ArticleMaternal & child nutrition2020
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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37 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Effectiveness of Context-Specific Social and Behaviour Change (SBC) Interventions in Improving Child Diet in Ethiopia: A Systematic Review and Meta-Analysis.Maternal & child nutrition · 2026Pooled it
- Trial
- Social equity in Ethiopian infants' breastfeeding and complementary feeding practices: a birth cohort study.BMC pediatrics · 2025Article
- Changing maternal, infant and young child nutrition practices through social and behaviour change interventions implemented at scale: Lessons learned from Alive & Thrive.Maternal & child nutrition · 2025Article
- A multilevel analysis of the factors associated with minimum acceptable diets among children aged 6-23 months in Lesotho: a study of the Lesotho Multiple Cluster Indicator 2018.BMC nutrition · 2025Article
- Optimizing minimum dietary diversity: examining appropriate complementary feeding practices and influencing factors among children aged 6-23 months in Ghana; a cross-sectional study.BMC public health · 2025Article
- Household dietary diversity and associated factors in rural and peri-urban areas of Mbale District, Eastern Uganda.BMC public health · 2025Article
- What's happening in the kitchen? The influence of nutritional knowledge, attitudes and, practices (KAP), and kitchen characteristics on women's dietary quality in Ethiopia.BMC nutrition · 2025Article
- Nutrition profiles of farm households across different farming systems in Ethiopia: Unpacking the determinants and implications for nutrition-sensitive interventions.Food science & nutrition · 2024Article
- Effect of male partners' involvement and support on reproductive, maternal and child health and well-being in East Africa: A scoping review.Health science reports · 2024Article
- Level of dietary diversity score and its predictors among children aged 6-23 months: a linear mixed model analysis of the 2019 Ethiopian Mini Demographic Health Survey.BMJ public health · 2024Article
- Article
- Women empowerment and childhood stunting: evidence from rural northwest Ethiopia.BMC pediatrics · 2024Article
- Mothers' knowledge and practices on breastfeeding and complementary feeding in an urban slum area and rural area in Kenya: A cross-sectional interview study.Journal of child health care : for professionals working with children in the hospital and community · 2023Article
- Effect of enhanced nutrition services with community-based nutrition services on the diet quality of young children in Ethiopia.Maternal & child nutrition · 2023Article
- Article
- Minimum dietary diversity and associated factors among children under the age of five attending public health facilities in Wolaita Soddo town, Southern Ethiopia, 2021: a cross-sectional study.BMC public health · 2022Article
- Gender-common and gender-specific determinants of child dietary diversity in eight Asia Pacific countries.Journal of global health · 2022Article
- Trends and Determinants of Dietary Diversity in Children Aged 6-59 Months in Ethiopia: Analysis of 2005-2016 Demographic and Health Survey.Current developments in nutrition · 2022Article
- Skilled maternal healthcare and good essential newborn care practice in rural Bangladesh: A cross-sectional study.Health science reports · 2022Article
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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.
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