Abstract:
Abstract
Background: Evidence on double and triple burdens of malnutrition at household level among child-mother pairs is
a key towards addressing the problem of malnutrition. In Ethiopia, studies on double and triple burdens of malnutrition are scarce. Even though there is a study on double burden of malnutrition at national level in Ethiopia, it doesn’t
assess the triple burdens at all and a few forms of double burden of malnutrition. Therefore, this study aimed to determine the prevalence and associated factors of double and triple burdens of malnutrition among child-mother pairs in
Ethiopia.
Methods: A total sample of 7,624 child-mother pairs from Ethiopian Demographic and Health Survey (EDHS) 2016
were included in the study. All analysis were performed considering complex sampling design. Anthropometric
measures and hemoglobin levels of children, as well as anthropometric measurements of their mothers, were used to
calculate double burden of malnutrition (DBM) and triple burden of malnutrition (TBM). Spatial analysis was applied
to detect geographic variation of prevalence of double and triple burdens of malnutrition among EDHS 2016 clusters.
Bivariable and multivariable binary survey logistic regression models were used to assess the factors associated with
DBM and TBM.
Results: The overall weighted prevalence of DBM and TBM respectively were 1.8% (95%CI: 1.38–2.24) and 1.2%
(95%CI: 0.83–1.57) among child-mother pairs in Ethiopia. Significant clusters of high prevalence of DBM and TBM
were identified. In the adjusted multivariable binary survey logistic regression models, middle household economic
status [AOR=0.23, 95%CI: 0.06, 0.89] as compared to the poor, average birth weight [AOR=0.26, 95%CI: 0.09, 0.80]
as compared to large birth weight and children aged 24–35 months [AOR=0.19, 95%CI: 0.04,0.95] as compared to
6–12 months were less likely to experience DBM. Average birth weight [AOR=0.20, 95%CI: 0.05, 0.91] as compared
