Tamiru Dessalegn, Melaku Yabsira, Belachew Tefera
1 Jimma University, Jimma, Ethiopia.
Asia Pac J Public Health. 2017 Mar;29(2):114-121. doi: 10.1177/1010539517691606. Epub 2017 Feb 15.
Studies showed that poor health and nutrition among school adolescents are major barriers to educational access and achievements in low-income countries. This school-based study was aimed to assess the association of school absenteeism and food insecurity among rural school adolescents from grades 5 to 8 in Jimma zone, Ethiopia. Regression analyses were used to see the strength of association between dependent and independent variables using odds ratio and 95% confidence intervals. Multivariable logistic regression analysis was used to identify the predictor of school absenteeism. Validated tools are used to collect household food insecurity data. Results showed that school absenteeism is significantly high among adolescents from food insecure households when compared to adolescents from food secure households ( P <.001). School absenteeism was negatively associated with male sex (adjusted odds ratio [AOR] = -0.91, 95% CI -1.85 to -0.03), household food security (adjusted odds ratio = -1.85, 95% CI -3.11 to -0.59), being an elder sibling (AOR = -0.37, 95% CI, -0.62 to -0.12), and mother involvement in decision making (AOR = -0.68, 95% CI, -1.33 to -0.03) while male-headed household was positively associated (AOR = 2.46, 95% CI, 1.37 to 4.56). Generally, this study showed that household food insecurity has significant contribution to school absenteeism among rural adolescents. Therefore, efforts should be made to improve household income earning capacity to reduce the prevalence of school absenteeism among rural school adolescents.
研究表明,在低收入国家,在校青少年健康状况不佳和营养不良是受教育机会和学业成就的主要障碍。这项基于学校的研究旨在评估埃塞俄比亚吉马地区5至8年级农村在校青少年旷课与粮食不安全之间的关联。使用回归分析,通过比值比和95%置信区间来观察因变量和自变量之间关联的强度。采用多变量逻辑回归分析来确定旷课的预测因素。使用经过验证的工具收集家庭粮食不安全数据。结果显示,与粮食安全家庭的青少年相比,粮食不安全家庭的青少年旷课率显著更高(P<.001)。旷课与男性性别呈负相关(调整后的比值比[AOR]= -0.91,95%置信区间为-1.85至-0.03)、家庭粮食安全呈负相关(调整后的比值比=-1.85,95%置信区间为-3.11至-0.59)、作为年长的兄弟姐妹呈负相关(AOR=-0.37,95%置信区间为-0.62至-0.12)以及母亲参与决策呈负相关(AOR=-0.68,95%置信区间为-1.33至-0.03),而以男性为户主的家庭呈正相关(AOR=2.46,95%置信区间为1.37至4.56)。总体而言,这项研究表明家庭粮食不安全对农村青少年旷课有重大影响。因此,应努力提高家庭收入能力,以降低农村在校青少年的旷课率。