Kebede, Adane, Jirström, Magnus ORCID: 0000-0002-7053-4492 , Worku, Alemayehu, Alemu, Kassahun ORCID: 0000-0003-4647-5178 , Berhane, Hanna Y., Turner, Christopher ORCID: 0000-0002-8091-1108 , Ekström, Eva-Charlotte ORCID: 0000-0001-5464-7756 and Berhane, Yemane (2022) Residential food environment, household wealth and maternal education association to preschoolers’ consumption of plant-based vitamin A-rich foods: the EAT Addis survey in Addis Ababa. Nutrients, 14 (2):296. ISSN 2072-6643 (Online) (doi:https://doi.org/10.3390/nu14020296)

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Abstract

Vitamin A deficiency is common among preschoolers in low-income settings and a serious public health concern due to its association to increased morbidity and mortality. The limited consumption of vitamin A-rich food is contributing to the problem. Many factors may influence children’s diet, including residential food environment, household wealth, and maternal education. However, very few studies in low-income settings have examined the relationship of these factors to children’s diet together. This study aimed to assess the importance of residential food availability of three plant-based groups of vitamin A-rich foods, household wealth, and maternal education for preschoolers’ consumption of plant-based vitamin A-rich foods in Addis Ababa. A multistage sampling procedure was used to enroll 5467 households with under-five children and 233 residential food environments with 2568 vendors. Data were analyzed using a multilevel binary logistic regression model. Overall, 36% (95% CI: 34.26, 36.95) of the study children reportedly consumed at least one plant-based vitamin A-rich food group in the 24-h dietary recall period. The odds of consuming any plant-based vitamin A-rich food were significantly higher among children whose mothers had a higher education level (AOR: 2.55; 95% CI: 2.01, 3.25), those living in the highest wealth quintile households (AOR: 2.37; 95% CI: 1.92, 2.93), and in residentials where vitamin A-rich fruits were available (AOR: 1.20; 95% CI: 1.02, 1.41). Further research in residential food environment is necessary to understand the purchasing habits, affordability, and desirability of plant-based vitamin A-rich foods to widen strategic options to improve its consumption among preschoolers in low-income and low-education communities.

Item Type:	Article
Uncontrolled Keywords:	Food environment; Preschool children; Addis Ababa
Subjects:	G Geography. Anthropology. Recreation > GF Human ecology. Anthropogeography L Education > LC Special aspects of education > LC5201 Education extension. Adult education. Continuing education R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine
Faculty / School / Research Centre / Research Group:	Faculty of Engineering & Science Faculty of Engineering & Science > Natural Resources Institute Faculty of Engineering & Science > Natural Resources Institute > Food & Markets Department
Last Modified:	09 Mar 2022 12:42
URI:	http://gala.gre.ac.uk/id/eprint/35350

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