Determinants of severe acute malnutrition among children aged 6–59 months in the pastoral community of Liban District, Guji Zone, Oromia Regional State, Southeastern Ethiopia: a case–control study
Malnutrition remains one of the most common causes of morbidity and mortality among children, particularly in Ethiopia. The present study aimed to assess determinants of severe acute malnutrition among children aged 6–59 months in the pastoral community of Liban District, Southeastern Ethiopia. A ca...
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| Format: | Article |
| Language: | English |
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Cambridge University Press
2021-01-01
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| Series: | Journal of Nutritional Science |
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| Online Access: | https://www.cambridge.org/core/product/identifier/S2048679021000987/type/journal_article |
| _version_ | 1811155952570728448 |
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| author | Diriba S. Gemechu Yoseph Worku Abebe Alemu Urge Gerema |
| author_facet | Diriba S. Gemechu Yoseph Worku Abebe Alemu Urge Gerema |
| author_sort | Diriba S. Gemechu |
| collection | DOAJ |
| description | Malnutrition remains one of the most common causes of morbidity and mortality among children, particularly in Ethiopia. The present study aimed to assess determinants of severe acute malnutrition among children aged 6–59 months in the pastoral community of Liban District, Southeastern Ethiopia. A case–control study design was conducted on 89 cases and 177 controls from 1–30 December 2020. A simple random sampling technique was used to select study participants. Data collected using interviewer-administered structured questionnaire were used, and anthropometric measurements were done by standardised calibrated instruments to collect data. Data were entered into EPI data version 3.1 and then exported to SPSS version 25.0 software for analysis. All candidate variables with P < 0⋅25 in bivariate analysis were then entered into multivariable logistic regression. Associated factors were identified at P < 0⋅05 and 95 % CI. A total of 266 (89 cases and 177 controls) having a response rate of 96⋅6 % being underweight [adjusted odds ratio (AOR) = 11⋅8, 95 % CI 3⋅17, 43⋅89], illness previous 2 weeks (AOR = 3⋅47, 95 % confidence interval (CI) 1⋅34, 8⋅99), family member with malnutrition (AOR = 4⋅52, 95 % CI 1⋅45, 14⋅01), greater than five family size, (AOR = 5⋅33, 95 % CI 2⋅08, 13⋅66), mothers unable to read and write (AOR = 3⋅66, 95 % CI 1⋅27, 10⋅56), mothers with low decision autonomy (AOR = 5⋅67, 95 % CI 2⋅26, 14⋅27), not handwashing at all critical time (AOR = 7⋅23, 95 % CI 2⋅74, 19⋅07), not feeding child animal source (AOR = 7⋅13, 95 % CI 1⋅98, 25⋅59), bottle feeding (AOR = 7⋅06, 95 % CI 2⋅34, 21⋅28) and being married (AOR = 0⋅05, 95 % CI 0⋅02, 0⋅19) were significantly associated with acute malnutrition. The present study has confirmed the association of acute malnutrition with maternal education, underweight, family size and inappropriate infant caring practices. |
| first_indexed | 2024-04-10T04:43:27Z |
| format | Article |
| id | doaj.art-e5d197402b014d24b3df93cdb4d4b2e2 |
| institution | Directory Open Access Journal |
| issn | 2048-6790 |
| language | English |
| last_indexed | 2024-04-10T04:43:27Z |
| publishDate | 2021-01-01 |
| publisher | Cambridge University Press |
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| series | Journal of Nutritional Science |
| spelling | doaj.art-e5d197402b014d24b3df93cdb4d4b2e22023-03-09T12:38:46ZengCambridge University PressJournal of Nutritional Science2048-67902021-01-011010.1017/jns.2021.98Determinants of severe acute malnutrition among children aged 6–59 months in the pastoral community of Liban District, Guji Zone, Oromia Regional State, Southeastern Ethiopia: a case–control studyDiriba S. Gemechu0Yoseph Worku1Abebe Alemu2Urge Gerema3Ethiopian Public Health Institute (EPHI), Center of Public Health Emergency Management (cPHEM), Addis Ababa, EthiopiaSt. Paul's Hospital Millennium Medical College, Addis Ababa, EthiopiaInternational Medical Crops, Addis Ababa, EthiopiaDepartment of Biomedical Sciences, College of Medical Sciences, Institute of Health Sciences, Jimma University, Jimma, EthiopiaMalnutrition remains one of the most common causes of morbidity and mortality among children, particularly in Ethiopia. The present study aimed to assess determinants of severe acute malnutrition among children aged 6–59 months in the pastoral community of Liban District, Southeastern Ethiopia. A case–control study design was conducted on 89 cases and 177 controls from 1–30 December 2020. A simple random sampling technique was used to select study participants. Data collected using interviewer-administered structured questionnaire were used, and anthropometric measurements were done by standardised calibrated instruments to collect data. Data were entered into EPI data version 3.1 and then exported to SPSS version 25.0 software for analysis. All candidate variables with P < 0⋅25 in bivariate analysis were then entered into multivariable logistic regression. Associated factors were identified at P < 0⋅05 and 95 % CI. A total of 266 (89 cases and 177 controls) having a response rate of 96⋅6 % being underweight [adjusted odds ratio (AOR) = 11⋅8, 95 % CI 3⋅17, 43⋅89], illness previous 2 weeks (AOR = 3⋅47, 95 % confidence interval (CI) 1⋅34, 8⋅99), family member with malnutrition (AOR = 4⋅52, 95 % CI 1⋅45, 14⋅01), greater than five family size, (AOR = 5⋅33, 95 % CI 2⋅08, 13⋅66), mothers unable to read and write (AOR = 3⋅66, 95 % CI 1⋅27, 10⋅56), mothers with low decision autonomy (AOR = 5⋅67, 95 % CI 2⋅26, 14⋅27), not handwashing at all critical time (AOR = 7⋅23, 95 % CI 2⋅74, 19⋅07), not feeding child animal source (AOR = 7⋅13, 95 % CI 1⋅98, 25⋅59), bottle feeding (AOR = 7⋅06, 95 % CI 2⋅34, 21⋅28) and being married (AOR = 0⋅05, 95 % CI 0⋅02, 0⋅19) were significantly associated with acute malnutrition. The present study has confirmed the association of acute malnutrition with maternal education, underweight, family size and inappropriate infant caring practices.https://www.cambridge.org/core/product/identifier/S2048679021000987/type/journal_articleDeterminantsEthiopiaSevere acute malnutritionUnder five children |
| spellingShingle | Diriba S. Gemechu Yoseph Worku Abebe Alemu Urge Gerema Determinants of severe acute malnutrition among children aged 6–59 months in the pastoral community of Liban District, Guji Zone, Oromia Regional State, Southeastern Ethiopia: a case–control study Journal of Nutritional Science Determinants Ethiopia Severe acute malnutrition Under five children |
| title | Determinants of severe acute malnutrition among children aged 6–59 months in the pastoral community of Liban District, Guji Zone, Oromia Regional State, Southeastern Ethiopia: a case–control study |
| title_full | Determinants of severe acute malnutrition among children aged 6–59 months in the pastoral community of Liban District, Guji Zone, Oromia Regional State, Southeastern Ethiopia: a case–control study |
| title_fullStr | Determinants of severe acute malnutrition among children aged 6–59 months in the pastoral community of Liban District, Guji Zone, Oromia Regional State, Southeastern Ethiopia: a case–control study |
| title_full_unstemmed | Determinants of severe acute malnutrition among children aged 6–59 months in the pastoral community of Liban District, Guji Zone, Oromia Regional State, Southeastern Ethiopia: a case–control study |
| title_short | Determinants of severe acute malnutrition among children aged 6–59 months in the pastoral community of Liban District, Guji Zone, Oromia Regional State, Southeastern Ethiopia: a case–control study |
| title_sort | determinants of severe acute malnutrition among children aged 6 59 months in the pastoral community of liban district guji zone oromia regional state southeastern ethiopia a case control study |
| topic | Determinants Ethiopia Severe acute malnutrition Under five children |
| url | https://www.cambridge.org/core/product/identifier/S2048679021000987/type/journal_article |
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