Role of Social Determinants on Dietary Habit and Nutritional Status of Primary School Students in Selected Schools in Hagere-Mariamna Kessem Woreda, North Shewa, Ethiopia
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Date
2021-09
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Addis Ababa University
Abstract
Nutrition is a significant aspect of adolescent, since it is the time of rapid growth and maturation
in human development that requires additional nutrients and energy to support growth. Focus
on adolescent nutrition breaks the intergenerational cycles of malnutrition. This study aimed to
examine the determinants of nutritional status of adolescents (both sexes) in primary schools (
11-14 age range) living in three different agroecological zones in Hagere-Mariamna Kessem
woreda, North Shewa, Ethiopia. Institutional based cross-sectional study was conducted among
randomly selected 264 adolescents. With the help of a structured questionnaire, the necessary
information was collected from the respondents and interviews with key informants were also
carried out. Adult BMI and anthropometric measurement were collect using appropriate
equipment and following standard procedures. Data was entered into SPSS model 22 and
anthropometric measurements were transformed into Z-scores through WHO Anthro-plus model
1.0.four software .It was then exported to STATA 16 and analyzed using descriptive and
inferential statistics; An ordered logit model was used to analyze the nutritional determinants of
adolescents. The nutritional status was determined using Height for age (HAZ), BMI for Age
(BAZ) and Weight for Height (WHZ) as a measure of growth, underweight and wasting,
respectively. Based on the results, the prevalence of underweight (59%) and wasting (36%) was
found to be 59% and 36%, respectively. Sex of adolescent, age of adolescent, number of
children in the family, mother’s educational level, culture, social context and social class were
found to be significantly associated with adolescent wasting and malnutrition. The finding
recommend effective culturally sensitive intervention targeted at alleviating problems related to
food restriction in Hager Mariamna Kessem woreda.
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Keywords
Social determinants, Adolescent, Culture, Social context, social class, Nutritional Status,