartment of Public Health, Madda Walabu University Goba Referral HospitalDepartment of Human Anatomy, Madda Walabu University Goba Referral HospitalDepartment of Public Health, Madda Walabu University Goba Referral HospitalDepartment of Public Health, Madda Walabu University Goba Referral HospitalDepartment of Public Health, Madda Walabu University Goba Referral HospitalDepartment of Public Health, Madda Walabu University Goba Referral HospitalDepartment of Public Health, Madda Walabu University Goba Referral HospitalDepartment of Midwifery, Madda Walabu University Goba Referral HospitalDepartment of Midwifery, Madda Walabu University Goba Referral HospitalDepartment of Medical Laboratory Science, Madda Walabu University Goba Referral HospitalSchool of Health Sciences, Western Sydney UniversityAbstract Ethiopia is one of the countries in sub-Saharan Africa with the highest burden of childhood undernutrition. Despite the high burden of this scourge, little is known about the magnitude and contributing determinants to anthropometric failure among children aged 0–23 months, a period regarded as the best window of opportunity for interventions against undernutrition. This study examined factors associated with undernutrition (stunting, wasting, and underweight) among Ethiopian children aged 0–23 months. This study used a total weighted sample of 2146 children aged 0–23 months from the 2019 Ethiopian Mini Demographic and Health Survey. The data were cleaned and weighted using STATA version 14.0. Height-for-age (HFA), weight-for-height (WFH), and weight-for-age (WFA) z-scores < − 2 SD were calculated and classified as stunted, wasting, and underweight, respectively. Multilevel mixed-effects logistic regression models adjusted for cluster and survey weights were used. Adjusted odds ratio (AOR) and 95% confidence interval (CI) were estimated. Statistical significance was declared at p < 0.05. The overall weighted prevalence of stunting, wasting, and underweight respectively were 27.21% [95% CI (25.32–29.18)], 7.80% [95% CI (6.71–9.03)], and 16.44% [95% CI (14.90–18.09)] among children aged 0–23 months in Ethiopia. Female children were less likely to be associated with stunting [AOR: 0.68, 95% CI (0.54–0.86)], wasting [AOR: 0.70, 95% CI (0.51, 0.98)], and underweight [AOR: 0.64, 95% CI (0.49, 0.83)] than their male counterparts. Conversely, older children aged 12–17 months [AOR: 2.22, 95% CI (1.52, 3.23)] and 18–23 months [AOR: 4.16, 95% CI (2.75, 6.27)] were significantly at an increased odds of becoming stunted. Similarly, the likelihood of being underweight was higher in older age groups: 6–11 months [AOR: 1.74, 95% CI (1.15, 2.63)], 12–17 months [AOR: 2.13, 95% CI (1.40, 3.24)], and 18–23 months [AOR: 4.08, 95% CI (2.58, 6.44)] compared with the children younger than 6 months. Lower wealth quintile was one of the other significant determinants of stunting and underweight. The study’s findings indicated that the most consistent significant risk factors for undernutrition among children aged 0–23 months are: male sex, older age groups and lower wealth quintile. These findings emphasize the importance of strengthening nutrition-specific and sensitive interventions that address the immediate and underlying drivers of childhood undernutrition in early life, as well as targeting low-income households with male children, in order for Ethiopia to meet the Sustainable Development Goals (SDGs) 1,2 and 3 by 2030.https://doi.org/10.1038/s41598-022-25160-y |
| spellingShingle | Biniyam Sahiledengle Lillian Mwanri Pammla Petrucka Abera Kumie Girma Beressa Daniel Atlaw Yohannes Tekalegn Demisu Zenbaba Fikreab Desta Zinash Teferu Debebe Wordofa Kenbon Seyoum Degefa Gomora Getahun Negash Kingsley Emwinyore Agho Determinants of undernutrition among young children in Ethiopia Scientific Reports |
| title | Determinants of undernutrition among young children in Ethiopia |
| title_full | Determinants of undernutrition among young children in Ethiopia |
| title_fullStr | Determinants of undernutrition among young children in Ethiopia |
| title_full_unstemmed | Determinants of undernutrition among young children in Ethiopia |
| title_short | Determinants of undernutrition among young children in Ethiopia |
| title_sort | determinants of undernutrition among young children in ethiopia |
| url | https://doi.org/10.1038/s41598-022-25160-y |
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