Concordance and determinants of mothers’ and children’s diets in Nigeria: an in-depth study of the 2018 Demographic and Health Survey

ObjectivesImproving the diversity of the diets in young children 6–23 months is a policy priority in Nigeria and globally. Studying the relationship between maternal and child food group intake can provide valuable insights for stakeholders designing nutrition programmes in low-income and middle-inc...

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Bibliographic Details
Published in:BMJ open 2023-07, Vol.13 (7), p.e070876
Main Authors: Akseer, Nadia, Tasic, Hana, Adeyemi, Olutayo, Heidkamp, Rebecca
Format: Article
Language:English
Subjects:
Age groups
Animals
Children & youth
community child health
Datasets
Decision making
Diet
Estimates
Female
Food
Fruits
Global Health
Households
Humans
Legumes
Milk
Mothers
Nigeria
nutrition
nutrition & dietetics
Nutritional Status
Nuts
Parent educational background
public health
Questionnaires
Variables
Vegetables
Vitamin A
Womens health
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Summary:ObjectivesImproving the diversity of the diets in young children 6–23 months is a policy priority in Nigeria and globally. Studying the relationship between maternal and child food group intake can provide valuable insights for stakeholders designing nutrition programmes in low-income and middle-income countries.DesignWe examined the relationship between maternal and child dietary diversity among 8975 mother–child pairs using the Nigeria 2018 Demographic and Health Survey (DHS). We assessed concordance and discordance between maternal and child food group intake using the McNemar’s χ2 test, and the determinants of child minimum dietary diversity (MDD-C) including women MDD (MDD-W) using hierarchical multivariable probit regression modelling.SettingNigeria.Participants8975 mother–child pairs from the Nigeria DHS.Primary and secondary outcome measuresMDD-C, MDD-W, concordance and discordance in the food groups consumed by mothers and their children.ResultsMDD increased with age for both children and mothers. Grains, roots and tubers had high concordance in mother–child dyads (90%); discordance was highest for legumes and nuts (36%), flesh foods (26%), and fruits and vegetables (39% for vitamin-A rich and 57% for other). Consumption of animal source food (dairy, flesh foods, eggs) was higher for dyads with older mothers, educated mothers and more wealthy mothers. Maternal MDD-W was the strongest predictor of MDD-C in multivariable analyses (coef 0.27; 95% CI 0.25 to 0.29, p
ISSN:2044-6055
2044-6055
DOI:10.1136/bmjopen-2022-070876