Sunil Thankam S, Sagna Marguerite
University of Texas at San Antonio, San Antonio, Texas, USA.
University of Alberta, Alberta, Alberta, Canada.
Matern Child Nutr. 2015 Oct;11(4):973-86. doi: 10.1111/mcn.12029. Epub 2013 Jan 15.
Childhood malnutrition is a major problem in developing countries, and in Cambodia, it is estimated that approximately 42% of the children are stunted, which is considered to be very high. In the present study, we examined the effects of proximate and socio-economic determinants on childhood malnutrition in Cambodia. In addition, we examined the effects of the changes in these proximate determinants on childhood malnutrition between 2000 and 2005. Our analytical approach included descriptive, logistic regression and decomposition analyses. Separate analyses are estimated for 2000 and 2005 survey. The primary component of the difference in stunting is attributable to the rates component, indicating that the decrease of stunting is due mainly to the decrease in stunting rates between 2000 and 2005. While majority of the differences in childhood malnutrition between 2000 and 2005 can be attributed to differences in the distribution of malnutrition determinants between 2000 and 2005, differences in their effects also showed some significance.
儿童营养不良是发展中国家的一个主要问题，在柬埔寨，据估计约42%的儿童发育迟缓，这一比例被认为非常高。在本研究中，我们考察了直接因素和社会经济决定因素对柬埔寨儿童营养不良的影响。此外，我们还考察了2000年至2005年间这些直接因素的变化对儿童营养不良的影响。我们的分析方法包括描述性分析、逻辑回归分析和分解分析。针对2000年和2005年的调查分别进行了分析。发育迟缓差异的主要部分归因于发生率部分，这表明发育迟缓的减少主要是由于2000年至2005年间发育迟缓率的下降。虽然2000年至2005年间儿童营养不良的大部分差异可归因于2000年至2005年间营养不良决定因素分布的差异，但其影响的差异也显示出一定的显著性。
