Ukwuani Festus A, Suchindran Chirayath M
Carolina Population Center, University of North Carolina at Chapel Hill, 123 West Franklin Street, Chapel Hill, NC 27516, USA.
Soc Sci Med. 2003 May;56(10):2109-21. doi: 10.1016/s0277-9536(02)00205-8.
The study examines the relationships between women's work and child nutritional status (stunting and wasting) of 5331 Nigerian children aged 0-59 months, using data from the 1990 Nigerian Demographic and Health Survey. In defining women's work, the study considers whether women earned cash from their work and carried their children to work in order to assess the importance of childcare and income, which are the principal pathways through which women's work affects child nutritional status. The study also examines infants and children differently in order to assess the influence of child's age on nutritional status. The results reveal that wasting among infants increased when mothers did not take them to work. Furthermore, mothers' work reduced stunting in their children, but the expected positive effect of earning cash from work on childhood nutrition was less visible from the results. Other results from the study revealed that during infancy, having recent episodes of diarrhea or shorter breast-feeding duration increased wasting. Additionally, wasting was lower during infancy for children in households with pit toilets and children with Christian mothers. For infants, immunization reduced stunting, but longer duration of breast-feeding, being a higher parity child, being in households with pit toilets increased stunting. During childhood, higher birth weight, immunization, and having a Christian mother reduced stunting and wasting. Children in wealthy households are less likely to be stunted, while mother's education and being a higher parity child increased stunting. Also during childhood, having a Christian mother reduced wasting while recent episodes of fever increased wasting.
该研究利用1990年尼日利亚人口与健康调查的数据,调查了5331名年龄在0至59个月的尼日利亚儿童的母亲工作与儿童营养状况(发育迟缓与消瘦)之间的关系。在界定母亲的工作时,该研究考虑了母亲是否通过工作赚取现金以及是否带孩子去工作,以便评估育儿和收入的重要性,而这是母亲工作影响儿童营养状况的主要途径。该研究还对婴儿和儿童进行了不同的考察,以评估儿童年龄对营养状况的影响。结果显示,当母亲不带婴儿去工作时,婴儿的消瘦情况会增加。此外,母亲工作能减少孩子的发育迟缓,但从结果来看,工作赚取现金对儿童营养的预期积极影响不太明显。该研究的其他结果显示,在婴儿期,近期有腹泻发作或母乳喂养时间较短会增加消瘦情况。此外,对于家中有坑式厕所的孩子以及母亲是基督徒的孩子,在婴儿期消瘦情况较低。对于婴儿来说,免疫接种能减少发育迟缓,但母乳喂养时间较长、孩子出生顺序较高、家中有坑式厕所会增加发育迟缓情况。在儿童期,出生体重较高、免疫接种以及母亲是基督徒会减少发育迟缓和消瘦情况。富裕家庭的孩子发育迟缓的可能性较小,而母亲的教育程度和孩子出生顺序较高会增加发育迟缓情况。同样在儿童期,母亲是基督徒会减少消瘦情况,而近期发烧会增加消瘦情况。