{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,16]],"date-time":"2026-08-16T23:25:07Z","timestamp":1786922707326,"version":"build-2736575974"},"reference-count":27,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T00:00:00Z","timestamp":1785542400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T00:00:00Z","timestamp":1785542400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Clin Med\ufffdInsights\ufffdReprod\ufffdHealth"],"published-print":{"date-parts":[[2026,8]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Dietary diversity is a key proxy indicator of micronutrient adequacy among pregnant women, yet remains suboptimal in many low- and middle-income settings. Limited evidence exists on dietary diversity knowledge and its determinants in Zanzibar.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>\n                      To assess\n                      <jats:bold>knowledge of dietary diversity and<\/jats:bold>\n                      identify associated factors among pregnant women attending antenatal care (ANC) at Mpendae Health Centre, Zanzibar.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>Facility-based analytical cross-sectional study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      <jats:bold>A facility-based analytical cross-sectional study was conducted among 245 pregnant women attending ANC services using a consecutive sampling approach (March\u2013April 2025). Data were collected using a structured, pretested questionnaire comprising 32 items. Knowledge of dietary diversity was assessed using 9 binary items (Cronbach\u2019s \u03b1 = 0.74) and categorized as adequate (score \u22656\/9) or inadequate. Multivariable logistic regression was used to identify independent predictors, with crude odds ratios (CORs), adjusted odds ratios (AORs), 95% confidence intervals (CIs), and p-values reported<\/jats:bold>\n                      .\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Overall, 75.9% of participants had adequate knowledge of dietary diversity. In multivariable analysis, marital status and education were significant predictors. Women who were not married had significantly lower odds of adequate knowledge compared to married women (AOR = 0.28; 95% CI: 0.14\u20130.56; p &lt; 0.001), while those with secondary or higher education were more likely to have adequate knowledge (AOR = 2.15; 95% CI: 1.18\u20133.91; p = 0.012).\n                      <jats:bold>Women at \u226528 weeks gestation had higher odds of adequate knowledge (AOR = 3.42; 95% CI: 1.85\u20136.32; p &lt; 0.001),<\/jats:bold>\n                      and those attending \u22654 ANC visits were four times more likely to be knowledgeable (AOR = 4.11; 95% CI: 2.05\u20138.24; p &lt; 0.001).\n                      <jats:bold>Women who did not receive nutrition counselling had significantly lower odds of adequate knowledge (AOR = 0.31; 95% CI: 0.14\u20130.69; p = 0.004).<\/jats:bold>\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Dietary diversity knowledge was relatively high but unequally distributed. ANC-related factors, particularly visit frequency and nutrition counselling, were key determinants, highlighting the need to strengthen structured nutrition education throughout pregnancy.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/26334941261475957","type":"journal-article","created":{"date-parts":[[2026,8,12]],"date-time":"2026-08-12T19:08:40Z","timestamp":1786561720000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Knowledge of dietary diversity and its determinants among pregnant women attending antenatal care in Zanzibar: A cross-sectional study"],"prefix":"10.1177","volume":"20","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2815-1439","authenticated-orcid":false,"given":"Chukwuma J.","family":"Okafor","sequence":"first","affiliation":[{"name":"State University of Zanzibar"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Islam H.","family":"Mwita","sequence":"additional","affiliation":[{"name":"Department of Nursing and Midwifery, State University of Zanzibar, Tanzania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rodolfo Isidro Bosch","family":"Bayard","sequence":"additional","affiliation":[{"name":"State University of Zanzibar"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Theresa","family":"Bernadini","sequence":"additional","affiliation":[{"name":"Ministry of Health"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,8,12]]},"reference":[{"key":"e_1_3_8_2_2","doi-asserted-by":"publisher","DOI":"10.1186\/s40795-022-00619-3"},{"key":"e_1_3_8_3_2","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0309213"},{"key":"e_1_3_8_4_2","first-page":"1","article-title":"The Minimum Dietary Diversity for Women (MDD-W) Score: Its Association With the Prevalence and Severity of Anemia in Pregnancy","volume":"16","author":"Sharma N","year":"2024","unstructured":"Sharma N, Kishore J, Gupta M, et al. 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