Dietary diversity and its associated factors among school children in conflict affected communities of southern Ethiopia

BackgroundGlobally, more than 815 million estimated people worldwide suffer from malnutrition or are unable to access enough food due to malnutrition. Conflict remains the single most fundamental factor contributing to chronic malnutrition in the conflict-affected areas. Developing a healthy and bal...

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Main Authors: Tagese Yakob, Eskinder Israel, Begidu Yakob, Mekdes Meshesha, Endale Jambo, Tadewos Utalo, Awoke Abraham
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-01-01
Series:Frontiers in Nutrition
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Online Access:https://www.frontiersin.org/articles/10.3389/fnut.2024.1462178/full
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author Tagese Yakob
Eskinder Israel
Begidu Yakob
Mekdes Meshesha
Endale Jambo
Tadewos Utalo
Awoke Abraham
author_facet Tagese Yakob
Eskinder Israel
Begidu Yakob
Mekdes Meshesha
Endale Jambo
Tadewos Utalo
Awoke Abraham
author_sort Tagese Yakob
collection DOAJ
description BackgroundGlobally, more than 815 million estimated people worldwide suffer from malnutrition or are unable to access enough food due to malnutrition. Conflict remains the single most fundamental factor contributing to chronic malnutrition in the conflict-affected areas. Developing a healthy and balanced dietary pattern is essential for school children because their habits in this period may last longer. Therefore, the current study aimed to assess dietary adequacy level and factors associated among school children in conflicts affected communities of southern Ethiopia.Method and materialsA community-based cross-sectional study was conducted among 616 schoolchildren aged 6 to 12 years with their caregivers using a multistage sampling method. The data were collected by using a structured questionnaire. The data were collected and entered into Epi-data version 4.6.0.2 and exported to STATA software version 14 for analysis. Adequate dietary diversity was defined as the consumption of at least five food groups. Both bivariable and multivariable binary logistic regression were performed. A p-value less than 0.05 on multivariate logistic regression indicated a statistically significant association.ResultsThe overall response rate of this study was 98.5%. The median [inter quartile range (IQR)] dietary diversity score of the studies was 4(3–5) with the prevalence of inadequate dietary diversity among the school children of current study was 59.4% (95% CI, 55.17–62.99). In this study, schoolchildren with no near-health care facility (AOR = 1.95, 95% CI; 1.35–2.82), a family size greater than five (AOR = 1.44, 95% CI; 1.01–2.05), and the absence of a family home garden (AOR = 1.55, CI: 1.35–1.83) were significantly associated with low dietary diversity in school children.ConclusionWhen compared with other studies, dietary diversity in the current study area was low. This emphasizes the need to encourage mothers to use family planning and implementing focused public health interventions, such school lunch programs and community gardening projects, to improve children’s nutritional outcomes and dietary diversity.
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spelling doaj-art-53e8395f98c04fac80afca9420ec5a2d2025-01-03T06:47:04ZengFrontiers Media S.A.Frontiers in Nutrition2296-861X2025-01-011110.3389/fnut.2024.14621781462178Dietary diversity and its associated factors among school children in conflict affected communities of southern EthiopiaTagese Yakob0Eskinder Israel1Begidu Yakob2Mekdes Meshesha3Endale Jambo4Tadewos Utalo5Awoke Abraham6School of Public Health, College of Health Science and Medicine, Wolaita Sodo University, Sodo, EthiopiaSchool of Public Health, College of Health Science and Medicine, Wolaita Sodo University, Sodo, EthiopiaDivision of Nutrition, Maternal and Child Health Unit, Wolaita Zone Health Department, Sodo, EthiopiaSchool of Public Health, College of Health Science and Medicine, Wolaita Sodo University, Sodo, EthiopiaSchool of Public Health, College of Health Science and Medicine, Wolaita Sodo University, Sodo, EthiopiaIntegrated Emergency Surgery and Obstetrics (IESO), Maternal and Child Health Unit, Bele Primary Hospital, Sodo, EthiopiaSchool of Public Health, College of Health Science and Medicine, Wolaita Sodo University, Sodo, EthiopiaBackgroundGlobally, more than 815 million estimated people worldwide suffer from malnutrition or are unable to access enough food due to malnutrition. Conflict remains the single most fundamental factor contributing to chronic malnutrition in the conflict-affected areas. Developing a healthy and balanced dietary pattern is essential for school children because their habits in this period may last longer. Therefore, the current study aimed to assess dietary adequacy level and factors associated among school children in conflicts affected communities of southern Ethiopia.Method and materialsA community-based cross-sectional study was conducted among 616 schoolchildren aged 6 to 12 years with their caregivers using a multistage sampling method. The data were collected by using a structured questionnaire. The data were collected and entered into Epi-data version 4.6.0.2 and exported to STATA software version 14 for analysis. Adequate dietary diversity was defined as the consumption of at least five food groups. Both bivariable and multivariable binary logistic regression were performed. A p-value less than 0.05 on multivariate logistic regression indicated a statistically significant association.ResultsThe overall response rate of this study was 98.5%. The median [inter quartile range (IQR)] dietary diversity score of the studies was 4(3–5) with the prevalence of inadequate dietary diversity among the school children of current study was 59.4% (95% CI, 55.17–62.99). In this study, schoolchildren with no near-health care facility (AOR = 1.95, 95% CI; 1.35–2.82), a family size greater than five (AOR = 1.44, 95% CI; 1.01–2.05), and the absence of a family home garden (AOR = 1.55, CI: 1.35–1.83) were significantly associated with low dietary diversity in school children.ConclusionWhen compared with other studies, dietary diversity in the current study area was low. This emphasizes the need to encourage mothers to use family planning and implementing focused public health interventions, such school lunch programs and community gardening projects, to improve children’s nutritional outcomes and dietary diversity.https://www.frontiersin.org/articles/10.3389/fnut.2024.1462178/fulldietary diversitynutritionconflict affectingschool-age childrensouthern Ethiopia
spellingShingle Tagese Yakob
Eskinder Israel
Begidu Yakob
Mekdes Meshesha
Endale Jambo
Tadewos Utalo
Awoke Abraham
Dietary diversity and its associated factors among school children in conflict affected communities of southern Ethiopia
Frontiers in Nutrition
dietary diversity
nutrition
conflict affecting
school-age children
southern Ethiopia
title Dietary diversity and its associated factors among school children in conflict affected communities of southern Ethiopia
title_full Dietary diversity and its associated factors among school children in conflict affected communities of southern Ethiopia
title_fullStr Dietary diversity and its associated factors among school children in conflict affected communities of southern Ethiopia
title_full_unstemmed Dietary diversity and its associated factors among school children in conflict affected communities of southern Ethiopia
title_short Dietary diversity and its associated factors among school children in conflict affected communities of southern Ethiopia
title_sort dietary diversity and its associated factors among school children in conflict affected communities of southern ethiopia
topic dietary diversity
nutrition
conflict affecting
school-age children
southern Ethiopia
url https://www.frontiersin.org/articles/10.3389/fnut.2024.1462178/full
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