Household socioeconomic factors and minimum dietary diversity among infants and young children in Kebumen District of Indonesia
Abstract
Background: Despite its benefits on child health and nutrition, the proportion of Indonesian children meeting the minimum dietary diversity remains suboptimal.
Objective: This study aimed to examine the association between household socioeconomic factors and minimum dietary diversity among young children 6-23 months.
Methods: A cross-sectional study was conducted in Kebumen District of Indonesia. We selected a total of 356 children using multistage cluster sampling. The main outcome was minimum dietary diversity. Explanatory variables were household socioeconomic factors, including parental education, parental occupation, and household income.
Results: The percentage of children meeting minimum dietary diversity was 43.5%. The multiple logistic regression results showed that high household income was significantly associated with minimum dietary diversity (AOR= 2.27; 95%CI: 1.38-3.72). Other socioeconomic factors, such as parental education and occupation, were unrelated to minimum dietary diversity among infants and young children.
Conclusion: Minimum dietary diversity is low in Kebumen District. Wealthier households are more likely to feed their children with a diversified diet than poorer households. A combination of nutrition-specific and nutrition-sensitive interventions is needed to achieve appropriate infant and young child feeding practices.
Keywords
Full Text:
PDFReferences
FAO. Guidelines for measuring household and individual dietary diversity [Internet]. Fao. 2013. 1–60 p. Available from: https://www.fao.org/3/i1983e/i1983e00.pdf
Arimond M, Ruel MT. Dietary diversity is associated with child nutritional status: Evidence from 11 demographic and health surveys. J Nutr. 2004;134(10):2579–85.
Nwaru BI, Takkinen HM, Kaila M, Erkkola M, Ahonen S, Pekkanen J, et al. Food diversity in infancy and the risk of childhood asthma and allergies. J Allergy Clin Immunol. 2014;133(4):1084–91.
WHO. Infant and young child feeding [Internet]. 2021. Available from: https://www.who.int/news-room/fact-sheets/detail/infant-and-young-child-feeding
Harvey CM, Newell ML, Padmadas SS. Socio-economic differentials in minimum dietary diversity among young children in South-East Asia: Evidence from Demographic and Health Surveys. Public Health Nutr. 2018;21(16):3048–57.
Aemro M, Mesele M, … ZB-J of nutrition and, 2013 U. Dietary diversity and meal frequency practices among infant and young children aged 6–23 months in Ethiopia: a secondary analysis of Ethiopian demographic and health survey 2011. HindawiCom [Internet]. 2013;2013. Available from: https://www.hindawi.com/journals/jnme/2013/782931/abs/
Agize A, Jara D, Dejenu G. Level of knowledge and practice of mothers on minimum dietary diversity practices and associated factors for 6-23-month-old children in Adea Woreda, Oromia, Ethiopia. Biomed Res Int. 2017;2017.
Ali D, Saha KK, Nguyen PH, Diressie MT, Ruel MT, Menon P, et al. Household food insecurity is associated with higher child undernutrition in Bangladesh, Ethiopia, and Vietnam, but the effect is not mediated by child dietary diversity. J Nutr. 2013;143(12):2015–21.
Paramashanti BA, Dibley MJ, Alam A, Huda TM. Wealth- and education-related inequalities in minimum dietary diversity among Indonesian infants and young children: a decomposition analysis. Glob Health Action [Internet]. 2022;15(1). Available from: https://doi.org/10.1080/16549716.2022.2040152
Paramashanti BA, Huda TM, Alam A, Dibley MJ. Trends and determinants of minimum dietary diversity among children aged 6-23 months: a pooled analysis of Indonesia Demographic and Health Surveys from 2007 to 2017. Public Health Nutr. 2022;25(7):1956–67.
Young AMP, Kang Y. Obstetrical care is associated with child’s dietary diversity in Indonesia: Analysis from Demographic and Health Survey 2017. Public Health Nutr. 2021;24(9):2640–9.
Gibson E, Stacey N, Sunderland TCH, Adhuri DS. Dietary diversity and fish consumption of mothers and their children in fisher households in Komodo District, eastern Indonesia. PLoS One [Internet]. 2020;15(4):1–22. Available from: http://dx.doi.org/10.1371/journal.pone.0230777
Muslimatun S, Ari Wiradnyani LA. Dietary diversity, animal source food consumption and linear growth among children aged 1–5 years in Bandung, Indonesia: A longitudinal observational study. Br J Nutr. 2016;116:S27–35.
Badan Pusat Statistik Kebumen. Kabupaten Kebumen Dalam Angka Kebumen Regency in Figures 2020. 2020;312.
Nurul Setyaningtyas M. Strategi Pengembangan Tanaman Pangan Guna Meningkatkan Perekonomian Kabupaten Kebumen. Econ Dev Anal J. 2018;5(2):170–8.
Ogston SA, Lemeshow S, Hosmer DW, Klar J, Lwanga SK. Adequacy of Sample Size in Health Studies. Biometrics. 1991;47(1):347.
World Health Organization and the United Nations Children’s Fund (UNICEF). Indicators for assessing infant and young child feeding practices. World Heal Organ United Nations Child Fund [Internet]. 2007;WHA55 A55/:122. Available from: http://apps.who.int/iris/bitstream/handle/10665/44306/9789241599290_eng.pdf?sequence=1%0Ahttp://whqlibdoc.who.int/publications/2008/9789241596664_eng.pdf%5Cnhttp://www.unicef.org/programme/breastfeeding/innocenti.htm%5Cnhttp://innocenti15.net/declaration.
Paramashanti BA, Paratmanitya Y, Marsiswati M. Individual dietary diversity is strongly associated with stunting in infants and young children. J Gizi Klin Indones. 2017;14(1):19.
Kementrian Kesehatan Republik Indonesia. Laporan Riskesdas 2018 Nasional. 2018. p. 674.
Kennedy GL, Pedro MR, Seghieri C, Nantel G, Brouwer I. Dietary diversity score is a useful indicator of micronutrient intake in non-breast-feeding Filipino children. J Nutr. 2007;137(2):472–7.
Kumera G, Tsedal E, Ayana M. Dietary diversity and associated factors among children of Orthodox Christian mothers/caregivers during the fasting season in Dejen District, North West Ethiopia. Nutr Metab. 2018;15(1):1–9.
Thorne-Lyman AL, Valpiani N, Sun K, Semba RD, Klotz CL, Kraemer K, et al. Household dietary diversity and food expenditures are closely linked in rural Bangladesh, increasing the risk of malnutrition due to the financial crisis. J Nutr. 2010;140(1).
Powell B, Bezner Kerr R, Young SL, Johns T. The determinants of dietary diversity and nutrition: Ethnonutrition knowledge of local people in the East Usambara Mountains, Tanzania. J Ethnobiol Ethnomed. 2017;13(1):1–12.
Joshi N, Agho KE, Dibley MJ, Senarath U, Tiwari K. Determinants of inappropriate complementary feeding practices in young children in Nepal: Secondary data analysis of Demographic and Health Survey 2006. Matern Child Nutr. 2012;8(SUPPL. 1):45–59.
Kabir I, Khanam M, Agho KE, Mihrshahi S, Dibley MJ, Roy SK. Determinants of inappropriate complementary feeding practices in infant and young children in Bangladesh: Secondary data analysis of Demographic Health Survey 2007. Matern Child Nutr. 2012;8(SUPPL. 1):11–27.
Kuche D, Moss C, Eshetu S, Ayana G, Salasibew M, Dangour AD, et al. Factors associated with dietary diversity and length-for-age z-score in rural Ethiopian children aged 6–23 months: A novel approach to the analysis of baseline data from the Sustainable Undernutrition Reduction in Ethiopia evaluation. Matern Child Nutr. 2020;16(1):1–11.
PHO, WHO. Guiding principles for complementary feeding of the breastfed child. PAN American Health Organization/World Health Organization: Geneva, Switzerland.34. PAHO/WHO 2004. Guiding principles for complementary feeding of the breastfed child. PAN American Healt [Internet]. 2004. Available from: https://www.who.int/publications/i/item/9275124604
Amugsi DA, Mittelmark MB, Oduro A. Association between maternal and child dietary diversity: An analysis of the Ghana Demographic and Health Survey. PLoS One. 2015;10(8):1–12.
Mekonnen TC, Workie SB, Yimer TM, Mersha WF. Meal frequency and dietary diversity feeding practices among children 6-23 months of age in Wolaita Sodo town, Southern Ethiopia. J Health Popul Nutr. 2017;36(1):18.
Dangura D, Gebremedhin S. Dietary diversity and associated factors among children 6-23 months of age in Gorche district, Southern Ethiopia: Cross-sectional study. BMC Pediatr [Internet]. 2017;17(1):1–7. Available from: http://dx.doi.org/10.1186/s12887-016-0764-x
Bilal SM, Dinant GJ, Blanco R, Crutzen R, Mulugeta A, Spigt M. The influence of father’s child feeding knowledge and practices on children’s dietary diversity: a study in urban and rural districts of Northern Ethiopia, 2013. Matern Child Nutr. 2016;12(3):473–83.
WFP. Peta Ketahanan Pangan Indonesia 2015. 2015;
DOI: http://dx.doi.org/10.21927/ijnd.2023.11(2).94-103
Refbacks
- There are currently no refbacks.
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
Indonesian Journal of Nutrition and Dietetics (IJND) indexed by:
View My Stats