Undernutrition and Associated Factors Among School Adolescent Girls Attending Schools in Mirab-Armachiho District, Northwest Ethiopia

Mersha, Jibril; Tariku, Amare; Gonete, Kedir Abdela

doi:10.1080/03670244.2021.1872022

Cited by 7 publications

(5 citation statements)

References 25 publications

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“…The proportion of undernutrition in late adolescent girls is relatively comparable with the previous secondary evidence from 57 low- and middle-income countries (15.6%) ( 24 ) and sub-Sahara African countries (15.14%) ( 25 ). It is also in line with a previous research report in Kenya (15.6%) ( 7 ), South Asia (19.8%) ( 24 ), and Ethiopia (17.3%) ( 26 ). However, the proportion of undernutrition reported in this study was higher compared to studies conducted in different parts of the world such as systematic review reports from Asian countries (8.8%) ( 27 ) and secondary analyses ( 28 ) of 54 developed and developing countries (8.4%) ( 29 ), 40 low- and middle-income African countries (6.30%) ( 30 ), and one systematic review and meta-analysis from Ethiopia (11.3%) ( 31 ).…”

Section: Discussionsupporting

confidence: 93%

Magnitude and Determinants of Under-Nutrition Among Late Adolescent Girls in East Africa: Evidence From Demographic and Health Surveys (2010–2016)

et al. 2022

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BackgroundAdolescent girls are vulnerable to undernutrition owing to their increased nutrition demand for growth and development, including sexual development and maturation. Despite its public health importance, undernutrition among late adolescent girls has received little attention in health and nutrition policies. Although undernutrition in adolescent girls has been investigated, most of the previous study reports were based on small sample sizes and limited geographic settings. Therefore, we aimed to estimate the prevalence and determinants of undernutrition among late adolescent girls in East Africa.MethodsSecondary data analysis was conducted among 10 East African countries using the most recent Demographic and Health Survey (DHS) reports. A total of 21,779 adolescent girls aged 15–19 years were included in this study. Descriptive statistics were conducted to describe the study population. The binary logistic regression model was fitted to identify the determinants of undernutrition among late adolescent girls. Variables with a p-value of <0.05 in the multivariate analysis were identified as statistically significant determinants of undernutrition.ResultsThe overall magnitude of undernutrition among late adolescent girls in East Africa was 16.50% (95% CI: 16.00–17.00), whereas the overall magnitude of obesity among late adolescent girls in East Africa was 2.41% (95% CI: 2.21–2.62). In the final model of the multivariate analysis, adolescent girls aged 18–19 years [adjusted odds ratio (AOR) = 0.55; 95% CI: 0.51–0.60], having secondary education (AOR = 0.79; 95% CI: 0.68–0.93), being from a rich wealth index family (AOR = 0.63; 95% CI: 0.56–0.69), and being from a medium wealth index family (AOR = 0.80; 95% CI: 0.72–0.89) were negatively and statistically associated with undernutrition. Likewise, having more than seven household members (AOR = 1.36; 95% CI: 1.10–1.67), walking more than 30 min to a water source (AOR = 1.10; 95% CI: 1.01–1.20), and living in Ethiopia (AOR = 1.75; 95% CI: 1.51–2.03) were positive determinants of undernutrition among late adolescent girls.ConclusionIn this study, undernutrition in late adolescent girls remains a considerable public health problem in East Africa. Age group, educational status, marital status, family wealth index, family size, time taken to reach a water source, media exposure, and country of resident were significant determinants of undernutrition. Therefore, devising strategies that improve the socioeconomic status of households and/or adolescents would help to reduce the risks of undernutrition in late adolescents.

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Section: Discussionsupporting

confidence: 93%

Magnitude and Determinants of Under-Nutrition Among Late Adolescent Girls in East Africa: Evidence From Demographic and Health Surveys (2010–2016)

et al. 2022

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“…Similarly, the multilevel logistic regression analysis of this study indicated that the age of the adolescent girls had a statistically significant association with thinness. This finding is consistent with a study done among adolescent girls in Sub-Saharan Africa ( 29 ), a systematic review and meta-analysis done in Ethiopia ( 15 ), Mirab Armachiho District, Northwest Ethiopia ( 30 ), and another study in Lay Gaynet district, Northwest Ethiopia ( 17 ), where thinness was more likely in early-stage and slightly decreases in late adolescence. This could be because as compared to older adolescence, young adolescence is a period of growth spurt by which a physiological demand for macro and micronutrient demand is high.…”

Section: Discussionsupporting

confidence: 91%

Trends and factors associated with thinness among late adolescent girls in Ethiopia: Multivariate decomposition and multilevel analysis

2022

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BackgroundUndernutrition among adolescent girls is still a major public health problem in low- and middle-income countries (LMICs). Even though the global prevalence of thinness among adolescent girls declined over time, it remains steady in LMICs including Ethiopia. Therefore, this study aimed to assess the trends and factors associated with thinness.MethodsA logit-based multivariate decomposition analysis for a non-linear response model was fitted to identify factors that contributed to the change in thinness over time. For the associated factors, a multilevel binary logistic regression model was employed. The intra-class correlation coefficient (ICC) and likelihood ratio (LR) test were used to assess the presence of the clustering effect, and deviance was used for model comparison. Statistical significance was declared at p < 0.05.ResultsThinness among late adolescent girls declined significantly from 34.4% (95% CI: 32.8%, 36.0%) in 2000 to 24.9% (95% CI: 23.4%, 26.5%) in 2016 with an annual average reduction rate of 1.73%. About 84% of the decrement in thinness was attributed to the change in the effect of the characteristics. The place of residence and marital status were significantly associated with a change in thinness due to the change in coefficients. The compositional changes in the age of the adolescents, religion, and types of toilet facilities were also significantly associated with the change in thinness. From the multilevel binary logistic regression, higher age of adolescents (AOR = 0.83; 95% CI: 0.77, 0.90), improved toilet facility (AOR = 0.45; 95% CI: 0.31, 0.65), middle wealth index (AOR = 1.45; 95% CI: 1.10, 1.90), and female head of the household (AOR = 0.77; 95% CI: 0.61, 0.98) were significantly associated at an individual level, whereas being from Somali (AOR = 2.14; 95% CI:1.76, 3.10) and SNNP region (AOR = 0.35; 95% CI: 0.18, 0.68), they had a statistically significant association with thinness at community level.ConclusionThinness among late adolescent girls declined substantially, but it remains a major public health concern. Nutritional interventions targeting thinness reduction among late adolescent girls should base on the identified factors. Age, residence, marital status, type of toilet facility, religion, wealth index, sex of head of the household, and region were all associated with thinness in this study.

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“…Low dietary diversity makes adolescents more vulnerable to undernutrition ( 14 , 38 ) , and we also find that lower DDS is significantly associated with poor nutritional outcomes. Mersha et al find 2⋅47 times higher likelihood of undernutrition among the adolescents having inadequate DD and food insecurity ( 39 ) . In India, by making more diverse and nutritious, PM-POSHAN can help to improve the nutritional outcomes, at least, in early adolescence as the mean age at class (VIII) is 15 years up to which cooked meal is served in the schools.…”

Section: Discussionmentioning

confidence: 99%

Undernutrition and anaemia among Indian adolescents: role of dietary diversity and hygiene practices

Kumar

Mohanty

2023

J Nutr Sci

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In 2021, the Lancet Commission on adolescent nutrition highlighted the need to prioritise the elimination of adolescent malnutrition to tap the human capital potential and break the intergenerational malnutrition trap. The nutritional requirement during adolescence reaches its peak. The present study aims to appraise the prevalence of undernutrition (stunting and thinness) and anaemia among adolescents (10–19 years) in India and the role of socioeconomic, individual-level hygiene behaviour and dietary diversity in nutritional outcomes. We have used the nationally representative Comprehensive National Nutrition Survey (CNNS-2016–18) that covers children and adolescents (0–19 years) in India. The prevalence of stunting, anaemia and thinness among adolescents was 27⋅2, 28⋅5 and 24⋅1 %, respectively. Bivariate and multivariable logistic regression models were applied to estimate the likelihood of undernutrition. The likelihood of stunting was higher for late adolescence (OR 1⋅21, 95 % CI 1⋅15, 1⋅27), low dietary diversity (OR 1⋅37, 95 % CI 1⋅26, 1⋅49) and low hygiene behaviour compliance (OR 1⋅53, 95 % CI 1⋅42, 1⋅64). Adolescents from the poorest quintile were more likely to be stunted (OR 3⋅20, 95 % CI 2⋅94, 3⋅48), anaemic (OR 1⋅66, 95 % CI 1⋅47, 1⋅87) and thin (OR 1⋅68, 95 % CI 1⋅54, 1⋅82). We found that lower hygienic compliance was significantly associated with undernutrition and anaemia. Therefore, promoting hygienic practices should be emphasised to tackle undernutrition and anaemia. Furthermore, dietary diversity and poverty were strong predictors of stunting and thinness, therefore targeting the poor and focusing on improving dietary diversity should be the priority.

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Undernutrition and Associated Factors Among School Adolescent Girls Attending Schools in Mirab-Armachiho District, Northwest Ethiopia

Cited by 7 publications

References 25 publications

Magnitude and Determinants of Under-Nutrition Among Late Adolescent Girls in East Africa: Evidence From Demographic and Health Surveys (2010–2016)

Magnitude and Determinants of Under-Nutrition Among Late Adolescent Girls in East Africa: Evidence From Demographic and Health Surveys (2010–2016)

Trends and factors associated with thinness among late adolescent girls in Ethiopia: Multivariate decomposition and multilevel analysis

Undernutrition and anaemia among Indian adolescents: role of dietary diversity and hygiene practices

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