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[学龄前儿童发育迟缓的危险因素:一项病例对照研究]

[Risk factors of stunting in preschool children: a case-control study].

作者信息

Pedraza Dixis Figueroa, de Menezes Tarciana Nobre

出版信息

Cien Saude Colet. 2014 May;19(5):1495-502. doi: 10.1590/1413-81232014195.21702013.

Abstract

This article seeks to establish risk factors for mild and moderate stunting among preschool children attending public daycare centers. It involves a case-control study with 67 pairs of children. Cases defined as children with height/age between -1 and -2 Z-scores were paired with controls between -1 Z-score and the median, while cases with height/age < -2 Z-scores were paired with controls with height/age > median to +1 Z-score. The sex and age of the child was used for pairing purposes. The final model of hierarchical multivariate analysis indicated a greater chance of stunting in the following groups of preschoolers: family income < 1/2 Minimum Wage, squatted/courtesy house, number of individuals in the household ≥ 6, maternal age at child's birth < 20 years, low maternal stature, incomplete immunization program, low birth weight. Stunting is determined by adverse socioeconomic conditions and the characteristics of children reflecting health care (maternal height and child variables).

摘要

本文旨在确定在公立日托中心就读的学龄前儿童中轻度和中度发育迟缓的风险因素。这是一项病例对照研究,涉及67对儿童。身高/年龄Z值在-1至-2之间的儿童被定义为病例组,与Z值在-1至中位数之间的对照组配对;身高/年龄Z值<-2的病例组与身高/年龄>中位数至+1 Z值的对照组配对。配对时考虑了儿童的性别和年龄。分层多变量分析的最终模型表明,以下几组学龄前儿童发育迟缓的可能性更大:家庭收入<最低工资的一半、居住在自建/简易房屋、家庭人口数≥6、孩子出生时母亲年龄<20岁、母亲身材矮小、免疫程序不完整、低出生体重。发育迟缓由不利的社会经济状况以及反映医疗保健情况的儿童特征(母亲身高和儿童变量)决定。

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