Stunting and Its Determinants among Adolescent Girls: Findings from the Nutrition Surveillance Project, Northwest Ethiopia

Amare Tariku; Aysheshim Kassahun Belew; Kedir Abdela Gonete; Melkamu Tamir Hunegnaw; Esmael Ali Muhammad; Getu Debalkie Demissie; Gashaw Andargie Biks; Tadesse Awoke; Kassahun Alemu Gelaye; Ejigu Gebeye Zeleke; Zegeye Abebe; Azeb Atnafu Gete; Melkie Edris Yesuf; Solomon Mekonnen Abebe; Yigzaw Kebede Gete; Abebaw Addis Gelagay; Abel Fekadu; Kindie Fentahun Muchie; Molla Mesele Wassie

doi:10.1080/03670244.2019.1636793

Stunting and Its Determinants among Adolescent Girls: Findings from the Nutrition Surveillance Project, Northwest Ethiopia

Amare Tariku, Aysheshim Kassahun Belew, Kedir Abdela Gonete, Melkamu Tamir Hunegnaw, Esmael Ali Muhammad, Getu Debalkie Demissie, Gashaw Andargie Biks, Tadesse Awoke, Kassahun Alemu Gelaye, Ejigu Gebeye Zeleke, Zegeye Abebe, Azeb Atnafu Gete, Melkie Edris Yesuf, Solomon Mekonnen Abebe, Yigzaw Kebede Gete, Abebaw Addis Gelagay, Abel Fekadu, Kindie Fentahun Muchie, Molla Mesele Wassie

Centre for Child Development

Research output: Contribution to journal › Article › peer-review

15 Citations (Scopus)

Abstract

Under nutrition among adolescents is a major public health problem in Ethiopia and its causes are under investigated. Therefore, this study aimed to assess the prevalence of stunting and its determinants among adolescent girls in Dabat district. A total of 1556 adolescent girls were included in the study. The WHO’s Anthro-plus software was used to generate the height for age z-scores. Variables having a p-value<0.2 in the simple logistic regression were entered into multiple logistic regression and a p-value < 0.05 were considered statistically significant. About 47.4%(95%CI; 45.0, 49.6%) of adolescent girls were stunted. Being in the early (AOR = 0.027, 95%CI: 0.08, 0.09) and middle age (AOR = 0.21, 95%CI: 0.06, 0.71) were less likely to be stunted compared with the late adolescent. The odds of stunting were found to be higher among adolescent of rural area (AOR = 1.45; 95%CI: 1.01, 2.10) and from household food in-secured (AOR = 1.33; 95%CI: 1.02, 1.73)families. Higher numbers of adolescent girls are stunted in Dabat district, suggesting severe public health importance of the problem. Age, residence and food security were associated with adolescent stunting. Thus, improving food security strategies targeting rural and food insecure households is recommended. Abbreviations: AOR= Adjusted Odd Ratio,CI= Confidence Interval, COR= Crude Odd Ratio, ENSSPI=Establishing Nutrition Surveillance System and Piloting Interventions HAZ=Height for Age, HDSS=Health and Demographic Surveillance System, HFSS=Household Food Security Status, INDEPTH=International Network of Demographic Evaluation of Population and Their Health, IQR=Inter Quartile Range, NNP=National Nutrition Program, NSHFP=National School Health and Feeding Program, SPSS=Statically Package for Social Science, WHO= World Health Organization.

Original language	English
Pages (from-to)	481-494
Number of pages	14
Journal	Ecology of Food and Nutrition
Volume	58
Issue number	5
DOIs	https://doi.org/10.1080/03670244.2019.1636793
Publication status	Published - 3 Sept 2019

Bibliographical note

Funding Information:
The study fund was obtained from the University of Gondar. The views presented in the article are of the author and not necessarily express the views of the funding organization. The University of Gondar was not involved in the design of the study, data collection, analysis, and interpretation The authors would like to thank all respondents for their willingness to participate in the study. They are also grateful to the University of Gondar and Dabat ENSSPI site for financial and material support, correspondingly.

Publisher Copyright:
© 2019, © 2019 Taylor & Francis Group, LLC.

Copyright:
Copyright 2019 Elsevier B.V., All rights reserved.

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10.1080/03670244.2019.1636793

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Tariku, A., Belew, A. K., Gonete, K. A., Hunegnaw, M. T., Muhammad, E. A., Demissie, G. D., Biks, G. A., Awoke, T., Gelaye, K. A., Zeleke, E. G., Abebe, Z., Gete, A. A., Yesuf, M. E., Abebe, S. M., Gete, Y. K., Gelagay, A. A., Fekadu, A., Muchie, K. F., & Wassie, M. M. (2019). Stunting and Its Determinants among Adolescent Girls: Findings from the Nutrition Surveillance Project, Northwest Ethiopia. Ecology of Food and Nutrition, 58(5), 481-494. https://doi.org/10.1080/03670244.2019.1636793

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title = "Stunting and Its Determinants among Adolescent Girls: Findings from the Nutrition Surveillance Project, Northwest Ethiopia",

abstract = "Under nutrition among adolescents is a major public health problem in Ethiopia and its causes are under investigated. Therefore, this study aimed to assess the prevalence of stunting and its determinants among adolescent girls in Dabat district. A total of 1556 adolescent girls were included in the study. The WHO{\textquoteright}s Anthro-plus software was used to generate the height for age z-scores. Variables having a p-value<0.2 in the simple logistic regression were entered into multiple logistic regression and a p-value < 0.05 were considered statistically significant. About 47.4%(95%CI; 45.0, 49.6%) of adolescent girls were stunted. Being in the early (AOR = 0.027, 95%CI: 0.08, 0.09) and middle age (AOR = 0.21, 95%CI: 0.06, 0.71) were less likely to be stunted compared with the late adolescent. The odds of stunting were found to be higher among adolescent of rural area (AOR = 1.45; 95%CI: 1.01, 2.10) and from household food in-secured (AOR = 1.33; 95%CI: 1.02, 1.73)families. Higher numbers of adolescent girls are stunted in Dabat district, suggesting severe public health importance of the problem. Age, residence and food security were associated with adolescent stunting. Thus, improving food security strategies targeting rural and food insecure households is recommended. Abbreviations: AOR= Adjusted Odd Ratio,CI= Confidence Interval, COR= Crude Odd Ratio, ENSSPI=Establishing Nutrition Surveillance System and Piloting Interventions HAZ=Height for Age, HDSS=Health and Demographic Surveillance System, HFSS=Household Food Security Status, INDEPTH=International Network of Demographic Evaluation of Population and Their Health, IQR=Inter Quartile Range, NNP=National Nutrition Program, NSHFP=National School Health and Feeding Program, SPSS=Statically Package for Social Science, WHO= World Health Organization.",

keywords = "Adolescent girls, Dabat, Ethiopia, stunting",

author = "Amare Tariku and Belew, {Aysheshim Kassahun} and Gonete, {Kedir Abdela} and Hunegnaw, {Melkamu Tamir} and Muhammad, {Esmael Ali} and Demissie, {Getu Debalkie} and Biks, {Gashaw Andargie} and Tadesse Awoke and Gelaye, {Kassahun Alemu} and Zeleke, {Ejigu Gebeye} and Zegeye Abebe and Gete, {Azeb Atnafu} and Yesuf, {Melkie Edris} and Abebe, {Solomon Mekonnen} and Gete, {Yigzaw Kebede} and Gelagay, {Abebaw Addis} and Abel Fekadu and Muchie, {Kindie Fentahun} and Wassie, {Molla Mesele}",

note = "Funding Information: The study fund was obtained from the University of Gondar. The views presented in the article are of the author and not necessarily express the views of the funding organization. The University of Gondar was not involved in the design of the study, data collection, analysis, and interpretation The authors would like to thank all respondents for their willingness to participate in the study. They are also grateful to the University of Gondar and Dabat ENSSPI site for financial and material support, correspondingly. Publisher Copyright: {\textcopyright} 2019, {\textcopyright} 2019 Taylor & Francis Group, LLC. Copyright: Copyright 2019 Elsevier B.V., All rights reserved.",

year = "2019",

month = sep,

day = "3",

doi = "10.1080/03670244.2019.1636793",

language = "English",

volume = "58",

pages = "481--494",

journal = "Ecology of Food and Nutrition",

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Tariku, A, Belew, AK, Gonete, KA, Hunegnaw, MT, Muhammad, EA, Demissie, GD, Biks, GA, Awoke, T, Gelaye, KA, Zeleke, EG, Abebe, Z, Gete, AA, Yesuf, ME, Abebe, SM, Gete, YK, Gelagay, AA, Fekadu, A, Muchie, KF & Wassie, MM 2019, 'Stunting and Its Determinants among Adolescent Girls: Findings from the Nutrition Surveillance Project, Northwest Ethiopia', Ecology of Food and Nutrition, vol. 58, no. 5, pp. 481-494. https://doi.org/10.1080/03670244.2019.1636793

TY - JOUR

T1 - Stunting and Its Determinants among Adolescent Girls

T2 - Findings from the Nutrition Surveillance Project, Northwest Ethiopia

AU - Tariku, Amare

AU - Belew, Aysheshim Kassahun

AU - Gonete, Kedir Abdela

AU - Hunegnaw, Melkamu Tamir

AU - Muhammad, Esmael Ali

AU - Demissie, Getu Debalkie

AU - Biks, Gashaw Andargie

AU - Awoke, Tadesse

AU - Gelaye, Kassahun Alemu

AU - Zeleke, Ejigu Gebeye

AU - Abebe, Zegeye

AU - Gete, Azeb Atnafu

AU - Yesuf, Melkie Edris

AU - Abebe, Solomon Mekonnen

AU - Gete, Yigzaw Kebede

AU - Gelagay, Abebaw Addis

AU - Fekadu, Abel

AU - Muchie, Kindie Fentahun

AU - Wassie, Molla Mesele

N1 - Funding Information: The study fund was obtained from the University of Gondar. The views presented in the article are of the author and not necessarily express the views of the funding organization. The University of Gondar was not involved in the design of the study, data collection, analysis, and interpretation The authors would like to thank all respondents for their willingness to participate in the study. They are also grateful to the University of Gondar and Dabat ENSSPI site for financial and material support, correspondingly. Publisher Copyright: © 2019, © 2019 Taylor & Francis Group, LLC. Copyright: Copyright 2019 Elsevier B.V., All rights reserved.

PY - 2019/9/3

Y1 - 2019/9/3

N2 - Under nutrition among adolescents is a major public health problem in Ethiopia and its causes are under investigated. Therefore, this study aimed to assess the prevalence of stunting and its determinants among adolescent girls in Dabat district. A total of 1556 adolescent girls were included in the study. The WHO’s Anthro-plus software was used to generate the height for age z-scores. Variables having a p-value<0.2 in the simple logistic regression were entered into multiple logistic regression and a p-value < 0.05 were considered statistically significant. About 47.4%(95%CI; 45.0, 49.6%) of adolescent girls were stunted. Being in the early (AOR = 0.027, 95%CI: 0.08, 0.09) and middle age (AOR = 0.21, 95%CI: 0.06, 0.71) were less likely to be stunted compared with the late adolescent. The odds of stunting were found to be higher among adolescent of rural area (AOR = 1.45; 95%CI: 1.01, 2.10) and from household food in-secured (AOR = 1.33; 95%CI: 1.02, 1.73)families. Higher numbers of adolescent girls are stunted in Dabat district, suggesting severe public health importance of the problem. Age, residence and food security were associated with adolescent stunting. Thus, improving food security strategies targeting rural and food insecure households is recommended. Abbreviations: AOR= Adjusted Odd Ratio,CI= Confidence Interval, COR= Crude Odd Ratio, ENSSPI=Establishing Nutrition Surveillance System and Piloting Interventions HAZ=Height for Age, HDSS=Health and Demographic Surveillance System, HFSS=Household Food Security Status, INDEPTH=International Network of Demographic Evaluation of Population and Their Health, IQR=Inter Quartile Range, NNP=National Nutrition Program, NSHFP=National School Health and Feeding Program, SPSS=Statically Package for Social Science, WHO= World Health Organization.

AB - Under nutrition among adolescents is a major public health problem in Ethiopia and its causes are under investigated. Therefore, this study aimed to assess the prevalence of stunting and its determinants among adolescent girls in Dabat district. A total of 1556 adolescent girls were included in the study. The WHO’s Anthro-plus software was used to generate the height for age z-scores. Variables having a p-value<0.2 in the simple logistic regression were entered into multiple logistic regression and a p-value < 0.05 were considered statistically significant. About 47.4%(95%CI; 45.0, 49.6%) of adolescent girls were stunted. Being in the early (AOR = 0.027, 95%CI: 0.08, 0.09) and middle age (AOR = 0.21, 95%CI: 0.06, 0.71) were less likely to be stunted compared with the late adolescent. The odds of stunting were found to be higher among adolescent of rural area (AOR = 1.45; 95%CI: 1.01, 2.10) and from household food in-secured (AOR = 1.33; 95%CI: 1.02, 1.73)families. Higher numbers of adolescent girls are stunted in Dabat district, suggesting severe public health importance of the problem. Age, residence and food security were associated with adolescent stunting. Thus, improving food security strategies targeting rural and food insecure households is recommended. Abbreviations: AOR= Adjusted Odd Ratio,CI= Confidence Interval, COR= Crude Odd Ratio, ENSSPI=Establishing Nutrition Surveillance System and Piloting Interventions HAZ=Height for Age, HDSS=Health and Demographic Surveillance System, HFSS=Household Food Security Status, INDEPTH=International Network of Demographic Evaluation of Population and Their Health, IQR=Inter Quartile Range, NNP=National Nutrition Program, NSHFP=National School Health and Feeding Program, SPSS=Statically Package for Social Science, WHO= World Health Organization.

KW - Adolescent girls

KW - Dabat

KW - Ethiopia

KW - stunting

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VL - 58

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JO - Ecology of Food and Nutrition

JF - Ecology of Food and Nutrition

IS - 5

ER -

Stunting and Its Determinants among Adolescent Girls: Findings from the Nutrition Surveillance Project, Northwest Ethiopia

Abstract

Bibliographical note

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