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Vitamin-A deficiency and its determinants among preschool children: a community based cross-sectional study in
Amare Tariku1, Abel Fekadu2, Ayanaw Tsega Ferede3
1Department of Human Nutrition, Institute of Public Health, College of Medicine and Health Sciences, The University of Gondar, Gondar, Ethiopia. amaretariku15@yahoo.com.
Insights
Vitamin A deficiency is a significant public health issue in Ethiopia, affecting preschool children. Non-attendance at antenatal care, male gender, and older age were linked to higher deficiency rates.
Area of Science:
- Public Health
- Pediatrics
- Nutritional Epidemiology
Background:
- Vitamin A deficiency is a leading cause of preventable childhood blindness and contributes to child mortality.
- Ethiopia faces a significant public health challenge due to vitamin A deficiency, with limited existing literature.
- This study aimed to determine the prevalence and contributing factors of vitamin A deficiency in preschool children in Dembia District, northwest Ethiopia.
Purpose of the Study:
- To assess the prevalence of vitamin A deficiency in preschool children.
- To identify factors associated with vitamin A deficiency in this population.
Main Methods:
- A community-based cross-sectional study was conducted from January to February 2015 in Dembia District.
- A multi-stage and systematic sampling technique was used to recruit 681 preschool children.
- Data were collected via interviewer-administered questionnaires, and multivariable logistic regression identified significant factors (p < 0.05).
Main Results:
- The prevalence of xerophthalmia was 8.6% among the studied preschool children.
- Factors significantly associated with vitamin A deficiency included non-attendance at antenatal care (AOR 2.65), being male (AOR 1.81), and age group 49-59 months (AOR 3.00).
Conclusions:
- Vitamin A deficiency represents a severe public health problem in the Dembia District.
- Strengthening antenatal care services and focusing on preschool children are crucial for mitigating vitamin A deficiency.
Background:
Vitamin A deficiency is the leading cause of preventable visual impairments in children. It is also an underlying cause for nearly one-fourth of global child mortality associated with measles, diarrhea, and malaria. The limited literature available in Ethiopia shows severe public health significance of vitamin-A deficiency. Hence the aim of the current study was to assess the prevalence and factors determining vitamin-A deficiency among preschool children in Dembia District, northwest Ethiopia.
Methods:
A community-based cross-sectional study was conducted among preschool children of Dembia District from January to February, 2015. A multi-stage sampling, followed by a systematic sampling technique was employed to select study participants. A structured interviewer-administered questionnaire was used to collect data. Using a binary logistic regression model, multivariable analysis was fitted to identify the associated factors of vitamin-A deficiency. The adjusted odds ratio (AOR) with a 95 % confidence interval was computed to assess the strength of the association, and variables with a p value of <0.05 in multivariable analysis were considered as statistically significant.
Results:
Six hundred eighty-one preschool children were included in the study, giving a response rate of 96.5 %. The overall prevalence of xerophthalmia was 8.6 %. The result of the multivariable analysis revealed that nonattendance at the antenatal care clinic [AOR 2.65,95 % CI (1.39,5.07)], being male [AOR 1.81, 95 % CI (1.01,3.24)], and in the age group of 49-59 months [AOR 3.00, 95 % CI (1.49,6.02)] were significantly associated with vitamin-A deficiency.
Conclusions:
Vitamin-A deficiency is a severe public health problem in the study area. Further strengthening antenatal care utilization and giving emphasis to preschool children will help to mitigate vitamin-A deficiency in the study area.
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