Understanding the longitudinal trends (2005–2018) and multilevel risk factors of complementary feeding in Guinea

Abstract This study aimed to define complementary feeding trends in Guinea from 2005 to 2018 and complementary feeding risk factors at the individual, household, and community levels. Data from 2005 to 2018 demographic health surveys (DHS) and Multiple Indicator Cluster Surveys were used to describe...

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Main Authors: Teresa R. Schwendler, Evaniya Shakya, Stephen R. Kodish, Muzi Na
Format: Article
Language:English
Published: Wiley 2025-01-01
Series:Maternal and Child Nutrition
Subjects:
Online Access:https://doi.org/10.1111/mcn.13748
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author Teresa R. Schwendler
Evaniya Shakya
Stephen R. Kodish
Muzi Na
author_facet Teresa R. Schwendler
Evaniya Shakya
Stephen R. Kodish
Muzi Na
author_sort Teresa R. Schwendler
collection DOAJ
description Abstract This study aimed to define complementary feeding trends in Guinea from 2005 to 2018 and complementary feeding risk factors at the individual, household, and community levels. Data from 2005 to 2018 demographic health surveys (DHS) and Multiple Indicator Cluster Surveys were used to describe complementary feeding trends in Guinea. The most recent DHS was used to examine complementary feeding risk factors at the individual, household, and community levels. Complementary feeding indicators including introduction to complementary foods (INTRO), minimum dietary diversity (MDD), minimum meal frequency (MMF), and minimum acceptable diet (MAD) were calculated based on the 2010 World Health Organisation guidance. Multivariate logistic regressions were used to identify significant risk factors (p < 0.05). Since 2005, there has been a marginal increase in MDD and MAD, but a decrease in INTRO and MMF. The 2018 DHS survey revealed various complementary feeding risk factors. At the individual level, travelling 1–60 min to get water was associated with decreased odds of meeting INTRO, while iron supplementation and maternal education were associated with increased odds of meeting MMF and MDD, respectively. Routine vitamin A supplementation, fever in the past 2 weeks, and low birth weight were associated with increased odds of meeting MAD. At the household level, being in a lower wealth quintile was associated with decreased odds of meeting MDD and MAD. National and subnational programmes and policies designed to improve infant and young child diets may consider tailored approaches that address the specific indicators and risk factors associated with poorer diets in this Guinean context.
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spelling doaj-art-4b6581bad8b9439b964950916ca172e02024-12-17T09:57:23ZengWileyMaternal and Child Nutrition1740-86951740-87092025-01-01211n/an/a10.1111/mcn.13748Understanding the longitudinal trends (2005–2018) and multilevel risk factors of complementary feeding in GuineaTeresa R. Schwendler0Evaniya Shakya1Stephen R. Kodish2Muzi Na3Department of Nutritional Sciences College of Health and Human Development, The Pennsylvania State University, University Park State College Pennsylvania USADepartment of Nutritional Sciences College of Health and Human Development, The Pennsylvania State University, University Park State College Pennsylvania USADepartment of Nutritional Sciences College of Health and Human Development, The Pennsylvania State University, University Park State College Pennsylvania USADepartment of Nutritional Sciences College of Health and Human Development, The Pennsylvania State University, University Park State College Pennsylvania USAAbstract This study aimed to define complementary feeding trends in Guinea from 2005 to 2018 and complementary feeding risk factors at the individual, household, and community levels. Data from 2005 to 2018 demographic health surveys (DHS) and Multiple Indicator Cluster Surveys were used to describe complementary feeding trends in Guinea. The most recent DHS was used to examine complementary feeding risk factors at the individual, household, and community levels. Complementary feeding indicators including introduction to complementary foods (INTRO), minimum dietary diversity (MDD), minimum meal frequency (MMF), and minimum acceptable diet (MAD) were calculated based on the 2010 World Health Organisation guidance. Multivariate logistic regressions were used to identify significant risk factors (p < 0.05). Since 2005, there has been a marginal increase in MDD and MAD, but a decrease in INTRO and MMF. The 2018 DHS survey revealed various complementary feeding risk factors. At the individual level, travelling 1–60 min to get water was associated with decreased odds of meeting INTRO, while iron supplementation and maternal education were associated with increased odds of meeting MMF and MDD, respectively. Routine vitamin A supplementation, fever in the past 2 weeks, and low birth weight were associated with increased odds of meeting MAD. At the household level, being in a lower wealth quintile was associated with decreased odds of meeting MDD and MAD. National and subnational programmes and policies designed to improve infant and young child diets may consider tailored approaches that address the specific indicators and risk factors associated with poorer diets in this Guinean context.https://doi.org/10.1111/mcn.13748complementary feedingDemographic and Health Surveydietary qualityGuineainfant and young child feedingMultiple Indicator Cluster Survey
spellingShingle Teresa R. Schwendler
Evaniya Shakya
Stephen R. Kodish
Muzi Na
Understanding the longitudinal trends (2005–2018) and multilevel risk factors of complementary feeding in Guinea
Maternal and Child Nutrition
complementary feeding
Demographic and Health Survey
dietary quality
Guinea
infant and young child feeding
Multiple Indicator Cluster Survey
title Understanding the longitudinal trends (2005–2018) and multilevel risk factors of complementary feeding in Guinea
title_full Understanding the longitudinal trends (2005–2018) and multilevel risk factors of complementary feeding in Guinea
title_fullStr Understanding the longitudinal trends (2005–2018) and multilevel risk factors of complementary feeding in Guinea
title_full_unstemmed Understanding the longitudinal trends (2005–2018) and multilevel risk factors of complementary feeding in Guinea
title_short Understanding the longitudinal trends (2005–2018) and multilevel risk factors of complementary feeding in Guinea
title_sort understanding the longitudinal trends 2005 2018 and multilevel risk factors of complementary feeding in guinea
topic complementary feeding
Demographic and Health Survey
dietary quality
Guinea
infant and young child feeding
Multiple Indicator Cluster Survey
url https://doi.org/10.1111/mcn.13748
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AT evaniyashakya understandingthelongitudinaltrends20052018andmultilevelriskfactorsofcomplementaryfeedinginguinea
AT stephenrkodish understandingthelongitudinaltrends20052018andmultilevelriskfactorsofcomplementaryfeedinginguinea
AT muzina understandingthelongitudinaltrends20052018andmultilevelriskfactorsofcomplementaryfeedinginguinea