Mediating effects of women’s empowerment on dietary diversity during pregnancy in Central West Ethiopia
A structural equation modelling
Bibliographic Data
| ID | 19530217 |
|---|---|
| Authors | Tizita Dengia Etea (0000-0002-4413-0785, Ambo University, corresponding author), Alemayehu Worku Yalew (0000-0003-3294-4236, Addis Ababa University), Mitike Molla Sisay (0000-0002-3697-4929, Addis Ababa University) |
| Year | 2023 |
| Volume | 16 |
| Issue | 1 |
| Pages | 2290303-2290303 |
| Publication date | 2023-12-31 |
| Peer Reviewed | Yes |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Global Health Action (JOURNAL) |
| Journal identifiers | ISSN: 1654-9716 • E-ISSN: 1654-9880 |
| Publisher | Informa UK Limited (PUBLISHER • GB) |
| DOI | 10.1080/16549716.2023.2290303 |
| PMID | 38126365 |
| OpenAlex | W4390051707 |
| Language | EN |
| References cited | 40 |
BACKGROUND: Considerable proportions of pregnant women consume inadequately diversified diets in Ethiopia. On the other hand, women's empowerment is identified as a means of achieving maternal nutrition improvement. However, evidence on the relationship between multiple dimensions of women's empowerment and dietary diversity during pregnancy is limited in Ethiopia. OBJECTIVE: This study aimed to assess the mediating effects of women's empowerment in the pathway between women's education and dietary diversity during pregnancy in West Shewa zone, Ethiopia. METHODS: A health facility-based cross-sectional study was conducted among 1,383 pregnant women in 2021. Dietary diversity was measured using the minimum dietary diversity for women (MDD-W) tool. Exploratory and confirmatory factor analyses were employed to identify and validate women's empowerment dimensions. Structural equation modelling (SEM) was used to examine the pathways linking pregnant women's education and empowerment to dietary diversity during pregnancy. RESULTS: From the latent dimensions of women's empowerment produced by factor analyses, pregnant women's education was directly associated with household decision-making power, psychological and time dimensions. In turn, household decision-making power, psychological and time dimensions were associated with dietary diversity during pregnancy. The direct relationship between pregnant women's education and dietary diversity was insignificant, but the total indirect effect and total effect were significant. Household decision-making power, psychological and time dimensions were significant mediators in the relationship between pregnant women's education and dietary diversity. However, economic dimension was related to neither pregnant women's education nor dietary diversity. CONCLUSION: This study highlights pregnant women with better education are more likely to be empowered in household decision-making, psychological and time dimensions; and those empowered pregnant women are more likely to consume more diverse diets, suggesting women's access to higher education could have a positive indirect effect on consumption of more diverse diets during pregnancy by empowering women in the study area
Biology · Dietary diversity · Economic growth · Economics · Empowerment · Environmental health · Food security · Geography · Pregnancy · Socioeconomics · Sociology · Statistics · Structural equation modeling · Women's empowerment · Anthropology · Child Nutrition and Water Access · Demography · Food Security and Health in Diverse Populations · Gender Studies · Global Maternal and Child Health · Mathematics · Medicine · Psychology
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| Citation velocity | historical |
|---|---|
| Highly cited | No |