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加尔各答市露宿街头儿童的营养状况。

Nutritional status of pavement dweller children of Calcutta City.

作者信息

Ray S K, Mishra R, Biswas R, Kumar S, Halder A, Chatterjee T

机构信息

Department of Community Medicine, Medical College, Calcutta.

出版信息

Indian J Public Health. 1999 Jan-Mar;43(1):49-54.

Abstract

Pavement dwelling is likely to aggravate malnutrition among its residents due to extreme poverty, lack of dwelling and access to food and their exposure to polluted environment. Paucity of information about nutritional status of street children compared to that among urban slum dwellers, squatters or rural/tribal population is quite evident. The present study revealed the magnitude of Protein Energy Malnutrition (PEM) and few associated factors among a sample of 435 underfives belonging to pavement dweller families and selected randomly from clusters of such families, from each of the five geographical sectors of Calcutta city. Overall prevalence of PEM was found almost similar (about 70%) to that among other 'urban poor' children viz. slum dwellers etc., but about 16% of them were found severely undernourished (Grade III & V of IAP classification of PEM). About 35% and 70% of street dweller children had wasting and stunting respectively. Severe PEM (Grade III & IV) was more prevalent among 12-23 months old, girl child, those belonged to illiterate parents and housewife mothers rather than wage earners. It also did increase with increase of birth rate of decrease of birth interval.

摘要

由于极端贫困、缺乏住所、难以获取食物以及暴露于污染环境中,露宿街头可能会加剧居民的营养不良状况。与城市贫民窟居民、擅自占地者或农村/部落人口相比,有关街头儿童营养状况的信息明显匮乏。本研究揭示了属于露宿街头家庭的435名五岁以下儿童样本中蛋白质能量营养不良(PEM)的严重程度以及一些相关因素,这些儿童是从加尔各答市五个地理区域的此类家庭集群中随机抽取的。发现PEM的总体患病率与其他“城市贫困”儿童(即贫民窟居民等)几乎相似(约70%),但其中约16%被发现严重营养不良(PEM的IAP分类中的III级和V级)。约35%和70%的街头儿童分别存在消瘦和发育迟缓问题。严重PEM(III级和IV级)在12至23个月大的女童、父母为文盲的儿童以及母亲为家庭主妇而非有收入者的儿童中更为普遍。它也随着出生率的增加或生育间隔的缩短而增加。

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