Spatial distribution and determinants of undernutrition among reproductive age women of Ethiopia: A multilevel analysis.

<h4>Introduction</h4>Malnutrition is one of the most devastating problems in Ethiopia and is inextricably linked with poverty. Women in the reproductive age group and children are most vulnerable to malnutrition due to low dietary intakes, inequitable distribution of food within the hous...

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Autores principales:	Ayenew Kassie Tesema, Alemneh Mekuriaw Liyew, Adugnaw Zeleke Alem, Yigizie Yeshaw, Getayeneh Antehunegn Tesema, Achamyeleh Birhanu Teshale
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/ef600d89e82b4618ab4e2c97489d1ef0
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spelling	oai:doaj.org-article:ef600d89e82b4618ab4e2c97489d1ef02021-12-02T20:08:09ZSpatial distribution and determinants of undernutrition among reproductive age women of Ethiopia: A multilevel analysis.1932-620310.1371/journal.pone.0257664https://doaj.org/article/ef600d89e82b4618ab4e2c97489d1ef02021-01-01T00:00:00Zhttps://doi.org/10.1371/journal.pone.0257664https://doaj.org/toc/1932-6203<h4>Introduction</h4>Malnutrition is one of the most devastating problems in Ethiopia and is inextricably linked with poverty. Women in the reproductive age group and children are most vulnerable to malnutrition due to low dietary intakes, inequitable distribution of food within the household, improper food storage and preparation, dietary taboos, infectious diseases, and care. Therefore, this study aimed to assess the spatial distribution and determinants of undernutrition among reproductive age of Ethiopia.<h4>Methods</h4>The study was based on the 2016 Ethiopian Demographic and Health Survey. The study included a total sampled weight of 15,139 women aged 15-49 years. The ArcGIS version 10.7 and SaTScan version 9.6 statistical software were used for exploring the spatial distribution of undernutrition. A multilevel logistic regression model was fitted to determine the individual and community level factors associated with women undernutrition. Finally, the factors which were significant at 95% confidence interval were reported.<h4>Result</h4>The spatial analysis revealed that women undernutrition was significantly varied across the country. The SaTScan analysis identified a total of 144 significant hotspot areas of maternal undernutrition with three significant spatial windows. Of these, 134 clusters were primary. The primary spatial window was identified in the southeast Tigray, northwest Afar, central and north Amhara regions (LLR = 57.48, P<0.01, RR = 1.51). Age at first marriage (AOR = 1.57: CI 1.33, 1.99), middle wealth index (AOR = 3.15: CI 1.4, 6.97), rural residence (AOR = 2.82: CI 1.22, 6.52), being in Afar region, Tigray region and Harari region (AOR = 4.88: CI 1.71, 13.91), (AOR = 4.17: CI 1.57, 11.06) and (AOR = 3.01: CI 1.05, 8.68) respectively were significantly associated with women undernutrition.<h4>Conclusion</h4>In Ethiopia, undernutrition had significant spatial variations across the country. Residence, age at first marriage, wealth index and region were significantly associated with undernutrition. Therefore, public health interventions that reduce reproductive age women undernutrition and enhance women awareness towards undernutrition in hotspot areas of undernutrition is crucial.Ayenew Kassie TesemaAlemneh Mekuriaw LiyewAdugnaw Zeleke AlemYigizie YeshawGetayeneh Antehunegn TesemaAchamyeleh Birhanu TeshalePublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 16, Iss 9, p e0257664 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Ayenew Kassie Tesema Alemneh Mekuriaw Liyew Adugnaw Zeleke Alem Yigizie Yeshaw Getayeneh Antehunegn Tesema Achamyeleh Birhanu Teshale Spatial distribution and determinants of undernutrition among reproductive age women of Ethiopia: A multilevel analysis.
description	<h4>Introduction</h4>Malnutrition is one of the most devastating problems in Ethiopia and is inextricably linked with poverty. Women in the reproductive age group and children are most vulnerable to malnutrition due to low dietary intakes, inequitable distribution of food within the household, improper food storage and preparation, dietary taboos, infectious diseases, and care. Therefore, this study aimed to assess the spatial distribution and determinants of undernutrition among reproductive age of Ethiopia.<h4>Methods</h4>The study was based on the 2016 Ethiopian Demographic and Health Survey. The study included a total sampled weight of 15,139 women aged 15-49 years. The ArcGIS version 10.7 and SaTScan version 9.6 statistical software were used for exploring the spatial distribution of undernutrition. A multilevel logistic regression model was fitted to determine the individual and community level factors associated with women undernutrition. Finally, the factors which were significant at 95% confidence interval were reported.<h4>Result</h4>The spatial analysis revealed that women undernutrition was significantly varied across the country. The SaTScan analysis identified a total of 144 significant hotspot areas of maternal undernutrition with three significant spatial windows. Of these, 134 clusters were primary. The primary spatial window was identified in the southeast Tigray, northwest Afar, central and north Amhara regions (LLR = 57.48, P<0.01, RR = 1.51). Age at first marriage (AOR = 1.57: CI 1.33, 1.99), middle wealth index (AOR = 3.15: CI 1.4, 6.97), rural residence (AOR = 2.82: CI 1.22, 6.52), being in Afar region, Tigray region and Harari region (AOR = 4.88: CI 1.71, 13.91), (AOR = 4.17: CI 1.57, 11.06) and (AOR = 3.01: CI 1.05, 8.68) respectively were significantly associated with women undernutrition.<h4>Conclusion</h4>In Ethiopia, undernutrition had significant spatial variations across the country. Residence, age at first marriage, wealth index and region were significantly associated with undernutrition. Therefore, public health interventions that reduce reproductive age women undernutrition and enhance women awareness towards undernutrition in hotspot areas of undernutrition is crucial.
format	article
author	Ayenew Kassie Tesema Alemneh Mekuriaw Liyew Adugnaw Zeleke Alem Yigizie Yeshaw Getayeneh Antehunegn Tesema Achamyeleh Birhanu Teshale
author_facet	Ayenew Kassie Tesema Alemneh Mekuriaw Liyew Adugnaw Zeleke Alem Yigizie Yeshaw Getayeneh Antehunegn Tesema Achamyeleh Birhanu Teshale
author_sort	Ayenew Kassie Tesema
title	Spatial distribution and determinants of undernutrition among reproductive age women of Ethiopia: A multilevel analysis.
title_short	Spatial distribution and determinants of undernutrition among reproductive age women of Ethiopia: A multilevel analysis.
title_full	Spatial distribution and determinants of undernutrition among reproductive age women of Ethiopia: A multilevel analysis.
title_fullStr	Spatial distribution and determinants of undernutrition among reproductive age women of Ethiopia: A multilevel analysis.
title_full_unstemmed	Spatial distribution and determinants of undernutrition among reproductive age women of Ethiopia: A multilevel analysis.
title_sort	spatial distribution and determinants of undernutrition among reproductive age women of ethiopia: a multilevel analysis.
publisher	Public Library of Science (PLoS)
publishDate	2021
url	https://doaj.org/article/ef600d89e82b4618ab4e2c97489d1ef0
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Spatial distribution and determinants of undernutrition among reproductive age women of Ethiopia: A multilevel analysis.

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