Yoseph Halala Handiso1,2, Tefera Belachew3, Cherinet Abuye4, Abdulhalik Workicho5, Kaleab Baye2. 1. School of Public Health, College of Health Sciences and Medicine, Wolaita Sodo University, Sodo, Ethiopia. 2. Center for Food Science and Nutrition, College of Natural and Computational Sciences, Addis Ababa University, Addis Ababa, Ethiopia. 3. Human Nutrition Unit, College of Public Health & Medical Science, Jimma University, Jimma, Ethiopia. 4. Save the Children, Addis Ababa, Ethiopia. 5. Friedman School of Nutrition Science and Policy, Tufts University, Boston, Massachusetts, United States of America.
Abstract
BACKGROUND: Undernutrition is one of the most common causes of morbidity and mortality among adolescent girls worldwide, especially in South-East Asia and Africa. Even though adolescence is a window of opportunity to break the intergenerational cycle of undernutrition, adolescent girls are a neglected group. The objective of this study was to assess the nutritional status and associated factors among adolescent girls in the Wolaita and Hadiya zones of Southern Ethiopia. METHODS: A community-based cross-sectional study was conducted, and a multistage random sampling method was used to select a sample of 843 adolescent girls. Anthropometric measurements were collected from all participants and entered in the WHO Anthro plus software for Z-score analysis. The data was analyzed using EPI-data 4.4.2 and SPSS version 21.0. The odds ratios for logistic regression along with a 95% confidence interval (CI) were generated. A P-value < 0.05 was declared as the level of statistical significance. RESULT: Thinness (27.5%) and stunting (8.8%) are found to be public health problems in the study area. Age [AOR(adjusted odds ratio) (95% CI) = 2.91 (2.03-4.173)], large family size [AOR (95% CI) = 1.63(1.105-2.396)], low monthly income [AOR (95% CI) = 2.54(1.66-3.87)], not taking deworming tablets [AOR (95% CI) = 1.56(1.11-21)], low educational status of the father [AOR (95% CI) = 2.45(1.02-5.86)], the source of food for the family only from market [AOR (95% CI) = 5.14(2.1-12.8)], not visited by health extension workers [AOR (95% CI) = 1.72(1.7-2.4)], and not washing hand with soap before eating and after using the toilet [AOR (95% CI) = 2.25(1.079-4.675)] were positively associated with poor nutritional status of adolescent girls in the Wolaita and Hadiya zones, Southern Ethiopia. CONCLUSION: Thinness and stunting were found to be high in the study area. Age, family size, monthly household income, regularly skipping meals, fathers' educational status, visits by health extension workers, and nutrition services decision-making are the main predictors of thinness. Hand washing practice, visits by health extension workers, and nutrition services decision-making are the main predictors of stunting among adolescent girls. Multisectoral community-based, adolescent health and nutrition programs should be implemented.
RCT Entities:
BACKGROUND: Undernutrition is one of the most common causes of morbidity and mortality among adolescent girls worldwide, especially in South-East Asia and Africa. Even though adolescence is a window of opportunity to break the intergenerational cycle of undernutrition, adolescent girls are a neglected group. The objective of this study was to assess the nutritional status and associated factors among adolescent girls in the Wolaita and Hadiya zones of Southern Ethiopia. METHODS: A community-based cross-sectional study was conducted, and a multistage random sampling method was used to select a sample of 843 adolescent girls. Anthropometric measurements were collected from all participants and entered in the WHO Anthro plus software for Z-score analysis. The data was analyzed using EPI-data 4.4.2 and SPSS version 21.0. The odds ratios for logistic regression along with a 95% confidence interval (CI) were generated. A P-value < 0.05 was declared as the level of statistical significance. RESULT: Thinness (27.5%) and stunting (8.8%) are found to be public health problems in the study area. Age [AOR(adjusted odds ratio) (95% CI) = 2.91 (2.03-4.173)], large family size [AOR (95% CI) = 1.63(1.105-2.396)], low monthly income [AOR (95% CI) = 2.54(1.66-3.87)], not taking deworming tablets [AOR (95% CI) = 1.56(1.11-21)], low educational status of the father [AOR (95% CI) = 2.45(1.02-5.86)], the source of food for the family only from market [AOR (95% CI) = 5.14(2.1-12.8)], not visited by health extension workers [AOR (95% CI) = 1.72(1.7-2.4)], and not washing hand with soap before eating and after using the toilet [AOR (95% CI) = 2.25(1.079-4.675)] were positively associated with poor nutritional status of adolescent girls in the Wolaita and Hadiya zones, Southern Ethiopia. CONCLUSION: Thinness and stunting were found to be high in the study area. Age, family size, monthly household income, regularly skipping meals, fathers' educational status, visits by health extension workers, and nutrition services decision-making are the main predictors of thinness. Hand washing practice, visits by health extension workers, and nutrition services decision-making are the main predictors of stunting among adolescent girls. Multisectoral community-based, adolescent health and nutrition programs should be implemented.
Authors: Regina I Ejemot-Nwadiaro; John E Ehiri; Dachi Arikpo; Martin M Meremikwu; Julia A Critchley Journal: Cochrane Database Syst Rev Date: 2015-09-03
Authors: Vinicius J B Martins; Telma M M Toledo Florêncio; Luciane P Grillo; Maria do Carmo P Franco; Paula A Martins; Ana Paula G Clemente; Carla D L Santos; Maria de Fatima A Vieira; Ana Lydia Sawaya Journal: Int J Environ Res Public Health Date: 2011-05-26 Impact factor: 3.390
Authors: Nicholas Kassebaum; Hmwe Hmwe Kyu; Leo Zoeckler; Helen Elizabeth Olsen; Katie Thomas; Christine Pinho; Zulfiqar A Bhutta; Lalit Dandona; Alize Ferrari; Tsegaye Tewelde Ghiwot; Simon I Hay; Yohannes Kinfu; Xiaofeng Liang; Alan Lopez; Deborah Carvalho Malta; Ali H Mokdad; Mohsen Naghavi; George C Patton; Joshua Salomon; Benn Sartorius; Roman Topor-Madry; Stein Emil Vollset; Andrea Werdecker; Harvey A Whiteford; Kalkidan Hasen Abate; Kaja Abbas; Solomon Abrha Damtew; Muktar Beshir Ahmed; Nadia Akseer; Rajaa Al-Raddadi; Mulubirhan Assefa Alemayohu; Khalid Altirkawi; Amanuel Alemu Abajobir; Azmeraw T Amare; Carl A T Antonio; Johan Arnlov; Al Artaman; Hamid Asayesh; Euripide Frinel G Arthur Avokpaho; Ashish Awasthi; Beatriz Paulina Ayala Quintanilla; Umar Bacha; Balem Demtsu Betsu; Aleksandra Barac; Till Winfried Bärnighausen; Estifanos Baye; Neeraj Bedi; Isabela M Bensenor; Adugnaw Berhane; Eduardo Bernabe; Oscar Alberto Bernal; Addisu Shunu Beyene; Sibhatu Biadgilign; Boris Bikbov; Cheryl Anne Boyce; Alexandra Brazinova; Gessessew Bugssa Hailu; Austin Carter; Carlos A Castañeda-Orjuela; Ferrán Catalá-López; Fiona J Charlson; Abdulaal A Chitheer; Jee-Young Jasmine Choi; Liliana G Ciobanu; John Crump; Rakhi Dandona; Robert P Dellavalle; Amare Deribew; Gabrielle deVeber; Daniel Dicker; Eric L Ding; Manisha Dubey; Amanuel Yesuf Endries; Holly E Erskine; Emerito Jose Aquino Faraon; Andre Faro; Farshad Farzadfar; Joao C Fernandes; Daniel Obadare Fijabi; Christina Fitzmaurice; Thomas D Fleming; Luisa Sorio Flor; Kyle J Foreman; Richard C Franklin; Maya S Fraser; Joseph J Frostad; Nancy Fullman; Gebremedhin Berhe Gebregergs; Alemseged Aregay Gebru; Johanna M Geleijnse; Katherine B Gibney; Mahari Gidey Yihdego; Ibrahim Abdelmageem Mohamed Ginawi; Melkamu Dedefo Gishu; Tessema Assefa Gizachew; Elizabeth Glaser; Audra L Gold; Ellen Goldberg; Philimon Gona; Atsushi Goto; Harish Chander Gugnani; Guohong Jiang; Rajeev Gupta; Fisaha Haile Tesfay; Graeme J Hankey; Rasmus Havmoeller; Martha Hijar; Masako Horino; H Dean Hosgood; Guoqing Hu; Kathryn H Jacobsen; Mihajlo B Jakovljevic; Sudha P Jayaraman; Vivekanand Jha; Tariku Jibat; Catherine O Johnson; Jost Jonas; Amir Kasaeian; Norito Kawakami; Peter N Keiyoro; Ibrahim Khalil; Young-Ho Khang; Jagdish Khubchandani; Aliasghar A Ahmad Kiadaliri; Christian Kieling; Daniel Kim; Niranjan Kissoon; Luke D Knibbs; Ai Koyanagi; Kristopher J Krohn; Barthelemy Kuate Defo; Burcu Kucuk Bicer; Rachel Kulikoff; G Anil Kumar; Dharmesh Kumar Lal; Hilton Y Lam; Heidi J Larson; Anders Larsson; Dennis Odai Laryea; Janni Leung; Stephen S Lim; Loon-Tzian Lo; Warren D Lo; Katharine J Looker; Paulo A Lotufo; Hassan Magdy Abd El Razek; Reza Malekzadeh; Desalegn Markos Shifti; Mohsen Mazidi; Peter A Meaney; Kidanu Gebremariam Meles; Peter Memiah; Walter Mendoza; Mubarek Abera Mengistie; Gebremichael Welday Mengistu; George A Mensah; Ted R Miller; Charles Mock; Alireza Mohammadi; Shafiu Mohammed; Lorenzo Monasta; Ulrich Mueller; Chie Nagata; Aliya Naheed; Grant Nguyen; Quyen Le Nguyen; Elaine Nsoesie; In-Hwan Oh; Anselm Okoro; Jacob Olusegun Olusanya; Bolajoko O Olusanya; Alberto Ortiz; Deepak Paudel; David M Pereira; Norberto Perico; Max Petzold; Michael Robert Phillips; Guilherme V Polanczyk; Farshad Pourmalek; Mostafa Qorbani; Anwar Rafay; Vafa Rahimi-Movaghar; Mahfuzar Rahman; Rajesh Kumar Rai; Usha Ram; Zane Rankin; Giuseppe Remuzzi; Andre M N Renzaho; Hirbo Shore Roba; David Rojas-Rueda; Luca Ronfani; Rajesh Sagar; Juan Ramon Sanabria; Muktar Sano Kedir Mohammed; Itamar S Santos; Maheswar Satpathy; Monika Sawhney; Ben Schöttker; David C Schwebel; James G Scott; Sadaf G Sepanlou; Amira Shaheen; Masood Ali Shaikh; June She; Rahman Shiri; Ivy Shiue; Inga Dora Sigfusdottir; Jasvinder Singh; Naris Silpakit; Alison Smith; Chandrashekhar Sreeramareddy; Jeffrey D Stanaway; Dan J Stein; Caitlyn Steiner; Muawiyyah Babale Sufiyan; Soumya Swaminathan; Rafael Tabarés-Seisdedos; Karen M Tabb; Fentaw Tadese; Mohammad Tavakkoli; Bineyam Taye; Stephanie Teeple; Teketo Kassaw Tegegne; Girma Temam Shifa; Abdullah Sulieman Terkawi; Bernadette Thomas; Alan J Thomson; Ruoyan Tobe-Gai; Marcello Tonelli; Bach Xuan Tran; Christopher Troeger; Kingsley N Ukwaja; Olalekan Uthman; Tommi Vasankari; Narayanaswamy Venketasubramanian; Vasiliy Victorovich Vlassov; Elisabete Weiderpass; Robert Weintraub; Solomon Weldemariam Gebrehiwot; Ronny Westerman; Hywel C Williams; Charles D A Wolfe; Rachel Woodbrook; Yuichiro Yano; Naohiro Yonemoto; Seok-Jun Yoon; Mustafa Z Younis; Chuanhua Yu; Maysaa El Sayed Zaki; Elias Asfaw Zegeye; Liesl Joanna Zuhlke; Christopher J L Murray; Theo Vos Journal: JAMA Pediatr Date: 2017-06-01 Impact factor: 16.193