Undernutrition and associated factors among prisoners in Bahir Dar Zone Prison Center, Northwest Ethiopia, 2021.

PURPOSE: This study aims to assess undernutrition and associated factors among prisoners in Bahir Dar Zone Prison Center, Ethiopia, in 2021.

DESIGN/METHODOLOGY/APPROACH: An institution-based cross-sectional study was conducted among randomly selected 582 prisoners from October 1 to October 30, 2021. An interviewer-administered, semistructured questionnaire was used to collect the required data. The body mass index (BMI) was assessed to determine the nutritional status of prisoners. Data were entered into Epi-Info statistical software version 7 and exported to SPSS version 23 for analysis. Both bi-variable and multivariable logistic regression analyses were used to identify factors associated with undernutrition. In multivariable binary logistic regression analysis, variables with a p-value < 0.05 were considered significant. Adjusted odds ratios (AOR) and 95% confidence intervals (CIs) were used to measure the strength of the association.

FINDINGS: The prevalence of undernutrition was 17.5% (95% CI: 14.3, 21). Imprisonment history (AOR: 4.98, 95% CI: 2.80, 8.86), history of cigarette smoking (AOR: 5.38, 95% CI: 2.86, 10.13), imprisonment duration (AOR: 1.82, 95% CI: 1.04, 3.19), diarrheal diseases (AOR: 1.98, 95% CI: 1.15, 3.41), depression (AOR: 3.23, 95% CI: 1.88, 5.57) and poor social support (AOR: 7.09, 95% CI: 3.57, 14.05) were factors significantly increasing the odds of undernutrition.

ORIGINALITY/VALUE: This manuscript is an original research article that was conducted by using primary data. The finding of the study implies that the magnitude of undernutrition among prisoners in the Bahir Dar Prison Center was found to be lower than the general population in Ethiopia. Therefore, this paper recommended behavioral change intervention, promotion of mental support and health education, cessation of cigarette smoking and management of diarrheal disease.