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埃塞俄比亚东北部阿法尔地区游牧社区公共卫生设施中6至59个月儿童急性营养不良的决定因素:一项病例对照研究

Determinants of Acute Malnutrition among Children Aged 6-59 Months in Public Health Facilities of Pastoralist Community, Afar Region, Northeast Ethiopia: A Case Control Study.

作者信息

Seid Anwar, Seyoum Berhanu, Mesfin Firehiwot

机构信息

College of Medical and Health Sciences, Samara University, Samara, Ethiopia.

College of Health and Medical Sciences, Haramaya University, Harar, Ethiopia.

出版信息

J Nutr Metab. 2017;2017:7265972. doi: 10.1155/2017/7265972. Epub 2017 Sep 13.

Abstract

BACKGROUND

In low income countries, acute malnutrition continues to be the most important risk factor for illnesses and deaths. The aim of this study was to assess the determinants of acute malnutrition among children aged 6-59 months.

METHODS

A facility based unmatched case control study was employed on 420 (140 cases and 280 controls) children aged 6-59 months with their caregivers between January 20 and February 20, 2014. Data was analyzed using SPSS version 20.0. A value < 0.05 was considered statistically significant.

RESULTS

Children aged 12-23 months [AOR = 10.51, 95% CI = 4.93, 22.34], rural residence [AOR = 2.42, 95% CI = 1.22, 4.79], illiterate father [AOR = 2.47, 95% CI = 1.32, 4.61], Monthly income of less than 1000 birr [AOR = 3.98, 95% CI 2.05, 7.69], and food served together with family [AOR = 2.18, 95% CI = 1.10, 4.30] were associated with acute malnutrition.

CONCLUSION

Rural residence, illiterate father, monthly income of less than 1000 birr, and food served together with family are statistically associated with acute malnutrition. Improving practices of parents on appropriate child feeding and creating awareness related to key risk factors of acute malnutrition should be further strengthened.

摘要

背景

在低收入国家,急性营养不良仍然是疾病和死亡的最重要风险因素。本研究的目的是评估6至59个月大儿童急性营养不良的决定因素。

方法

2014年1月20日至2月20日,对420名(140例病例和280名对照)6至59个月大的儿童及其照料者进行了一项基于机构的非匹配病例对照研究。使用SPSS 20.0版分析数据。P值<0.05被认为具有统计学意义。

结果

12至23个月大的儿童[AOR = 10.51,95%CI = 4.93,22.34]、农村居住[AOR = 2.42,95%CI = 1.22,4.79]、父亲文盲[AOR = 2.47,95%CI = 1.32,4.61]、月收入低于1000比尔[AOR = 3.98,95%CI 2.05,7.69]以及与家人一起用餐[AOR = 2.18,95%CI = 1.10,4.30]与急性营养不良有关。

结论

农村居住、父亲文盲、月收入低于1000比尔以及与家人一起用餐与急性营养不良在统计学上相关。应进一步加强父母在适当儿童喂养方面的做法,并提高对急性营养不良关键风险因素的认识。

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