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Feeding practices and nutritional status of under-five children in a peri-urban setting in Ibadan, southwest Nigeria: a comparative cross-sectional study

Background: Existing literature suggests inequalities in nutritional and feeding practices for children in rural communities compared to their urban counterparts. However, with increasing urbanization and changing social norms, re-assessment of rural-urban differences in feeding practices for under-...

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Published: 2023-06
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LEADER 00000njm a2000000a 4500
001 oai:repository.ui.edu.ng:123456789/12359
042 |a dc 
720 |a Bakare, A. A.  |e author 
720 |a Uchendu, O. C.  |e author 
720 |a Omotayo, O. E.  |e author 
720 |a King, C.  |e author 
260 |c 2023-06 
520 |a Background: Existing literature suggests inequalities in nutritional and feeding practices for children in rural communities compared to their urban counterparts. However, with increasing urbanization and changing social norms, re-assessment of rural-urban differences in feeding practices for under-five children is essential. This study therefore aimed to assess the feeding practices and nutritional status of children in a peri-urban setting in Ibadan. Methods: We conducted a community-based cross-sectional comparative study in peri-urban LGA (Lagelu) in Ibadan. Participants were 617 caregivers of under five children identified, from wards typical of rural and urban settings, through a multistage sampling technique. Caregivers’ sociodemographic details, 24-hour dietary recall of the child’s feeding, and anthropometric measurements were obtained. Results: Nearly half of the children were 2 years or older (rural: n=142, 47.2%; urban: n=147, 46.2%). There was significant difference between settings in terms of maternal age and education, father’s education, caregiver’s occupation and socioeconomic status. In total, 611 children (99.0%) were breastfed. Of those breastfed, 45% and 39% in rural and urban settings respectively were initiated within an hour of delivery. Children in rural setting had longer duration of breast feeding. However, they are less likely to be exclusively breast fed for 6 – months compared with children whose caregivers are urban dwellers. Dietary diversity was similar in both settings but higher among males. (20.3% male, 11.7% female in rural; 17.3% male and 15.5% female in urban). Overall, 108 (22.3%), 107 (21.9%), 152 (30.6%) and 34 (7.0%) of children aged 6-59 months were cachetic, underweight, stunted, and overweight respectively but commoner among children in rural settings. Conclusion: Feeding and nutrition programmes need to apply a gender lens if sustained behavioural interventions on child nutrition are to reach equitable outcomes. 
024 8 |a 1597-1627 
024 8 |a ui_art_bakare_feeding_2023 
024 8 |a Annals of Ibadan Postgraduate Medicine 21(1), pp. 50-62 
024 8 |a https://repository.ui.edu.ng/handle/123456789/12359 
653 |a Under-five nutritional status 
653 |a Feeding practices 
653 |a Dietary diversity 
653 |a Peri-urban 
653 |a Nigeria 
245 0 0 |a Feeding practices and nutritional status of under-five children in a peri-urban setting in Ibadan, southwest Nigeria: a comparative cross-sectional study