Suppr超能文献

父母受教育程度对儿童早期营养不足的因果效应:来自津巴布韦的准实验证据。

Causal Effect of Parental Schooling on Early Childhood Undernutrition: Quasi-Experimental Evidence From Zimbabwe.

机构信息

Institute of Public Health, Heidelberg University, Heidelberg, Germany.

Department of Global Health and Population, Harvard T.H. Chan School of Public Health, Boston, Massachusetts.

出版信息

Am J Epidemiol. 2018 Jan 1;187(1):82-93. doi: 10.1093/aje/kwx195.

Abstract

An estimated 3.1 million children die each year because of undernutrition. Although cross-sectional and longitudinal studies have found a protective association between greater parental education and undernutrition in their children, no randomized trial has identified a causal effect, to our knowledge. Using the 1980 education reform in Zimbabwe as a natural experiment, we estimated the causal effect of additional parental schooling on the probability of anthropometric failure in their children under 5 years of age (ages 3 through 59 months). Analyzing data on 8,243 children from the 1988, 1999, 2005-2006, and 2010-2011 Demographic and Health Surveys, we found no effect of parental schooling on early childhood undernutrition at the national level in Zimbabwe. Among households in the urban and high-wealth-index subsamples, each additional year of maternal schooling led to absolute reductions in the probability of a child's being wasted of 5.2 percentage points (95% confidence interval (CI): -9.3, -1.2) and 3.6 percentage points (95% CI: -6.9, -0.4), respectively. In the subsample of children between the ages of 3 and 23 months, each additional year of paternal schooling increased the probability of a child's being stunted by 9.6 percentage points (95% CI: 1.4, 17.9). Secondary schooling alone may not be enough to improve early childhood nutrition in low-resource settings.

摘要

据估计,每年有 310 万儿童因营养不良而死亡。尽管横断面和纵向研究发现父母受教育程度越高,其子女营养不良的风险越低,但据我们所知,尚无随机试验确定这种关联的因果效应。我们利用津巴布韦 1980 年的教育改革作为自然实验,估计了父母受教育程度每增加一年对其 5 岁以下儿童(3 至 59 个月)发生体格发育不良的概率的因果效应。我们分析了来自 1988 年、1999 年、2005-2006 年和 2010-2011 年的人口与健康调查的 8243 名儿童的数据,在津巴布韦全国范围内,我们没有发现父母受教育程度对儿童早期营养不良有任何影响。在城镇和高财富指数子样本的家庭中,母亲每多接受一年教育,儿童消瘦的概率绝对降低 5.2 个百分点(95%置信区间:-9.3,-1.2)和 3.6 个百分点(95%置信区间:-6.9,-0.4)。在 3 至 23 个月大的儿童子样本中,父亲每多接受一年教育,儿童发育迟缓的概率增加 9.6 个百分点(95%置信区间:1.4,17.9)。仅接受中等教育可能不足以改善资源匮乏环境中的儿童早期营养状况。

文献检索

告别复杂PubMed语法,用中文像聊天一样搜索,搜遍4000万医学文献。AI智能推荐,让科研检索更轻松。

立即免费搜索

文件翻译

保留排版,准确专业,支持PDF/Word/PPT等文件格式,支持 12+语言互译。

免费翻译文档

深度研究

AI帮你快速写综述,25分钟生成高质量综述,智能提取关键信息,辅助科研写作。

立即免费体验