Ajema, Dessalegn (2015) Assessment of the Magnitude of Double Burden of Malnutrition and its Associated Factors among Selected in-School Adolescents in Arba Minch Town, Southern Ethiopia: School Based Cross Sectional Study. Masters thesis, Addis Ababa University.
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Abstract
Background: The Double Burden of Malnutrition is a recent emerging nutritional problem of the coexistence of both under nutrition and over nutrition. Although several studies have been conducted on under 5 children malnutrition in Ethiopia, there is a research gap on double burden of malnutrition among adolescents. Objective: To assess the magnitude of double burden of malnutrition and its associated factors among in-school adolescents in Arba Minch town, Southern Ethiopia. Methods: School based, Cross-sectional study design was conducted among 634 high school students aged 10 to 19 years old in Arba Minch town from March, 2015 to April, 2015. Multi-stage sampling method was used. To select the study participant, the schools were first stratified by ownership as governmental and private. Two schools from each category was randomly selected and the number of sample size required for each school was allocated proportional to the number of students in each school and grade level, Finally 406 students from government and 228 from private were included. A structured questionnaire was used to collect socio-demographic, food insecurity and physical activity data. Anthropometric measurements [weight, height, waist circumference and hip circumference] were performed by using calibrated equipments and standardized techniques. Finally bivariate and multivariate analysis was done using multinomial regression model using SPSS, version21 and WHO Anthro-Plus software, version 1.0.4 for classifying nutritional status of adolescents. Results: The magnitude of underweight, normal and overweight and/or obesity were 19.7% (95%CI: 16.5%, 23.2%), 69.2% (95%CI: 66.2%, 72.2%) and 11.2% (95%CI: 8.7%, 13.7%), respectively. Respondents whose family size of five or less were 80% times less likely to be underweight [AOR=0.2; 95% CI= 0.12 to 0.4] compared to those whose family size of more than 5, whereas, the odds of being overweight and/or obesity was 79% times lower in participants who spent 9 hours and less in sitting than those who spent in sitting above 9 hours per day [AOR=0.21; 95% CI=0.1 to 0.4)]. Conclusion and recommendation: This study revealed the coexistence of double burden of malnutrition among in-school adolescents. Parents’ education, family size and wealth index were some significantly associated factors. Intersectoral collaboration among health sectors and education sectors to intervene nutrition problem and nutrition related education is recommended.
| Item Type: | Thesis (Masters) |
|---|---|
| Subjects: | R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine |
| Divisions: | Africana |
| Depositing User: | Vincent Mpoza |
| Date Deposited: | 19 Oct 2018 06:18 |
| Last Modified: | 19 Oct 2018 06:18 |
| URI: | http://thesisbank.jhia.ac.ke/id/eprint/6949 |
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