PDF(Pubmed)
Abstract：
UNASSIGNED: Inappropriate feeding practices result in significant threats to child health by impaired cognitive development, compromised educational achievement, and low economic productivity, which becomes difficult to reverse later in life. There is minimal evidence that shows the burden and determining factors of inadequate dietary intake among children aged under 2 years in sub-Saharan African (SSA) countries. Therefore, this study aimed to assess the pooled magnitude, wealth-related inequalities, and other determinants of inadequate minimum dietary diversity (MDD) intake among children aged 6-23 months in the SSA countries using the recent 2010-2020 DHS data.
UNASSIGNED: A total of 77,887 weighted samples from Demographic and Health Survey datasets of the SSA countries were used for this study. The Microsoft Excel and STATA version 16 software were used to clean, extract, and analyze the data. A multilevel binary logistic regression model was fitted. The concentration index and curve were applied to examine wealth-related inequalities in the outcomes. P-value < 0.05 with 95% CI was taken to declare statistical significance.
UNASSIGNED: The pooled magnitude of inadequate MDD intake among children aged 6-23 months in SSA was 76.53% (95% CI: 73.37, 79.70), ranging from 50.5% in South Africa to 94.40% in Burkina Faso. Individual-level factors such as women having secondary and above education (AOR = 0.66; 95% CI; 0.62, 0.70), being employed (AOR = 0.76; 95% CI; 0.72, 0.79), having household media exposure (AOR = 0.69; 95% CI; 0.66, 0.72), richest wealth (AOR = 0.46; 95% CI; 0.43, 0.50), having health institution delivery (AOR = 0.87;95% CI; 0.83, 0.91), and community-level factor such as living in upper middle-income country (AOR = 0.42; 95% CI; 0.38, 0.46) had a significant protective association, whereas rural residence (AOR = 1.29; 95% CI; 1.23, 1.36) has a significant positive association with inadequate MDD intake among children aged 6-23 months. Inadequate MDD intake among children aged 6-23 months in SSA was disproportionately concentrated on the poor households (pro-poor) (C = -0.24; 95% CI: -0.22, -0.0.26).
UNASSIGNED: There is a high magnitude of inadequate minimum dietary diversity intake among children aged 6-23 months in SSA. Variables such as secondary and above maternal education, having an employed mother, having exposure to media, richest wealth, having health institution delivery, and living in the upper middle-income country have a significant negative association, whereas living in rural residence has a significant positive association with inadequate MDD intake. These findings highlight that to increase the MDD intake in the region, policy makers and other stakeholders need to give prior attention to enhancing household wealth status, empowering women, and media exposure.
UNASSIGNED: A total of 77,887 weighted samples from Demographic and Health Survey datasets of the SSA countries were used for this study. The Microsoft Excel and STATA version 16 software were used to clean, extract, and analyze the data. A multilevel binary logistic regression model was fitted. The concentration index and curve were applied to examine wealth-related inequalities in the outcomes. P-value < 0.05 with 95% CI was taken to declare statistical significance.
UNASSIGNED: The pooled magnitude of inadequate MDD intake among children aged 6-23 months in SSA was 76.53% (95% CI: 73.37, 79.70), ranging from 50.5% in South Africa to 94.40% in Burkina Faso. Individual-level factors such as women having secondary and above education (AOR = 0.66; 95% CI; 0.62, 0.70), being employed (AOR = 0.76; 95% CI; 0.72, 0.79), having household media exposure (AOR = 0.69; 95% CI; 0.66, 0.72), richest wealth (AOR = 0.46; 95% CI; 0.43, 0.50), having health institution delivery (AOR = 0.87;95% CI; 0.83, 0.91), and community-level factor such as living in upper middle-income country (AOR = 0.42; 95% CI; 0.38, 0.46) had a significant protective association, whereas rural residence (AOR = 1.29; 95% CI; 1.23, 1.36) has a significant positive association with inadequate MDD intake among children aged 6-23 months. Inadequate MDD intake among children aged 6-23 months in SSA was disproportionately concentrated on the poor households (pro-poor) (C = -0.24; 95% CI: -0.22, -0.0.26).
UNASSIGNED: There is a high magnitude of inadequate minimum dietary diversity intake among children aged 6-23 months in SSA. Variables such as secondary and above maternal education, having an employed mother, having exposure to media, richest wealth, having health institution delivery, and living in the upper middle-income country have a significant negative association, whereas living in rural residence has a significant positive association with inadequate MDD intake. These findings highlight that to increase the MDD intake in the region, policy makers and other stakeholders need to give prior attention to enhancing household wealth status, empowering women, and media exposure.
摘要：
■不适当的喂养方法导致认知发育受损对儿童健康造成重大威胁，教育成就受损，经济生产力低下，这在以后的生活中变得很难逆转。很少有证据表明撒哈拉以南非洲（SSA）国家2岁以下儿童饮食摄入不足的负担和决定因素。因此,这项研究旨在评估合并的大小，与财富相关的不平等，使用最新的2010-2020年DHS数据，SSA国家6-23个月儿童的最低膳食多样性(MDD)摄入量不足的其他决定因素。
■本研究使用了来自SSA国家人口和健康调查数据集的77,887个加权样本。MicrosoftExcel和STATA版本16软件用于清理，Extract,并分析数据。拟合了多水平二元逻辑回归模型。集中指数和曲线用于检查结果中与财富相关的不平等。P值<0.05,采取95%CI宣布有统计学意义。
■SSA中6-23个月儿童中MDD摄入不足的汇总幅度为76.53％（95％CI：73.37，79.70），从南非的50.5%到布基纳法索的94.40%不等。个体水平因素，如具有中等及以上文化程度的女性(AOR=0.66;95%CI;0.62,0.70)，被雇用(AOR=0.76；95%CI；0.72，0.79)，有家庭媒体暴露(AOR=0.69；95%CI；0.66，0.72)，最富有的财富(AOR=0.46；95%CI；0.43，0.50)，有医疗机构分娩(AOR=0.87；95%CI；0.83，0.91)，和社区层面的因素，如生活在上中等收入国家(AOR=0.42;95%CI;0.38,0.46)有显著的保护性关联，而农村居民(AOR=1.29;95%CI;1.23,1.36)与6~23个月儿童MDD摄入不足有显著正相关.SSA中6-23个月儿童的MDD摄入不足不成比例地集中在贫困家庭（贫困家庭）（C=-0.24；95％CI：-0.22，-0.0.26）。
■在SSA中，6-23个月的儿童中，最低膳食多样性摄入量不足的幅度很大。中等及以上母亲教育等变量，有一个受雇的母亲，接触媒体，最富有的财富,有医疗机构的分娩，和生活在上中等收入国家有显著的负相关，而居住在农村的居民与MDD摄入不足有显著的正相关。这些发现强调，为了增加该地区的MDD摄入量，政策制定者和其他利益相关者需要事先关注提高家庭财富状况，赋予妇女权力，媒体曝光。
■本研究使用了来自SSA国家人口和健康调查数据集的77,887个加权样本。MicrosoftExcel和STATA版本16软件用于清理，Extract,并分析数据。拟合了多水平二元逻辑回归模型。集中指数和曲线用于检查结果中与财富相关的不平等。P值<0.05,采取95%CI宣布有统计学意义。
■SSA中6-23个月儿童中MDD摄入不足的汇总幅度为76.53％（95％CI：73.37，79.70），从南非的50.5%到布基纳法索的94.40%不等。个体水平因素，如具有中等及以上文化程度的女性(AOR=0.66;95%CI;0.62,0.70)，被雇用(AOR=0.76；95%CI；0.72，0.79)，有家庭媒体暴露(AOR=0.69；95%CI；0.66，0.72)，最富有的财富(AOR=0.46；95%CI；0.43，0.50)，有医疗机构分娩(AOR=0.87；95%CI；0.83，0.91)，和社区层面的因素，如生活在上中等收入国家(AOR=0.42;95%CI;0.38,0.46)有显著的保护性关联，而农村居民(AOR=1.29;95%CI;1.23,1.36)与6~23个月儿童MDD摄入不足有显著正相关.SSA中6-23个月儿童的MDD摄入不足不成比例地集中在贫困家庭（贫困家庭）（C=-0.24；95％CI：-0.22，-0.0.26）。
■在SSA中，6-23个月的儿童中，最低膳食多样性摄入量不足的幅度很大。中等及以上母亲教育等变量，有一个受雇的母亲，接触媒体，最富有的财富,有医疗机构的分娩，和生活在上中等收入国家有显著的负相关，而居住在农村的居民与MDD摄入不足有显著的正相关。这些发现强调，为了增加该地区的MDD摄入量，政策制定者和其他利益相关者需要事先关注提高家庭财富状况，赋予妇女权力，媒体曝光。
