Prevalence and factors associated with adequate dietary diversity among pregnant women in Nekemte town, Western Ethiopia, 2021

BackgroundDietary diversity refers to increasing the consumption of a variety of foods. The consumption of diversified food during pregnancy enables the adequate intake of 11 important micronutrients. Inadequate dietary intake during pregnancy is the major determinant factor in the risk of low birth...

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Main Authors: Haile Bikila, Berhanu Tessisa Ariti, Meseret Belete Fite, Jabessa Hatahu Sanbata
Format: Article
Language:English
Published: Frontiers Media S.A. 2023-12-01
Series:Frontiers in Nutrition
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fnut.2023.1248974/full
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author Haile Bikila
Berhanu Tessisa Ariti
Meseret Belete Fite
Jabessa Hatahu Sanbata
author_facet Haile Bikila
Berhanu Tessisa Ariti
Meseret Belete Fite
Jabessa Hatahu Sanbata
author_sort Haile Bikila
collection DOAJ
description BackgroundDietary diversity refers to increasing the consumption of a variety of foods. The consumption of diversified food during pregnancy enables the adequate intake of 11 important micronutrients. Inadequate dietary intake during pregnancy is the major determinant factor in the risk of low birth weight infants. It is capable of ensuring the adequate intake of essential nutrients, which can promote good physical health and mental development. Pregnant women require more protein, iron, iodine, vitamin A, folate, and other nutrients. Adequate intake of fruit, vegetables, and animal products throughout the life cycle helps ensure that women enter pregnancy and lactation without deficiencies. Micronutrient deficiency and protein, carbohydrate, and fat intake imbalances are also linked to an increased risk of chronic disease.ObjectiveTo assess the prevalence and associated factors with adequate dietary diversity among pregnant woman in Nekemte town, western Ethiopia, 202.1.MethodsA community-based cross-sectional study was conducted among 475 pregnant women in the town. We used a systematic random sampling technique. Data were collected through face-to-face interviews by trained data collectors using a validated questionnaire. Before being exported to STATA version 14, data were entered into EpiData version 3.1, cleaned, coded, and checked for missing values. Results from bivariable analysis of p-value less than 0.25 were moved to a multivariable binary logistic regression model for analysis. Finally, multivariable logistic regression with p-value of less than 0.05 was considered statistically significant.ResultsThe Prevalence of adequate dietary diversity was 43.6% (95% CI; 39.1–48.1). Households with the richest wealth index adjusted odds ratio (AOR = 3.17; 95%Confidence Interval = 1.60–6.28), those who have antenatal care (AOR = 2.16; 95%CI = 1.22–3.84), and women who were government employees (AOR = 1.87; 95%CI = 1.01–3.48) were positively associated with adequate dietary diversity. On the other hand, food-insecure households (AOR = 0.34; 95%CI = 0.17–0.66), women who had not changed their meal frequency (AOR = 0.613; 95%CI = 0.38–0.99), and women in their third trimester (AOR = 0.40; 95%CI = 0.20–0.81) were negatively associated with adequate dietary diversity during pregnancy.ConclusionThe findings showed that there was a low acceptable level of dietary diversity among pregnant women in the town. Wealth index, antenatal care, women’s occupation, household food insecurity, gestational age, and not changing meal frequency were identified as factors associated with adequate dietary diversity. Therefore, multi-sectoral collaboration is needed to enhance the dietary diversity of pregnant women by promoting women’s employment and strengthening sustainable income-generating activities.
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spelling doaj.art-fe1170a8a03c482ebb1fb04bf637d6162023-12-15T14:31:13ZengFrontiers Media S.A.Frontiers in Nutrition2296-861X2023-12-011010.3389/fnut.2023.12489741248974Prevalence and factors associated with adequate dietary diversity among pregnant women in Nekemte town, Western Ethiopia, 2021Haile Bikila0Berhanu Tessisa Ariti1Meseret Belete Fite2Jabessa Hatahu Sanbata3Department of Public Health, Institute of Health Sciences, Wollega University, Nekemte, EthiopiaNekemte Health Science College, Nekemte, EthiopiaDepartment of Public Health, Institute of Health Sciences, Wollega University, Nekemte, EthiopiaNekemte Health Science College, Nekemte, EthiopiaBackgroundDietary diversity refers to increasing the consumption of a variety of foods. The consumption of diversified food during pregnancy enables the adequate intake of 11 important micronutrients. Inadequate dietary intake during pregnancy is the major determinant factor in the risk of low birth weight infants. It is capable of ensuring the adequate intake of essential nutrients, which can promote good physical health and mental development. Pregnant women require more protein, iron, iodine, vitamin A, folate, and other nutrients. Adequate intake of fruit, vegetables, and animal products throughout the life cycle helps ensure that women enter pregnancy and lactation without deficiencies. Micronutrient deficiency and protein, carbohydrate, and fat intake imbalances are also linked to an increased risk of chronic disease.ObjectiveTo assess the prevalence and associated factors with adequate dietary diversity among pregnant woman in Nekemte town, western Ethiopia, 202.1.MethodsA community-based cross-sectional study was conducted among 475 pregnant women in the town. We used a systematic random sampling technique. Data were collected through face-to-face interviews by trained data collectors using a validated questionnaire. Before being exported to STATA version 14, data were entered into EpiData version 3.1, cleaned, coded, and checked for missing values. Results from bivariable analysis of p-value less than 0.25 were moved to a multivariable binary logistic regression model for analysis. Finally, multivariable logistic regression with p-value of less than 0.05 was considered statistically significant.ResultsThe Prevalence of adequate dietary diversity was 43.6% (95% CI; 39.1–48.1). Households with the richest wealth index adjusted odds ratio (AOR = 3.17; 95%Confidence Interval = 1.60–6.28), those who have antenatal care (AOR = 2.16; 95%CI = 1.22–3.84), and women who were government employees (AOR = 1.87; 95%CI = 1.01–3.48) were positively associated with adequate dietary diversity. On the other hand, food-insecure households (AOR = 0.34; 95%CI = 0.17–0.66), women who had not changed their meal frequency (AOR = 0.613; 95%CI = 0.38–0.99), and women in their third trimester (AOR = 0.40; 95%CI = 0.20–0.81) were negatively associated with adequate dietary diversity during pregnancy.ConclusionThe findings showed that there was a low acceptable level of dietary diversity among pregnant women in the town. Wealth index, antenatal care, women’s occupation, household food insecurity, gestational age, and not changing meal frequency were identified as factors associated with adequate dietary diversity. Therefore, multi-sectoral collaboration is needed to enhance the dietary diversity of pregnant women by promoting women’s employment and strengthening sustainable income-generating activities.https://www.frontiersin.org/articles/10.3389/fnut.2023.1248974/fulldietary diversitypregnant womenfactors associateddietary adequacyNekemte Twon
spellingShingle Haile Bikila
Berhanu Tessisa Ariti
Meseret Belete Fite
Jabessa Hatahu Sanbata
Prevalence and factors associated with adequate dietary diversity among pregnant women in Nekemte town, Western Ethiopia, 2021
Frontiers in Nutrition
dietary diversity
pregnant women
factors associated
dietary adequacy
Nekemte Twon
title Prevalence and factors associated with adequate dietary diversity among pregnant women in Nekemte town, Western Ethiopia, 2021
title_full Prevalence and factors associated with adequate dietary diversity among pregnant women in Nekemte town, Western Ethiopia, 2021
title_fullStr Prevalence and factors associated with adequate dietary diversity among pregnant women in Nekemte town, Western Ethiopia, 2021
title_full_unstemmed Prevalence and factors associated with adequate dietary diversity among pregnant women in Nekemte town, Western Ethiopia, 2021
title_short Prevalence and factors associated with adequate dietary diversity among pregnant women in Nekemte town, Western Ethiopia, 2021
title_sort prevalence and factors associated with adequate dietary diversity among pregnant women in nekemte town western ethiopia 2021
topic dietary diversity
pregnant women
factors associated
dietary adequacy
Nekemte Twon
url https://www.frontiersin.org/articles/10.3389/fnut.2023.1248974/full
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AT meseretbeletefite prevalenceandfactorsassociatedwithadequatedietarydiversityamongpregnantwomeninnekemtetownwesternethiopia2021
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