Department of Public Health Nutrition, School of Public Health, College of Medicine and Health Science, Wollo University, Dessie, Ethiopia. Department of Epidemiology and Biostatics, School of Public Health, College of Medicine and Health Science, Wollo University, Dessie, Ethiopia. Department of Reproductive and Family Health, School of Public Health, College of Medicine and Health Science, Wollo University, Dessie, Ethiopia. Department of Internal Medicine, School of Medicine, College of Medicine and Health science, Wollo University, Dessie, Ethiopia. Department of Primary and Interdisciplinary Care, University of Antwerp, Antwerp, Belgium.