Determinants of chronic energy deficiency among non-pregnant and non-lactating women of reproductive age in rural Kebeles of Dera District, North West Ethiopia, 2019: Unmatched case control study

In Ethiopia about 25% of rural women are chronically malnourished. Non-pregnant and non-lactating women present an opportunity to implement strategies to correct maternal and child health status and to potentiate improved pregnancy outcomes in developing countries like Ethiopia. The determinant fact...

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Bibliographic Details
Published in:PloS one 2020-10, Vol.15 (10), p.e0241341-e0241341
Main Authors: Wubie, Asmare, Seid, Omer, Eshetie, Sisay, Dagne, Samuel, Menber, Yonatan, Wasihun, Yosef, Petrucka, Pammla
Format: Article
Language:English
Subjects:
Adolescent
Adult
Age
Agricultural development
Agriculture
Biology and Life Sciences
Body mass index
Case-Control Studies
Chronic Disease
Dependent variables
Developing countries
Education
Educational Status
Energy
Ethiopia - epidemiology
Family size
Female
Food
Food and nutrition
Gardening
Gardens & gardening
Health aspects
Health sciences
Humans
Independent variables
Latrines
LDCs
Malnutrition - epidemiology
Malnutrition - pathology
Malnutrition - physiopathology
Maternal & child health
Medical schools
Medicine
Medicine and Health Sciences
Middle Aged
Nutrition
People and Places
Pregnancy
Public health
Regression analysis
Regression models
Rural areas
Rural Population
Rural women
Sampling methods
Sampling techniques
Social Sciences
Statistical analysis
Statistical methods
Womens health
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Summary:In Ethiopia about 25% of rural women are chronically malnourished. Non-pregnant and non-lactating women present an opportunity to implement strategies to correct maternal and child health status and to potentiate improved pregnancy outcomes in developing countries like Ethiopia. The determinant factors of chronic energy deficiency vary across settings and contexts; hence, it is important to identify local determinant factors in order to implement effective and efficient intervention strategies. To assess the determinants of chronic energy deficiency of non-pregnant, non-lactating rural women within the reproductive age group (15-49 years), in rural kebeles of Dera district, North West Ethiopia, 2019. A community based unmatched case control study was conducted. A total of 552 participants were involved and a multi-stage sampling technique was used to select the samples. Data was collected from January 15 to February 30, 2019 using face-to-face interviews and anthropometric assessments. EPI-info version 7 and SPSS™ version 23 were used for data entry and analysis, respectively. Bivariable and multivariable logistic regression models were used to analyze the association between dependent and independent variables. Association was considered statistically significant at 95% CI with p-value < 0.05 in multivariable logistic regression. A total of 548 non-pregnant, non-lactating women with 137 cases and 411 controls were included in the study with a response rate of 99.3%. High family size (AOR = 1.88, 95% CI: 1.085, 3.275), low educational status (AOR = 3.389, 95% CI: 1.075, 10.683), inadequate meal frequency (AOR = 5.345, 95% CI: 2.266, 12.608), absence of home garden (AOR = 5.612, 95% CI: 3.177, 9.915) and absence of latrine facility (AOR = 6.365, 95% CI: 3.534, 11.462) were found positively associated with chronic energy deficiency. Inadequate meal frequency, absence of home gardening, absence of latrine facility, high family size and educational status of illiterate were the determinants of chronic energy deficiency, thus indicating the imperative for a multi-sectoral approach with health, agriculture and education entities developing and delivering interventions.
ISSN:1932-6203
1932-6203
DOI:10.1371/journal.pone.0241341