Eshete Hiwot, Abebe Yewelsew, Loha Eskindir, Gebru Teklemichael, Tesheme Tesfalem
Department of Public Health, Hadassah Health Science College, Hadassah, Ethiopia.
College of Health Science, Hawassa University, Hawassa, Ethiopia.
Ethiop J Health Sci. 2017 Mar;27(2):155-162. doi: 10.4314/ejhs.v27i2.8.
Childhood malnutrition remains common in many parts of the world; the magnitude of worldwide stunting, underweight and wasting in children under five years of age were 24.7 %, 15.1 % and 7.8 %, respectively. More than 150 million children under the age of five years in the developing world are malnourished. Ethiopia is one of the countries in sub-Saharan Africa with the highest rates of malnutrition. In Ethiopia, 44.4% and 9.7% of children under-five years old were stunted and wasted, respectively. This study was aimed to assess nutritional status and effect of maternal employment among children aged 6-59 months.
A cross-sectional study was conducted in Wolayta Sodo Town, Southern Ethiopia. Socio-demographic characteristics, child feeding and healthcare seeking practice of mothers, and child's anthropometric status were assessed. Probability proportional to size sampling approach was used to select a sample of 316 mothers having children aged 6-59 months. The study was ethically approved by Institutional Review Board of Health Science College, Hawasa University.
The overall result revealed that the prevalence of stunting was 22.2%, of which 21.8% and 22.6% were in children of employed and unemployed mothers, respectively. Low-weight-for age was 10.8% for children of employed mothers and 13.4% for children of unemployed mothers. Wasting was 8.8% and 10.8% for children of employed and unemployed mothers, respectively. There was no statistically significant association between maternal employment and nutritional status of their children. However, chronic malnutrition (stunting) was influenced by being educated mother (OR: 0.37) child age group of 24-59 months (OR: 0.36) and households' fifth wealth quintile (OR: 0.28).
Low prevalence of stunting was observed. Stunting is a public health concern in the study area. Furthermore, stunting is significantly influenced by mothers' education, household wealth and child age. However, maternal employment was not statistically associated with child nutritional status. Thus, nutritional intervention initiatives should focus on improving household food security, maternal education and agricultural diversification.
儿童营养不良在世界许多地区仍然普遍存在;全球五岁以下儿童发育迟缓、体重不足和消瘦的比例分别为24.7%、15.1%和7.8%。发展中国家超过1.5亿五岁以下儿童营养不良。埃塞俄比亚是撒哈拉以南非洲营养不良率最高的国家之一。在埃塞俄比亚,五岁以下儿童发育迟缓和消瘦的比例分别为44.4%和9.7%。本研究旨在评估6至59个月大儿童的营养状况以及母亲就业的影响。
在埃塞俄比亚南部的沃莱塔索多镇进行了一项横断面研究。评估了社会人口学特征、母亲的儿童喂养和寻求医疗保健的行为以及儿童的人体测量状况。采用按规模大小概率抽样方法,选取了316名有6至59个月大孩子的母亲作为样本。该研究获得了哈瓦萨大学健康科学学院机构审查委员会的伦理批准。
总体结果显示,发育迟缓的患病率为22.2%,其中受雇母亲的孩子患病率为21.8%,未受雇母亲的孩子患病率为22.6%。受雇母亲的孩子低体重率为10.8%,未受雇母亲的孩子低体重率为13.4%。受雇母亲的孩子消瘦率为8.8%,未受雇母亲的孩子消瘦率为10.8%。母亲就业与其孩子的营养状况之间没有统计学上的显著关联。然而,慢性营养不良(发育迟缓)受到母亲受教育程度(比值比:0.37)、24至59个月龄儿童年龄组(比值比:0.36)和家庭财富五分位数(比值比:0.28)的影响。
观察到发育迟缓患病率较低。发育迟缓是研究地区的一个公共卫生问题。此外,发育迟缓受到母亲教育程度、家庭财富和孩子年龄的显著影响。然而,母亲就业与孩子营养状况在统计学上没有关联。因此,营养干预措施应侧重于改善家庭粮食安全、母亲教育和农业多样化。