PMID- 38429646
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20240304
IS  - 2055-0928 (Electronic)
IS  - 2055-0928 (Linking)
VI  - 10
IP  - 1
DP  - 2024 Mar 1
TI  - Prevalence and determinants of minimum dietary diversity for women of 
      reproductive age in Uganda.
PG  - 39
LID - 10.1186/s40795-024-00858-6 [doi]
LID - 39
AB  - BACKGROUND: Globally, over a billion women of reproductive age (WRA) suffer from 
      some kind of undernutrition micronutrient deficiencies, and/or anemia as a result 
      of inadequate dietary diversity. This leads to poor maternal and child health 
      outcomes, however, there is limited research on population level research on 
      minimum dietary diversity for women (MDD-W). This study assessed the prevalence 
      and predictors of MDD-W among WRA in Uganda. METHODS: This study was a secondary 
      analysis of data from the lot quality assurance sampling (LQAS) survey conducted 
      across 55 Ugandan districts between May and September 2022. Women of various ages 
      were interviewed across 5 study subgroups that this study used to construct its 
      study population (WRA). Descriptive analyses, tests for outcome differences, and 
      multilevel mixed-effects logistic regression were conducted at a 5% statistical 
      significance level using STATA version 17. The results were reported using 
      Adjusted Odds Ratios (aOR) as the measure of the outcome. RESULTS: The study 
      analyzed responses from 29,802 WRA with a mean age of 27.8 (+/- 6.8) years. Only 
      8.8% (95% CI 8.5-9.3) achieved the MDD-W, the least proportion was observed in 
      the South-Central region (3.13%). In the adjusted analysis, WRA who were older 
      than 25 years (aOR 1.1, 95% CI 1.1-1.3, p < 0.001), had secondary education 
      (aOR = 1.4, 95% CI 1.1-1.7, p = 0.003) or above (aOR = 1.7, 95% CI 1.3-2.2, 
      p < 0.001), and used modern contraceptives (aOR = 1.1, 95% CI 1.0-1.3, p = 0.01) 
      were more likely to achieve the MDD-W. Conversely, WRA who travelled longer 
      distances to the nearest household water source (aOR = 0.8, 95% CI 0.7-0.9, 
      p = 0.002) and those residing in larger households (aOR = 0.9, 95% CI 0.8-1.0, 
      p = 0.019) were less likely to achieve the MDD-W. CONCLUSION: A low proportion of 
      WRA met the MDD-W. Age, education level, household sizes and use of modern 
      contraception were predictors of MDD-W among WRA in Uganda. MDD-W-related program 
      efforts in Uganda should strengthen multisectoral collaboration with 
      prioritization of younger women, education, household sizes and access to safe 
      water sources.
CI  - (c) 2024. The Author(s).
FAU - Kimuli, Derrick
AU  - Kimuli D
AD  - Social & Scientific Systems, Inc., DLH Holdings company / United States Agency 
      for International Development Strategic Information Technical Support Activity, 
      Kampala, Uganda. derrick.kimuli@dlhcorp.com.
FAU - Nakaggwa, Florence
AU  - Nakaggwa F
AD  - Social & Scientific Systems, Inc., DLH Holdings company / United States Agency 
      for International Development Strategic Information Technical Support Activity, 
      Kampala, Uganda.
FAU - Namuwenge, Norah
AU  - Namuwenge N
AD  - Social & Scientific Systems, Inc., DLH Holdings company / United States Agency 
      for International Development Strategic Information Technical Support Activity, 
      Kampala, Uganda.
FAU - Nsubuga, Rebecca N
AU  - Nsubuga RN
AD  - Social & Scientific Systems, Inc., DLH Holdings company / United States Agency 
      for International Development Strategic Information Technical Support Activity, 
      Kampala, Uganda.
FAU - Kasule, Kenneth
AU  - Kasule K
AD  - Social & Scientific Systems, Inc., DLH Holdings company / United States Agency 
      for International Development Strategic Information Technical Support Activity, 
      Kampala, Uganda.
FAU - Nyakwezi, Sheila
AU  - Nyakwezi S
AD  - The United States Agency for International Development Uganda, US Mission 
      Compound - South Wing, Kampala, Uganda.
FAU - Odong, Jimmy
AU  - Odong J
AD  - Social & Scientific Systems, Inc., DLH Holdings company / United States Agency 
      for International Development Strategic Information Technical Support Activity, 
      Kampala, Uganda.
FAU - Isabirye, Paul
AU  - Isabirye P
AD  - Social & Scientific Systems, Inc., DLH Holdings company / United States Agency 
      for International Development Strategic Information Technical Support Activity, 
      Kampala, Uganda.
FAU - Sevume, Solome
AU  - Sevume S
AD  - The United States Agency for International Development Uganda, US Mission 
      Compound - South Wing, Kampala, Uganda.
FAU - Mubiru, Norbert
AU  - Mubiru N
AD  - The United States Agency for International Development Uganda, US Mission 
      Compound - South Wing, Kampala, Uganda.
FAU - Mwehire, Daniel
AU  - Mwehire D
AD  - The United States Agency for International Development Uganda, US Mission 
      Compound - South Wing, Kampala, Uganda.
FAU - Matovu, Fatuma
AU  - Matovu F
AD  - Social & Scientific Systems, Inc., DLH Holdings company / United States Agency 
      for International Development Strategic Information Technical Support Activity, 
      Kampala, Uganda.
FAU - Wandera, Bonnie
AU  - Wandera B
AD  - Social & Scientific Systems, Inc., DLH Holdings company / United States Agency 
      for International Development Strategic Information Technical Support Activity, 
      Kampala, Uganda.
FAU - Amuron, Barbara
AU  - Amuron B
AD  - Social & Scientific Systems, Inc., DLH Holdings company / United States Agency 
      for International Development Strategic Information Technical Support Activity, 
      Kampala, Uganda.
FAU - Bukenya, Daraus
AU  - Bukenya D
AD  - Social & Scientific Systems, Inc., DLH Holdings company / United States Agency 
      for International Development Strategic Information Technical Support Activity, 
      Kampala, Uganda.
LA  - eng
PT  - Journal Article
DEP - 20240301
PL  - England
TA  - BMC Nutr
JT  - BMC nutrition
JID - 101672434
PMC - PMC10908097
OTO - NOTNLM
OT  - Dietary diversity
OT  - Education
OT  - Geographic location
OT  - Women
COIS- The authors declare no competing interests.
EDAT- 2024/03/02 10:44
MHDA- 2024/03/02 10:45
PMCR- 2024/03/01
CRDT- 2024/03/01 23:38
PHST- 2023/08/02 00:00 [received]
PHST- 2024/02/22 00:00 [accepted]
PHST- 2024/03/02 10:45 [medline]
PHST- 2024/03/02 10:44 [pubmed]
PHST- 2024/03/01 23:38 [entrez]
PHST- 2024/03/01 00:00 [pmc-release]
AID - 10.1186/s40795-024-00858-6 [pii]
AID - 858 [pii]
AID - 10.1186/s40795-024-00858-6 [doi]
PST - epublish
SO  - BMC Nutr. 2024 Mar 1;10(1):39. doi: 10.1186/s40795-024-00858-6.