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Factors associated with dietary diversity and length‐for‐age z‐score in rural Ethiopian children aged 6–23 months: A novel approach to the analysis of baseline data from the Sustainable Undernutrition Reduction in Ethiopia evaluation

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dc.contributor.author Kuche, Desalegn
dc.contributor.author Moss, Cami
dc.contributor.author Eshetu, Solomon
dc.contributor.author Ayana, Girmay
dc.contributor.author Salasibew, Mihretab
dc.contributor.author D. Dangour, Alan
dc.contributor.author Allen, Elizabeth
dc.date.accessioned 2023-01-09T11:59:40Z
dc.date.available 2023-01-09T11:59:40Z
dc.date.issued 2019-05-23
dc.identifier.citation Kuche, D., Moss, C., Eshetu, S., Ayana, G., Salasibew, M., Dangour, A. D., & Allen, E. (2020). Factors associated with dietary diversity and length-for-age z-score in rural Ethiopian children aged 6-23 months: A novel approach to the analysis of baseline data from the Sustainable Undernutrition Reduction in Ethiopia evaluation. Maternal & child nutrition, 16(1), e12852. en_US
dc.identifier.uri http://ephispace.ephi.gov.et/xmlui/handle/123456789/526
dc.description.abstract Infants and young children need diets high in nutrient density and diversity to meet the requirements of rapid growth and development. Our aim was to evaluate sociodemographic, agricultural diversity, and women's empowerment factors associated with child dietary diversity and length-for-age z-score (LAZ) in children 6–23 months using data collected as part of the Sustainable Undernutrition Reduction in Ethiopia (SURE) evaluation study baseline survey in May–June 2016. We here present a novel analysis using directed acyclic graphs (DAGs) to represent our assumptions about the causal influences between the factors of interest and the outcomes. The causal diagrams enabled the identification of variables to be included in multivariable analysis to estimate the total effects of factors of interest using ordinal logistic/linear regression models. We found that child dietary diversity was positively associated with LAZ with children consuming 4 or more food groups having on average an LAZ score 0.42 (95% CI [0.08, 0.77]) higher than those consuming no complementary foods. Household production of fruits and vegetables was associated with both increased child dietary diversity (adjusted OR 1.16; 95% CI [1.09, 1.24]) and LAZ (adjusted mean difference 0.05; 95% CI [0.005, 0.10]). Other factors positively associated with child dietary diversity included age in months, socio-economic status, maternal education, women's empowerment and dietary diversity, paternal childcare support, household food security, fruit and vegetable cultivation, and land ownership. LAZ was positively associated with age, socio-economic status, maternal education, fruit and vegetable production, and land ownership. en_US
dc.language.iso en en_US
dc.publisher John Wiley en_US
dc.subject CAUSAL DIAGRAM en_US
dc.subject DIETARY DIVERSITY en_US
dc.subject LENGTH-FOR-AGE en_US
dc.title Factors associated with dietary diversity and length‐for‐age z‐score in rural Ethiopian children aged 6–23 months: A novel approach to the analysis of baseline data from the Sustainable Undernutrition Reduction in Ethiopia evaluation en_US
dc.type Journal Article en_US
ep.contributor.affiliation Food Science and Nutrition Research Directorate, Ethiopian Public Health Institute, Addis Ababa, Ethiopia en_US
ep.contributor.affiliation London School of Hygiene and Tropical Medicine, London, UK en_US
ep.identifier.status Open Access en_US
ep.identifier.doi https://doi.org/10.1111/mcn.12852 en_US
ep.journal Maternal and Child Nutrition en_US
ep.issue 1 en_US
ep.volume 16 en_US


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