H-DAV NDMC EPHI

Gender differences in nutritional status and determinants among infants (6-11 months): a cross-sectional study in two regions in Ethiopia


Description
Id EPHI-DS0440
Name Gender differences in nutritional status and determinants among infants (6-11 months): a cross-sectional study in two regions in Ethiopia
Format . SAV
Coverage Location Zonal
Coverage Sex Both
Abstract

Globally, stunting–an indicator of chronic undernutrition–affects at least 149.2 million children under the age of 5 years. The Ethiopia Demographic and Health Survey (DHS) 2016 reports that, despite some improvements in the last 16 years, Ethiopia still displays high rates of childhood malnutrition, with 38% of Ethiopian children under 5 years of age being stunted and 10% being wasted. Child linear growth is the measure of chronic malnutrition. Recent studies from several countries worldwide show a higher prevalence of stunting in boys compared to girls. Regarding this, there is a limited number of studies that suggest that boys may have a higher risk of stunting than girls in low-income countries. Little is known about the causes of these gender differences. The objective of the study was to assess gender differences in nutritional status and its determinants among infants in Ethiopia.

We analyzed data for 2036 children (6–11 months old) collected as the baseline for multiple micronutrient powder effectiveness studies in two regions of Ethiopia in March–April 2015. Child, mother, and household characteristics were investigated as determinants of stunting and wasting. Multiple logistic regression models were used separately for boys and girls to check for gender differences while adjusting for confounders. The study is registered at http://www.clinicaltrials.gov/ with the clinical trials identifier of NCT02479815.

The finding from this study revealed that stunting and wasting prevalence is significantly higher among boys compared to girls, 18.7 vs 10.7% and 7.9 vs 5.4%, respectively. Untimely initiation of breastfeeding, not-exclusive breastfeeding at the age of 6 months, region of residence, and low maternal education are significant predictors of stunting in boys. Untimely introduction to complimentary food and low consumption of legumes/nuts are significant predictors of stunting in both boys and girls, and low egg consumption only in girls. The region of residence and age of the mother are significant determinants of wasting in both sexes. Analysis of interaction terms for stunting, however, shows no differences in predictors between boys and girls; only for untimely initiation of breastfeeding do the results for boys (OR 1.46; 95% CI 1.02,2.08) and girls (OR 0.88; 95% CI 0.55,1.41) tend to be different (p = 0.12).

In Ethiopia, boys are more malnourished than girls. Exclusive breastfeeding and adequate dietary diversity of complementary feeding are important determinants of stunting in boys and girls. There are no clear gender interactions for the main determinants of stunting and wasting. These findings suggest that appropriate gender-sensitive guidance on optimum infant and young child feeding practices is needed.

Additional Material No
Keywords
  • Gender differences
  • Nutritional status
  • cross-sectional
  • Infant
Recommended Yes
Location
Cleaned Yes
Cleaned Format . csdb
RawFormat . csdb
Comment
Remark
Note
Treatment
Date Data Collection Started 2015-03-04
Date Data Collection End 2015-04-22
Title Gender differences in nutritional status and determinants among infants (6-11 months): a cross-sectional study in two regions in Ethiopia
Data Type Laboratory
PublicationYear 2022
SugestedCitation

Not mentioned by the data generating unit.

OtherIdType
Description

Little is known about the existence of gender differences in nutritional status and underlying IYCF practices in Ethiopian infants. The current health promotion activities do not take gender issues into account. Thus, this study aims to compare the prevalence and potential determinants of stunting and wasting between boys and girls. IYCF practices, dietary intake, and maternal and household characteristics are the main determinants investigated. The determinants of wasting as an important indicator of acute undernutrition in young children are also compared between boys and girls. This study analyzed a total of 2036 children (6–11 months old) collected as the baseline for multiple micronutrient powder effectiveness studies in two regions of Ethiopia in March–April 2015. This cross-sectional study was performed using the baseline data for a large effectiveness study on the use of multiple micronutrient powders (MNPs) within a local CF program on iron status, morbidity, and children’s growth. Information on infant feeding status was collected by means of a standardized questionnaire. Social, economic, and demographic characteristics were collected in baseline questionnaires using Demographic and Health Survey methods. Based on this, the study used to analyze multiple logistic regression models were used separately for boys and girls to check for gender differences while adjusting for confounders. P-values of < 0.05 will be considered statistically significant. The study is registered at http://www.clinicaltrials.gov/ with the clinical trials identifier of NCT02479815.

Dataset study design Cross-sectional survey
Date Data Archived 2022-05-17
Date Data Cataloged 2022-05-18
Data Generating Unit Food Science and Nutrition Research Directorate
URL https://rtds.ephi.gov.et/public/showdetail/440

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Published

Open Access