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埃塞俄比亚南部东巴达瓦乔区6至59个月儿童的家庭粮食不安全状况及其与营养状况的关联

Household Food Insecurity and Its Association with Nutritional Status of Children 6-59 Months of Age in East Badawacho District, South Ethiopia.

作者信息

Betebo Bealu, Ejajo Tekle, Alemseged Fissahaye, Massa Desalegn

机构信息

Department of Public Health Emergency Management, Hadiya Zone Health Department, Hosanna, Ethiopia.

Department of Plan Monitoring and Evaluation, Hadiya Zone Health Department, Hosanna, Ethiopia.

出版信息

J Environ Public Health. 2017;2017:6373595. doi: 10.1155/2017/6373595. Epub 2017 Mar 16.

Abstract

. Ethiopia has one of the highest child malnutrition rates in the world. Food insecurity is one of the determinant factors of malnutrition in developing countries; however its role remains unclear. . To assess household food insecurity and its association with the nutritional status of children 6-59 months of age in East Badawacho District, South Ethiopia. . A community based cross-sectional study was conducted from February 20 to 30, 2014 on a sample of 508 mother/child pairs of 6-59-month-old children. Sample households with eligible children were selected using systematic random sampling technique. Both bivariate and multivariate analysis were used to identify factors associated with nutritional status of children. value of <0.05 was considered as statistically significant. . The prevalence of household food insecurity was 75.8%. The prevalence rates of stunting, underweight, and wasting among children were 45.6%, 26.3%, and 14.6%, respectively. Household food insecurity was significantly associated with underweight (AOR = 3.82; CI = 1.78-8.19) and stunting (AOR = 6.7; CI = 3.71-12.1) but not with wasting. . Household food insecurity and the prevalence rates of stunting, underweight, and wasting, among children 6 to 59 months, were high. Intervention programs should focus on improving household food insecurity and nutritional status of children.

摘要

埃塞俄比亚是世界上儿童营养不良率最高的国家之一。粮食不安全是发展中国家营养不良的决定性因素之一;然而,其作用仍不明确。为评估埃塞俄比亚南部东巴达瓦乔区6至59个月大儿童的家庭粮食不安全状况及其与营养状况的关联。2014年2月20日至30日,对508对6至59个月大儿童的母婴样本进行了一项基于社区的横断面研究。采用系统随机抽样技术选取有符合条件儿童的样本家庭。使用双变量和多变量分析来确定与儿童营养状况相关的因素。P值<0.05被认为具有统计学意义。家庭粮食不安全的患病率为75.8%。儿童发育迟缓、体重不足和消瘦的患病率分别为45.6%、26.3%和14.6%。家庭粮食不安全与体重不足(调整后比值比=3.82;可信区间=1.78-8.19)和发育迟缓(调整后比值比=6.7;可信区间=3.71-12.1)显著相关,但与消瘦无关。6至59个月儿童的家庭粮食不安全以及发育迟缓、体重不足和消瘦的患病率很高。干预项目应侧重于改善家庭粮食不安全状况和儿童的营养状况。

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