Household-level double burden of malnutrition in Ethiopia: a comparison of Addis Ababa and the rural district of Kersa.
Public Health Nutr
; 24(18): 6354-6368, 2021 12.
Article
in En
| MEDLINE
| ID: mdl-34446127
ABSTRACT
OBJECTIVE:
To examine the prevalence of and factors associated with different forms of household-level double burden of malnutrition (DBM) in Ethiopia.DESIGN:
We defined DBM using anthropometric measures for adult overweight (BMI ≥ 25 kg/m2), child stunting (height-for-age Z-score <-2 sd) and overweight (weight-for-height Z-score ≥2 sd). We considered sixteen biological, environmental, behavioural and socio-demographic factors. Their association with DBM forms was assessed using generalised linear models.SETTING:
We used data from two cross-sectional studies in an urban (Addis Ababa, January-February 2018), and rural setting (Kersa District, June-September 2019).PARTICIPANTS:
Five hundred ninety-two urban and 862 rural households with an adult man, adult woman and child <5 years.RESULTS:
In Addis Ababa, overweight adult and stunted child was the most prevalent DBM form (9 % (95 % CI 7, 12)). Duration of residence in Addis Ababa (adjusted OR (aOR) 1·03 (95 % CI 1·00, 1·06)), Orthodox Christianity (aOR 1·97 (95 % CI 1·01, 3·85)) and household size (aOR 1·24 (95 % CI 1·01, 1·54)) were associated factors. In Kersa, concurrent child overweight and stunting was the most prevalent DBM form (11 % (95 % CI 9, 14)). Housing quality (aOR 0·33 (95 % CI 0·20, 0·53)), household wealth (aOR 1·92 (95 % CI 1·18, 3·11) and sanitation (aOR 2·08 (95 % CI 1·07, 4·04)) were associated factors. After adjusting for multiple comparisons, only housing quality remained a significant factor.CONCLUSIONS:
DBM prevalence was low among urban and rural Ethiopian households. Environmental, socio-economic and demographic factors emerged as potential associated factors. However, we observed no common associated factors among urban and rural households.Key words
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Malnutrition
Type of study:
Etiology_studies
/
Observational_studies
/
Prevalence_studies
/
Prognostic_studies
/
Risk_factors_studies
Aspects:
Determinantes_sociais_saude
Limits:
Adult
/
Child
/
Female
/
Humans
/
Male
Country/Region as subject:
Africa
Language:
En
Journal:
Public Health Nutr
Journal subject:
CIENCIAS DA NUTRICAO
/
SAUDE PUBLICA
Year:
2021
Document type:
Article
Affiliation country:
United States