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印度 6 岁以下儿童的社会经济和营养状况趋势。

Trends in socioeconomic and nutritional status of children younger than 6 years in India.

机构信息

Indian Statistical Institute, Kolkata, West Bengal, India.

出版信息

Asia Pac J Public Health. 2011 May;23(3):324-40. doi: 10.1177/1010539511403455. Epub 2011 May 5.

Abstract

The main aims of this study are to find out the trends in the (a) prevalence of undernutrition and severe anemia and (b) degree of association of undernutrition and severe anemia in children younger than 6 years in India with some socioeconomic variables. Using the Reproductive and Child Health Survey data, z score of weight for age and hemoglobin status were analyzed to understand the state and agewise variation and their association with the sociodemographic variables through logistic regression. The prevalence of malnutrition according to both the criteria was first seen to increase, attain a maximum value at some age between 12 and 48 months, and then decrease. Statewise distribution showed a close link between the stage of development and the prevalence of malnutrition-prevalence rate being less for developed states. The rates were also less for the Northeastern states of India. The regression analysis clearly points out that children with illiterate mothers, of lower age groups, or from low standard of living households are more prone to become malnourished. The economic growth alone is not sufficient for substantially reducing malnutrition. It is necessary to improve the rate of literacy, especially of women, to reduce the prevalence of malnutrition and anemia among children. It is not only economic development but also overall human development that is needed in India.

摘要

本研究的主要目的是了解印度 6 岁以下儿童(a)营养不良和严重贫血的流行趋势和(b)营养不良和严重贫血的严重程度与某些社会经济变量之间的关联程度。本研究使用生殖健康调查数据,通过逻辑回归分析了年龄别体重 z 评分和血红蛋白状况,以了解营养状况和年龄变化及其与社会人口统计学变量的关系。根据这两个标准,营养不良的患病率首先增加,在 12 至 48 个月之间的某个年龄段达到最大值,然后下降。各州的分布情况表明,发展阶段与营养不良的流行程度密切相关,发达州营养不良的发病率较低。印度东北部各州的发病率也较低。回归分析清楚地指出,母亲为文盲、年龄较小或来自低生活水平家庭的儿童更容易出现营养不良。仅靠经济增长不足以大幅减少营养不良。有必要提高识字率,特别是妇女的识字率,以降低印度儿童营养不良和贫血的发病率。印度不仅需要经济发展,还需要全面的人类发展。

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