IDEAS home Printed from https://ideas.repec.org/a/plo/pone00/0300598.html
   My bibliography  Save this article

Sunlight exposure practice and its associated factors among infants in Ethiopia, systematic review and meta-analysis

Author

Listed:
  • Fanos Yeshanew Ayele
  • Natnael Kebede
  • Asnakew Molla Mekonen
  • Mengistu Mera Mihiretu
  • Yawkal Tsega
  • Elsabeth Addisu
  • Niguss Cherie
  • Tesfaye Birhane
  • Chala Daba
  • Ahmed Hussien Asfaw
  • Zinet Abegaz
  • Abel Endawekie
  • Anissa Mohammed
  • Dagnachew Melak
  • Fekade Demeke Bayou
  • Husniya Yasin
  • Aregash Abebayehu Zerga
  • Fikre Bayu Gebeyehu
  • Birhanu Wagaye

Abstract

Background: Lack of sunlight exposure is the primary reason for the worldwide epidemic of vitamin D deficiency. There was a meta-analysis conducted under the title of Knowledge and Practice of Mothers towards sunshine exposure of their children in Ethiopia. However, studies conducted on factors associated with sunlight exposure practice among infants showed non-conclusive and inconsistent findings. Hence, this systematic review and meta-analysis were conducted to estimate the pooled prevalence of good sunlight exposure practice and its associated factors among infants in Ethiopia. Methods: All articles were systematically searched by PubMed, Hinari, Global Health and CINAHL, Epistemonikos, African Journal of Online (AJOL), Google Scholar and Google. All studies, until the end of May 30, 2023, were included in this review. Pure qualitative studies and studies in which the outcome was not reported were excluded from the review. The Preferred Reporting Items for Systematic Reviews and Meta-Analyses guideline was used. Meta-analysis was conducted by using STATA 17 software. Forest plots were used to present the pooled prevalence of good sunlight exposure practices. A random effect model was used to compute the pooled prevalence, while subgroup analysis was performed to identify the possible source of heterogeneity. Publication bias was assessed by begg’s and Egger’s tests. We use Trim and fill analysis was used to treat the publication bias. Results: This review involved 14 studies and 6,121 participants. The pooled prevalence of good sunlight exposure practice among infants in Ethiopia was 53.46% (95%CI: 45.98, 60.95). Mothers had PNC follow-up [OR = 2.22 (95% CI: 1.31, 3.47)], mothers with secondary and above educational status [OR = 4.17, (95% CI: 1.73, 10.06)], employed mothers [OR = 3.72, (95% CI: 2.71, 5.11)], urban residence [OR = 2.67, (95% CI: 1.17, 6.08)] and not fear of sunlight exposure [OR = 4.08, (95% CI: 1.44, 16.00)] were positively associated with good sunlight exposure practice. Conclusions: The pooled prevalence of good sunlight exposure practices among infants in Ethiopia is low. Had postnatal care follow-up, being urban residents, mother’s employment status, mother’s educational status and not fear of sunlight exposure were independent factors of good sunlight exposure practice among infants. Therefore, health professionals create awareness for mothers to increase postnatal follow-up, and the importance of health education especially for rural residents.

Suggested Citation

  • Fanos Yeshanew Ayele & Natnael Kebede & Asnakew Molla Mekonen & Mengistu Mera Mihiretu & Yawkal Tsega & Elsabeth Addisu & Niguss Cherie & Tesfaye Birhane & Chala Daba & Ahmed Hussien Asfaw & Zinet Abe, 2024. "Sunlight exposure practice and its associated factors among infants in Ethiopia, systematic review and meta-analysis," PLOS ONE, Public Library of Science, vol. 19(11), pages 1-15, November.
    • Handle: RePEc:plo:pone00:0300598
    DOI: 10.1371/journal.pone.0300598
    as

    Download full text from publisher

    File URL: https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0300598
    Download Restriction: no
    File URL: https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0300598&type=printable
    Download Restriction: no
    File URL: https://libkey.io/10.1371/journal.pone.0300598?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    References listed on IDEAS

    as
    1. Aslam, Monazza & Kingdon, Geeta Gandhi, 2012. "Parental Education and Child Health—Understanding the Pathways of Impact in Pakistan," World Development, Elsevier, vol. 40(10), pages 2014-2032.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Dirk Van de gaer & Joost Vandenbossche & José Luis Figueroa, 2014. "Children's Health Opportunities and Project Evaluation: Mexico's Oportunidades Program," The World Bank Economic Review, World Bank, vol. 28(2), pages 282-310.
    2. My Nguyen & Kien Le, 2023. "The impacts of women's land ownership: Evidence from Vietnam," Review of Development Economics, Wiley Blackwell, vol. 27(1), pages 158-177, February.
    3. Han, Wenjing & Zhang, Xiaoling & Zhang, Zhengfeng, 2019. "The role of land tenure security in promoting rural women’s empowerment: Empirical evidence from rural China," Land Use Policy, Elsevier, vol. 86(C), pages 280-289.
    4. Eastin, Joshua, 2018. "Climate change and gender equality in developing states," World Development, Elsevier, vol. 107(C), pages 289-305.
    5. Kimenju, Simon & Qaim, Matin, 2014. "The Nutrition Transition and Indicators of Child Malnutrition," GlobalFood Discussion Papers 195709, Georg-August-Universitaet Goettingen, GlobalFood, Department of Agricultural Economics and Rural Development.
    6. Rammohan, Anu & Awofeso, Niyi, 2015. "District-level variations in childhood immunizations in India: The role of socio-economic factors and health infrastructure," Social Science & Medicine, Elsevier, vol. 145(C), pages 163-172.
    7. Chen, Jiwei & Zhang, Zongli, 2024. "Family poverty and adolescents’ cognitive and noncognitive outcomes: Evidence from China," Economics & Human Biology, Elsevier, vol. 54(C).
    8. Samia Badji, 2017. "Education In Extreme Environments, Does Mother's Education Still Matter?," Working Papers halshs-01468575, HAL.
    9. Byaro, Mwoya & Mpeta, Daniel, 2021. "Secondary Education and its Effects on Child Health: Empirical Evidence from Sub-Saharan Africa," African Journal of Economic Review, African Journal of Economic Review, vol. 9(2), April.
    10. Fatma Romeh M. Ali & Mahmoud A. A. Elsayed, 2018. "The effect of parental education on child health: Quasi‐experimental evidence from a reduction in the length of primary schooling in Egypt," Health Economics, John Wiley & Sons, Ltd., vol. 27(4), pages 649-662, April.
    11. Francesco Burchi, 2012. "Whose education affects a child’s nutritional status? From parents' to household's education," Demographic Research, Max Planck Institute for Demographic Research, Rostock, Germany, vol. 27(23), pages 681-704.
    12. Issidor Noumba & Quentin Lebrun Nzouessah Feunke, 2020. "Parental Education, Household Health, and Household Standard of Living: Evidence from Rural Cameroon," International Business Research, Canadian Center of Science and Education, vol. 13(7), pages 113-113, July.
    13. Shahjahan, Md & La Mattina, Giulia & Ayyagari, Padmaja, 2022. "The Impact of Maternal Education on Child Immunization: Evidence from Bangladesh," IZA Discussion Papers 15553, Institute of Labor Economics (IZA).
    14. Makate, Marshall & Makate, Clifton, 2016. "The causal effect of increased primary schooling on child mortality in Malawi: Universal primary education as a natural experiment," Social Science & Medicine, Elsevier, vol. 168(C), pages 72-83.
    15. Le, Kien & Nguyen, My, 2020. "Shedding light on maternal education and child health in developing countries," World Development, Elsevier, vol. 133(C).
    16. Samia Badji, 2016. "Mother's Education and Increased Child Survival in Madagascar: What Can We Say?," Working Papers 1635, Groupe d'Analyse et de Théorie Economique Lyon St-Étienne (GATE Lyon St-Étienne), Université de Lyon.
    17. Sana Khan & Gianna Claudia Giannelli & Lucia Ferrone, 2024. "Can Maternal Education Enhance Children’s Dietary Diversity and Nutritional Outcomes? Evidence from 2003 Education Reform in Kenya," CHILD Working Papers Series 115 JEL Classification: I, Centre for Household, Income, Labour and Demographic Economics (CHILD) - CCA.
    18. Mishra, Khushbu & Sam, Abdoul G., 2016. "Does Women’s Land Ownership Promote Their Empowerment? Empirical Evidence from Nepal," World Development, Elsevier, vol. 78(C), pages 360-371.
    19. AMAGHOUSS, Jabrane & IBOURK, Aomar, 2020. "Socio-Economic Determinants Of The Prevalence Of Disability In Morocco: Empirical Evidence From Spatial Data," Regional and Sectoral Economic Studies, Euro-American Association of Economic Development, vol. 20(2), pages 79-96.
    20. Bevis, Leah E.M. & Barrett, Christopher B., 2015. "Decomposing Intergenerational Income Elasticity: The Gender-differentiated Contribution of Capital Transmission in Rural Philippines," World Development, Elsevier, vol. 74(C), pages 233-252.

    More about this item

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:plo:pone00:0300598. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: plosone (email available below). General contact details of provider: https://journals.plos.org/plosone/ .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.