Prevalence and associated factors of double and triple burden of malnutrition among child-mother pairs in Ethiopia: Spatial and survey regression analysis

BMC Nutrition

Bethelihem Tigabu Tarekegn¹  Destaye Guadie Kassie¹  Melkamu Tilahun Dessie¹  Amare Wondim¹  Tadesse Tarik Tamir¹  Almaz Tefera Gonete¹  Bogale Kassahun Desta¹  Selam Fisiha Kassa¹  Tewodros Getaneh Alemu¹  Mohammed Seid Ali¹  Masresha Asmare Techane¹  Nega Tezera Assimamaw¹  Addis Bilal Muhye¹  Beletech Fentie¹  Chalachew Adugna Wubneh¹  Kendalem Asmare Atalell¹  Berhan Tekeba¹  Getaneh Mulualem Belay¹  Amare Demsie Ayele¹  Bewuketu Terefe² 

[1]Department of Pediatrics and Child Health Nursing, School of Nursing, College of Medicine and Health Sciences, University of Gondar

[2]School of Nursing, College of Medicine and Health Sciences, University of Gondar

关键词: Double Burden;    Triple Burden;    Malnutrition;    Under Five Children;    Spatial Distribution;    Hotspot;   

DOI  :  10.1186/s40795-022-00528-5

来源: DOAJ

【 摘 要 】

Abstract Background Evidence on double and triple burdens of malnutrition at household level among child-mother pairs is a key towards addressing the problem of malnutrition. In Ethiopia, studies on double and triple burdens of malnutrition are scarce. Even though there is a study on double burden of malnutrition at national level in Ethiopia, it doesn’t assess the triple burdens at all and a few forms of double burden of malnutrition. Therefore, this study aimed to determine the prevalence and associated factors of double and triple burdens of malnutrition among child-mother pairs in Ethiopia. Methods A total sample of 7,624 child-mother pairs from Ethiopian Demographic and Health Survey (EDHS) 2016 were included in the study. All analysis were performed considering complex sampling design. Anthropometric measures and hemoglobin levels of children, as well as anthropometric measurements of their mothers, were used to calculate double burden of malnutrition (DBM) and triple burden of malnutrition (TBM). Spatial analysis was applied to detect geographic variation of prevalence of double and triple burdens of malnutrition among EDHS 2016 clusters. Bivariable and multivariable binary survey logistic regression models were used to assess the factors associated with DBM and TBM. Results The overall weighted prevalence of DBM and TBM respectively were 1.8% (95%CI: 1.38–2.24) and 1.2% (95%CI: 0.83–1.57) among child-mother pairs in Ethiopia. Significant clusters of high prevalence of DBM and TBM were identified. In the adjusted multivariable binary survey logistic regression models, middle household economic status [AOR = 0.23, 95%CI: 0.06, 0.89] as compared to the poor, average birth weight [AOR = 0.26, 95%CI: 0.09, 0.80] as compared to large birth weight and children aged 24–35 months [AOR = 0.19, 95%CI: 0.04,0.95] as compared to 6–12 months were less likely to experience DBM. Average birth weight [AOR = 0.20, 95%CI: 0.05, 0.91] as compared to large birth weight and time to water source <=30 min [AOR = 0.41, 95%CI: 0.19,0.89] as compared to on premise were less likely to experience TBM. Conclusion There is low prevalence of DBM and TBM among child-mother pairs in Ethiopia. Interventions tailored on geographic areas, wealth index, birth weight and child birth could help to control the emerging DBM and TBM at household level among child-mother pairs in Ethiopia.

【 授权许可】

Unknown