Nutritional knowledge, dietary practices, and associated factors among pregnant women in Halaba town, central Ethiopia: a concurrent mixed-cross-sectional study design.

IF 1.7
Fikremariam Endeshaw, Aynalem Belay, Abdulaziz Assefa, Ayele Sahile Abdo, Fentahun Tamene Zeleke, Haimanot Abebe Geletie, Eyob Tefera, Shimelis Tadesse Abebe, Wudit Wassu, Alemayehu Wondie, Daniel Tsega, Mangistu Abera
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Abstract

Background: Pregnancy is a critical period when women are particularly vulnerable to nutritional deficiencies. However, limited evidence exists on nutritional knowledge, dietary practices, and associated factors among pregnant women in the study area.

Aim: To assess nutritional knowledge, dietary practice, and associated factors among pregnant women in Halaba town.

Methods: A concurrent mixed-methods cross-sectional study was conducted in Halaba Town from August 2 to November 25, 2025. Quantitative data were collected from 403 randomly selected pregnant women, while qualitative data were obtained from five FGDs with 35 purposively selected participants. Data were collected through face-to-face interviews and analyzed using descriptive and thematic analyses.

Results: Of the 403 selected participants, 398 pregnant women completed the study, yielding a response rate of 97.7%. Half of the respondents (51%) had good nutritional knowledge, yet only 42.4% of pregnant women reported practicing healthy dietary behaviors. Educational status (AOR: 2.0; 95% CI: 1.3-4.2), pregnancy status (AOR: 2.3; 95% CI: 1.5-4.5), and nutritional information (AOR: 3.1; 95% CI: 1.5-4.9) were significantly associated with nutritional knowledge. Educational status (AOR: 1.9; 95% CI: 1.4-4.3), nutritional information (AOR: 3.9; 95% CI: 2.5-7.9), occupational status (AOR: 1.7; 95% CI: 1.3-4.1), and food security status (AOR: 1.9; 95% CI: 1.5-5.4) were significantly associated with dietary practices. Qualitative findings showed that cultural food taboos and economic constraints limited dietary diversity, while spousal support, shared decision-making, and home gardening promoted healthier dietary practices.

埃塞俄比亚中部哈拉巴镇孕妇的营养知识、饮食习惯及相关因素:一项同时进行的混合横断面研究设计
背景:怀孕是妇女特别容易营养缺乏的关键时期。然而,关于研究地区孕妇的营养知识、饮食习惯和相关因素的证据有限。目的:了解哈拉巴镇孕妇的营养知识、饮食习惯及相关因素。方法:于2025年8月2日至11月25日在哈拉巴镇进行并行混合方法横断面研究。定量数据来自随机选择的403名孕妇,定性数据来自5名fgd,其中有目的选择了35名参与者。通过面对面访谈收集数据,并使用描述性和专题分析进行分析。结果:在403名被选中的参与者中,398名孕妇完成了研究,应答率为97.7%。一半的答复者(51%)具有良好的营养知识,但只有42.4%的孕妇报告有健康的饮食行为。受教育程度(AOR: 2.0; 95% CI: 1.3-4.2)、妊娠状况(AOR: 2.3; 95% CI: 1.5-4.5)和营养信息(AOR: 3.1; 95% CI: 1.5-4.9)与营养知识显著相关。教育状况(AOR: 1.9; 95% CI: 1.4-4.3)、营养信息(AOR: 3.9; 95% CI: 2.5-7.9)、职业状况(AOR: 1.7; 95% CI: 1.3-4.1)和食品安全状况(AOR: 1.9; 95% CI: 1.5-5.4)与饮食习惯显著相关。定性研究结果表明,文化饮食禁忌和经济限制限制了饮食多样性,而配偶支持、共同决策和家庭园艺促进了更健康的饮食习惯。
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