Household-level double burden of malnutrition in Ethiopia

A comparison of Addis Ababa and the rural district of Kersa

Bibliographic Data

ID15097111
AuthorsLilia Bliznashka (0000-0003-2084-1141, Harvard Global Health Institute, corresponding author), Mia M Blakstad (0000-0002-5915-099X, Harvard Global Health Institute), Yemane Berhane (0000-0002-2527-1339, Addis Continental Institute of Public Health), Amare W Tadesse (Addis Continental Institute of Public Health), Nega Assefa (0000-0003-0341-2329, Haramaya University), Goodarz Danaei (0000-0003-2456-5463, Harvard University), Chelsey R Canavan (0000-0002-1372-9015, Harvard Global Health Institute), Elena C Hemler (0000-0001-6986-9474, Harvard Global Health Institute), Wafaie W Fawzi (0000-0002-2908-600X, Harvard University)
Year2021
Volume24
Issue18
Pages6354-6368
Publication date2021-12-01
Open AccessYes
TypeARTICLE
VenuePublic Health Nutrition (JOURNAL)
Journal identifiersISSN: 1368-9800 • E-ISSN: 1475-2727
PublisherCambridge University Press (CUP) (PUBLISHER)
DOI10.1017/s1368980021003700
PMID34446127
OpenAlexW3196103900
LanguageEN
Citations received3
References cited41

Objective: To examine the prevalence of and factors associated with different forms of household-level double burden of malnutrition (DBM) in Ethiopia. Design: We defined DBM using anthropometric measures for adult overweight (BMI ≥ 25 kg/m 2 ), child stunting (height-for-age Z -score sd ) and overweight (weight-for-height Z -score ≥2 sd ). We considered sixteen biological, environmental, behavioural and socio-demographic factors. Their association with DBM forms was assessed using generalised linear models. Setting: We used data from two cross-sectional studies in an urban (Addis Ababa, January–February 2018), and rural setting (Kersa District, June–September 2019). Participants: Five hundred ninety-two urban and 862 rural households with an adult man, adult woman and child Results: In Addis Ababa, overweight adult and stunted child was the most prevalent DBM form (9 % (95 % CI 7, 12)). Duration of residence in Addis Ababa (adjusted OR (aOR) 1·03 (95 % CI 1·00, 1·06)), Orthodox Christianity (aOR 1·97 (95 % CI 1·01, 3·85)) and household size (aOR 1·24 (95 % CI 1·01, 1·54)) were associated factors. In Kersa, concurrent child overweight and stunting was the most prevalent DBM form (11 % (95 % CI 9, 14)). Housing quality (aOR 0·33 (95 % CI 0·20, 0·53)), household wealth (aOR 1·92 (95 % CI 1·18, 3·11) and sanitation (aOR 2·08 (95 % CI 1·07, 4·04)) were associated factors. After adjusting for multiple comparisons, only housing quality remained a significant factor. Conclusions: DBM prevalence was low among urban and rural Ethiopian households. Environmental, socio-economic and demographic factors emerged as potential associated factors. However, we observed no common associated factors among urban and rural households

Double burden · Malnutrition · Rural area · Rural district · Rural population · Urban district · Child Nutrition and Water Access · Iron Metabolism and Disorders · Nutrition and Health in Aging

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