{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,14]],"date-time":"2026-05-14T13:15:12Z","timestamp":1778764512068,"version":"3.51.4"},"reference-count":44,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2021,2,2]],"date-time":"2021-02-02T00:00:00Z","timestamp":1612224000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Maternal &amp; Child Nutrition"],"published-print":{"date-parts":[[2021,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Adequate diet during pregnancy has positive effects on the mother and pregnancy outcome. Assessment of diet quality during pregnancy is particularly important in areas where household food security is suboptimal, to enable appropriate targeting and intervention. This study assessed diet quality and identified predicting factors among pregnant women in northern Ghana. A cross\u2010sectional study involving 403 pregnant women was conducted in May 2018. Pregnant women attending antenatal care clinics (ANC) were selected using simple random sampling technique. We assessed socio\u2010demographic characteristics, 24\u2010h recall and household food security. The minimum dietary diversity for women (MDD\u2010W) was used as a proxy measure for diet quality based on Food and Agricultural Organization (FAO) guidelines. Logistic regression models were fitted to determine the predictors of diet quality. The mean dietary diversity score (DDS) of 10 food groups was 4.4 \u00b1 1.1 (95% CI: 4.3\u20134.5). Logistic regression showed that women of high educational level (adjusted odds ratio [AOR] = 2.42; 95% confidence interval [CI] [1.21\u20134.84];<jats:italic>P<\/jats:italic>= 0.01), women of high household wealth index (AOR = 1.78; 95% CI [1.14\u20132.77];<jats:italic>P<\/jats:italic>= 0.01], none\/mild household hunger (AOR = 2.71; 95% CI [1.26\u20135.82];<jats:italic>P<\/jats:italic>= 0.01), medium household size (6\u201315 members) (AOR = 1.66; 95% CI [1.04\u20132.66];<jats:italic>P<\/jats:italic>= 0.03) and women of gestational age 20\u201335 weeks (AOR = 1.89; 95% CI [1.05\u20133.40];<jats:italic>P<\/jats:italic>= 0.03) were more likely to have quality diets after adjusting for potential confounding variables. Diet quality among pregnant women was low and was predicted by educational level, household wealth, gestational age and food security. Women education and improvements in household food security could impact diets of pregnant women in northern Ghana.<\/jats:p>","DOI":"10.1111\/mcn.13145","type":"journal-article","created":{"date-parts":[[2021,2,5]],"date-time":"2021-02-05T23:54:29Z","timestamp":1612569269000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["Household factors and gestational age predict diet quality of pregnant women"],"prefix":"10.1111","volume":"17","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2735-1930","authenticated-orcid":false,"given":"Mohammed","family":"Bukari","sequence":"first","affiliation":[{"name":"Department of Nutritional Sciences, School of Allied Health Sciences University for Development Studies Tamale Ghana"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0295-0328","authenticated-orcid":false,"given":"Mahama","family":"Saaka","sequence":"additional","affiliation":[{"name":"Department of Nutritional Sciences, School of Allied Health Sciences University for Development Studies Tamale Ghana"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Azaratu","family":"Masahudu","sequence":"additional","affiliation":[{"name":"Department of Nutritional Sciences, School of Allied Health Sciences University for Development Studies Tamale Ghana"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8129-2230","authenticated-orcid":false,"given":"Zakari","family":"Ali","sequence":"additional","affiliation":[{"name":"Medical Research Council Unit The Gambia at the London School of Hygiene and Tropical Medicine Banjul The Gambia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Abdul\u2010Latif","family":"Abubakari","sequence":"additional","affiliation":[{"name":"Department of Nutritional Sciences, School of Allied Health Sciences University for Development Studies Tamale Ghana"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lillian Owusuwaa","family":"Danquah","sequence":"additional","affiliation":[{"name":"Department of Nutritional Sciences, School of Allied Health Sciences University for Development Studies Tamale Ghana"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ayishetu Napari","family":"Abdulai","sequence":"additional","affiliation":[{"name":"Department of Nutritional Sciences, School of Allied Health Sciences University for Development Studies Tamale Ghana"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Abdul\u2010Razak","family":"Abizari","sequence":"additional","affiliation":[{"name":"Department of Nutritional Sciences, School of Allied Health Sciences University for Development Studies Tamale Ghana"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2021,2,2]]},"reference":[{"key":"e_1_2_11_2_1","first-page":"037957212097082","article-title":"Free senior high school lunch contributes to dietary quality of nonresidential students in Ghana","author":"Abizari A.\u2010R.","year":"2020","journal-title":"Food and Nutrition Bulletin"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.midw.2019.02.012"},{"issue":"4","key":"e_1_2_11_4_1","first-page":"506","article-title":"Assessment of dietary diversity and nutritional status of pregnant women in Islamabad, Pakistan","volume":"26","author":"Ali F.","year":"2014","journal-title":"Journal of Ayub Medical College, Abbottabad"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1186\/s41043-016-0053-1"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.nutres.2010.01.005"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1079\/PHN2002348"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2458-9-222"},{"key":"e_1_2_11_9_1","first-page":"34","volume-title":"Household food insecurity access scale (HFIAS) for measurement of food access: Indicator guide","author":"Coates J.","year":"2007"},{"key":"e_1_2_11_10_1","volume-title":"Sampling techniques","author":"Cochran W. 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