Department of Parasitology, Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia.
Br J Nutr. 2011 Oct;106(7):1100-6. doi: 10.1017/S0007114511001449. Epub 2011 Apr 15.
A community-based cross-sectional study was carried out among Aboriginal schoolchildren aged 7-12 years living in remote areas in Pos Betau, Pahang, Malaysia to investigate the potential determinants influencing the cognitive function and educational achievement of these children. Cognitive function was measured by intelligence quotient (IQ), while examination scores of selected school subjects were used in assessing educational achievement. Blood samples were collected to assess serum Fe status. All children were screened for soil-transmitted helminthes. Demographic and socio-economic data were collected using pre-tested questionnaires. Almost two-thirds (67·6 %) of the subjects had poor IQ and most of them (72·6 %) had insufficient educational achievement. Output of the stepwise multiple regression model showed that poor IQ was significantly associated with low household income which contributed the most to the regression variance (r2 0·059; P = 0·020). Low maternal education was also identified as a significant predictor of low IQ scores (r2 0·042; P = 0·043). With educational achievement, Fe-deficiency anaemia (IDA) was the only variable to show significant association (r2 0·025; P = 0·015). In conclusion, the cognitive function and educational achievement of Aboriginal schoolchildren are poor and influenced by household income, maternal education and IDA. Thus, effective and integrated measures to improve the nutritional and socio-economic status of rural children would have a pronounced positive effect on their education.
一项基于社区的横断面研究在马来西亚彭亨州波德拜的偏远地区对 7-12 岁的原住民学童进行,以调查影响这些儿童认知功能和教育成就的潜在决定因素。认知功能通过智商(IQ)进行衡量,而选择的学校科目的考试成绩用于评估教育成就。采集血样来评估血清铁状态。所有儿童都接受了土壤传播性蠕虫的筛查。使用经过预测试的问卷收集人口统计学和社会经济数据。将近三分之二(67.6%)的受试者智商较低,其中大多数(72.6%)教育成就不足。逐步多元回归模型的输出表明,低家庭收入与低智商显著相关,对回归方差的贡献最大(r2 0.059;P=0.020)。低母亲教育也被确定为低智商得分的重要预测因素(r2 0.042;P=0.043)。就教育成就而言,缺铁性贫血(IDA)是唯一显示出显著相关性的变量(r2 0.025;P=0.015)。总之,原住民学童的认知功能和教育成就较差,受家庭收入、母亲教育和 IDA 影响。因此,有效和综合的措施来改善农村儿童的营养和社会经济状况,将对他们的教育产生显著的积极影响。