Prevalence and determinants of unhealthy feeding practices among young children aged 6-23 months in five sub-Saharan African countries
Despite the World Health Organization's advice against unhealthy feeding, many low- and middle-income countries, including sub-Saharan Africa (SSA) countries, are experiencing a nutritional transition to high in sugar, unhealthy fats, salts, and processed carbohydrates for younger children. How...
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| creator | Tekeba, Berhan Tamir, Tadesse Tarik Workneh, Belayneh Shetie Wassie, Mulugeta Terefe, Bewuketu Ali, Mohammed Seid Mekonen, Enyew Getaneh Zegeye, Alebachew Ferede Zeleke, Gebreeyesus Abera Aemro, Agazhe |
| description | Despite the World Health Organization's advice against unhealthy feeding, many low- and middle-income countries, including sub-Saharan Africa (SSA) countries, are experiencing a nutritional transition to high in sugar, unhealthy fats, salts, and processed carbohydrates for younger children. However, there is a scarcity of recently updated multicounty information on unhealthy feeding practices and determinants in SSA countries. Therefore, this study aimed to assess the pooled prevalence of unhealthy feeding practices and determinants among children aged 6-23 months in five SSA countries.
A cross-sectional study design was employed with the most recent demographic and health survey secondary data (DHS) from five SSA countries. This secondary data was accessed from the DHS portal through an online request. The DHS is the global data collection initiative that provides detailed and high-quality data on population demographics, health, and nutrition in low- and middle-income countries. We used a weighted sample of 14,064 children aged 6-23 months. A multilevel mixed-effect binary logistic regression model was fitted to identify significant factors associated with unhealthy feeding practices. The level of statistical significance was declared with p-value < 0.05.
This study found that overall, 62.4% (95% CI: 61.62-63.17) of children aged 6-23 months in five SSA countries had unhealthy feeding practices. Rural residents, lower-middle-income SSA countries, and children aged above 12 months had lower odds of unhealthy feeding practices. On the other hand, richer households and women who had not had an optimal antenatal care visit had higher odds of unhealthy feeding practices.
According to this study, nearly two out of three young children in five SSA countries had unhealthy feeding practices. Both individual and community-level factors are significantly associated with unhealthy feeding practices. As a result, responsible bodies shall make all efforts to reduce unhealthy feeding practices among young children in SSA countries. |
| doi_str_mv | 10.1371/journal.pone.0317494 |
| format | Article |
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A cross-sectional study design was employed with the most recent demographic and health survey secondary data (DHS) from five SSA countries. This secondary data was accessed from the DHS portal through an online request. The DHS is the global data collection initiative that provides detailed and high-quality data on population demographics, health, and nutrition in low- and middle-income countries. We used a weighted sample of 14,064 children aged 6-23 months. A multilevel mixed-effect binary logistic regression model was fitted to identify significant factors associated with unhealthy feeding practices. The level of statistical significance was declared with p-value < 0.05.
This study found that overall, 62.4% (95% CI: 61.62-63.17) of children aged 6-23 months in five SSA countries had unhealthy feeding practices. Rural residents, lower-middle-income SSA countries, and children aged above 12 months had lower odds of unhealthy feeding practices. On the other hand, richer households and women who had not had an optimal antenatal care visit had higher odds of unhealthy feeding practices.
According to this study, nearly two out of three young children in five SSA countries had unhealthy feeding practices. Both individual and community-level factors are significantly associated with unhealthy feeding practices. As a result, responsible bodies shall make all efforts to reduce unhealthy feeding practices among young children in SSA countries.</description><identifier>ISSN: 1932-6203</identifier><identifier>EISSN: 1932-6203</identifier><identifier>DOI: 10.1371/journal.pone.0317494</identifier><identifier>PMID: 39813280</identifier><language>eng</language><publisher>United States: Public Library of Science</publisher><subject>Adult ; Africa South of the Sahara - epidemiology ; Beverages ; Biology and Life Sciences ; Carbohydrates ; Children ; Children & youth ; Cross-Sectional Studies ; Data collection ; Demographics ; Demography ; Diet ; Feeding ; Feeding Behavior ; Feeding methods ; Female ; Food ; Food and nutrition ; Fruits ; Health aspects ; Health care ; Households ; Humans ; Income ; Infant ; Infants ; Information processing ; Low income groups ; Male ; Medicine and Health Sciences ; Nutrition research ; People and Places ; Prevalence ; Public health ; Regression models ; Rural populations ; Statistical analysis ; Statistical models ; Surveys ; Vegetables</subject><ispartof>PloS one, 2025-01, Vol.20 (1), p.e0317494</ispartof><rights>Copyright: © 2025 Tekeba et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.</rights><rights>COPYRIGHT 2025 Public Library of Science</rights><rights>2025 Tekeba et al. This is an open access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2025 Tekeba et al 2025 Tekeba et al</rights><rights>2025 Tekeba et al. This is an open access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c572t-aed0bddf1c5ffd046b3994d99d603819cca40c2b1966e14b9cc70ab782d601e13</cites><orcidid>0000-0002-6608-8880</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC11734912/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC11734912/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,860,881,2096,2915,23845,27901,27902,53766,53768,79342,79343</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/39813280$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Tekeba, Berhan</creatorcontrib><creatorcontrib>Tamir, Tadesse Tarik</creatorcontrib><creatorcontrib>Workneh, Belayneh Shetie</creatorcontrib><creatorcontrib>Wassie, Mulugeta</creatorcontrib><creatorcontrib>Terefe, Bewuketu</creatorcontrib><creatorcontrib>Ali, Mohammed Seid</creatorcontrib><creatorcontrib>Mekonen, Enyew Getaneh</creatorcontrib><creatorcontrib>Zegeye, Alebachew Ferede</creatorcontrib><creatorcontrib>Zeleke, Gebreeyesus Abera</creatorcontrib><creatorcontrib>Aemro, Agazhe</creatorcontrib><title>Prevalence and determinants of unhealthy feeding practices among young children aged 6-23 months in five sub-Saharan African countries</title><title>PloS one</title><addtitle>PLoS One</addtitle><description>Despite the World Health Organization's advice against unhealthy feeding, many low- and middle-income countries, including sub-Saharan Africa (SSA) countries, are experiencing a nutritional transition to high in sugar, unhealthy fats, salts, and processed carbohydrates for younger children. However, there is a scarcity of recently updated multicounty information on unhealthy feeding practices and determinants in SSA countries. Therefore, this study aimed to assess the pooled prevalence of unhealthy feeding practices and determinants among children aged 6-23 months in five SSA countries.
A cross-sectional study design was employed with the most recent demographic and health survey secondary data (DHS) from five SSA countries. This secondary data was accessed from the DHS portal through an online request. The DHS is the global data collection initiative that provides detailed and high-quality data on population demographics, health, and nutrition in low- and middle-income countries. We used a weighted sample of 14,064 children aged 6-23 months. A multilevel mixed-effect binary logistic regression model was fitted to identify significant factors associated with unhealthy feeding practices. The level of statistical significance was declared with p-value < 0.05.
This study found that overall, 62.4% (95% CI: 61.62-63.17) of children aged 6-23 months in five SSA countries had unhealthy feeding practices. Rural residents, lower-middle-income SSA countries, and children aged above 12 months had lower odds of unhealthy feeding practices. On the other hand, richer households and women who had not had an optimal antenatal care visit had higher odds of unhealthy feeding practices.
According to this study, nearly two out of three young children in five SSA countries had unhealthy feeding practices. Both individual and community-level factors are significantly associated with unhealthy feeding practices. 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Organization's advice against unhealthy feeding, many low- and middle-income countries, including sub-Saharan Africa (SSA) countries, are experiencing a nutritional transition to high in sugar, unhealthy fats, salts, and processed carbohydrates for younger children. However, there is a scarcity of recently updated multicounty information on unhealthy feeding practices and determinants in SSA countries. Therefore, this study aimed to assess the pooled prevalence of unhealthy feeding practices and determinants among children aged 6-23 months in five SSA countries.
A cross-sectional study design was employed with the most recent demographic and health survey secondary data (DHS) from five SSA countries. This secondary data was accessed from the DHS portal through an online request. The DHS is the global data collection initiative that provides detailed and high-quality data on population demographics, health, and nutrition in low- and middle-income countries. We used a weighted sample of 14,064 children aged 6-23 months. A multilevel mixed-effect binary logistic regression model was fitted to identify significant factors associated with unhealthy feeding practices. The level of statistical significance was declared with p-value < 0.05.
This study found that overall, 62.4% (95% CI: 61.62-63.17) of children aged 6-23 months in five SSA countries had unhealthy feeding practices. Rural residents, lower-middle-income SSA countries, and children aged above 12 months had lower odds of unhealthy feeding practices. On the other hand, richer households and women who had not had an optimal antenatal care visit had higher odds of unhealthy feeding practices.
According to this study, nearly two out of three young children in five SSA countries had unhealthy feeding practices. Both individual and community-level factors are significantly associated with unhealthy feeding practices. As a result, responsible bodies shall make all efforts to reduce unhealthy feeding practices among young children in SSA countries.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>39813280</pmid><doi>10.1371/journal.pone.0317494</doi><tpages>e0317494</tpages><orcidid>https://orcid.org/0000-0002-6608-8880</orcidid><oa>free_for_read</oa></addata></record> |
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| recordid | cdi_plos_journals_3156056661 |
| source | MEDLINE; DOAJ Directory of Open Access Journals; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; PubMed Central; Free Full-Text Journals in Chemistry; Public Library of Science (PLoS) |
| subjects | Adult Africa South of the Sahara - epidemiology Beverages Biology and Life Sciences Carbohydrates Children Children & youth Cross-Sectional Studies Data collection Demographics Demography Diet Feeding Feeding Behavior Feeding methods Female Food Food and nutrition Fruits Health aspects Health care Households Humans Income Infant Infants Information processing Low income groups Male Medicine and Health Sciences Nutrition research People and Places Prevalence Public health Regression models Rural populations Statistical analysis Statistical models Surveys Vegetables |
| title | Prevalence and determinants of unhealthy feeding practices among young children aged 6-23 months in five sub-Saharan African countries |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-02-12T15%3A46%3A50IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-gale_plos_&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Prevalence%20and%20determinants%20of%20unhealthy%20feeding%20practices%20among%20young%20children%20aged%206-23%20months%20in%20five%20sub-Saharan%20African%20countries&rft.jtitle=PloS%20one&rft.au=Tekeba,%20Berhan&rft.date=2025-01-15&rft.volume=20&rft.issue=1&rft.spage=e0317494&rft.pages=e0317494-&rft.issn=1932-6203&rft.eissn=1932-6203&rft_id=info:doi/10.1371/journal.pone.0317494&rft_dat=%3Cgale_plos_%3EA823642958%3C/gale_plos_%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=3156056661&rft_id=info:pmid/39813280&rft_galeid=A823642958&rft_doaj_id=oai_doaj_org_article_a59d544770f743adadf525dfaf65242e&rfr_iscdi=true |