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畜牧业生产、动物源食品摄入和幼儿生长:确保营养影响的性别作用。

Livestock production, animal source food intake, and young child growth: the role of gender for ensuring nutrition impacts.

机构信息

George Warren Brown School of Social Work, Washington University in St. Louis, Campus Box 1196, One Brookings Drive, St. Louis, MO 63130, USA.

出版信息

Soc Sci Med. 2014 Mar;105:16-21. doi: 10.1016/j.socscimed.2014.01.001. Epub 2014 Jan 11.

Abstract

Animal source foods (ASF) provide critical micronutrients in highly bioavailable forms, with the potential to efficiently address undernutrition among young children living in developing countries. There is limited evidence for how livestock ownership might increase ASF intake in poor households either through own-consumption or income generation. Along with lack of nutrition knowledge, gender dimensions may affect the pathways leading from livestock ownership to child ASF intake and ultimately to young child growth. Using data from a large-scale impact evaluation conducted in Kenya, this study tested the hypothesis that co-owned/female-owned livestock would be associated with improved child growth, mediated by increases in ASF consumption. Data were collected from September 2010 to January 2011 from households in six provinces in Kenya on a broad range of agricultural, economic, social, health and nutrition factors. Children ages 6-60 months were included in this analysis (n = 183). In this sample, co-owned/female-owned livestock was valued at 18,861 Kenyan shillings in contrast with male-owned livestock valued at 66,343 Kenyan shillings. Multivariate linear regression models showed a positive association between co-owned/female-owned livestock with child weight-for-age z score (WAZ) after adjusting for caregiver education level, income, child age, and child sex. A mediating effect by child ASF intake was evident, explaining 25% of the relationship of livestock ownership with child WAZ, by Sobel-Goodman test (p < .05). A trend towards significance was demonstrated for co-owned/female-owned livestock and height-for-age z score (HAZ), and no effect was apparent for weight-for-height z score (WHZ). The partial mediating effect may be indicative of other factors inherent in co-owned/female-owned livestock such as higher status of females in these households with greater influence over other child care practices promoting growth. Nonetheless, our study suggests targeting females in livestock production programming may better ensure improvements in child nutrition.

摘要

动物源食品(ASF)以高生物利用度的形式提供关键微量营养素,具有有效解决发展中国家幼儿营养不良的潜力。关于牲畜所有权如何通过自有消费或创收增加贫困家庭 ASF 摄入量的证据有限。除了缺乏营养知识外,性别因素也可能影响从牲畜所有权到儿童 ASF 摄入量,最终到幼儿生长的途径。本研究利用在肯尼亚进行的一项大规模影响评估的数据,检验了这样一个假设,即共同拥有/女性拥有的牲畜将与改善儿童生长有关,这是通过增加 ASF 消费来实现的。数据于 2010 年 9 月至 2011 年 1 月从肯尼亚六个省份的家庭中收集,涵盖了广泛的农业、经济、社会、健康和营养因素。本分析包括 6-60 个月大的儿童(n=183)。在这个样本中,共同拥有/女性拥有的牲畜价值为 18861 肯尼亚先令,而男性拥有的牲畜价值为 66343 肯尼亚先令。多变量线性回归模型显示,在调整了照顾者教育水平、收入、儿童年龄和性别后,共同拥有/女性拥有的牲畜与儿童体重与年龄 Z 评分(WAZ)呈正相关。通过 Sobel-Goodman 检验(p<0.05),儿童 ASF 摄入量的中介作用明显,解释了牲畜所有权与儿童 WAZ 之间关系的 25%。共同拥有/女性拥有的牲畜与身高与年龄 Z 评分(HAZ)之间也显示出显著的趋势,但体重与身高 Z 评分(WHZ)没有明显影响。部分中介效应可能表明共同拥有/女性拥有的牲畜中存在其他因素,例如这些家庭中女性地位更高,对促进生长的其他儿童保健实践具有更大的影响力。尽管如此,我们的研究表明,在牲畜生产规划中以女性为目标可能会更好地确保儿童营养的改善。

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