Iftikhar Aisha, Bari Attia, Bano Iqbal, Masood Qaisar
Dr. Aisha Iftikhar, FCPS. Department of Peadiatrics Medicine, Children's Hospital and Institute of Child Health, Lahore, Pakistan.
Dr. Attia Bari, DCH, MCPS, FCPS. Department of Peadiatrics Medicine, Children's Hospital and Institute of Child Health, Lahore, Pakistan.
Pak J Med Sci. 2017 Nov-Dec;33(6):1401-1405. doi: 10.12669/pjms.336.13689.
To determine the impact of maternal education, employment, and family size on nutritional status of children.
It was case control study conducted at OPD of children Hospital Lahore, from September 2015 to April 2017. Total 340 children (170 cases and 170 controls) with age range of six months to five years along with their mothers were included. Anthropometric measurements were plotted against WHO growth Charts. 170 wasted (<-2 SD) were matched with 170 controls (≥ -2 SD). Maternal education, employment and family size were compared between the cases and control. Confounding variables noted and dichotomized. Univariate analysis was carried out for factors under consideration i.e.; Maternal Education, employment and family size to study the association of each factor. Logistic regression analysis was applied to study the independent association.
Maternal education had significant association with growth parameters; OR of 1.32 with confidence interval of (CI= 1.1 to 1.623). Employment status of mothers had OR of 1.132 with insignificant confidence interval of (CI=0.725 to 1.768). Family size had OR of one with insignificant confidence interval (CI=0.8 -1.21). Association remained same after applying bivariate logistic regression analysis.
Maternal education has definite and significant effect on nutritional status of children. This is the key factor to be addressed for prevention or improvement of childhood malnutrition. For this it is imperative to launch sustainable programs at national and regional level to uplift women educational status to combat this ever increasing burden of malnutrition.
确定母亲的教育程度、就业情况和家庭规模对儿童营养状况的影响。
这是一项病例对照研究,于2015年9月至2017年4月在拉合尔儿童医院的门诊部进行。共纳入340名年龄在6个月至5岁之间的儿童(170例病例和170例对照)及其母亲。根据世界卫生组织生长图表绘制人体测量数据。170名消瘦儿童(<-2标准差)与170名对照儿童(≥-2标准差)进行匹配。比较病例组和对照组之间母亲的教育程度、就业情况和家庭规模。记录混杂变量并进行二分法处理。对所考虑的因素即母亲的教育程度、就业情况和家庭规模进行单因素分析,以研究各因素之间的关联。应用逻辑回归分析来研究独立关联。
母亲的教育程度与生长参数有显著关联;比值比为1.32,置信区间为(CI = 1.1至1.623)。母亲的就业状况比值比为1.132,置信区间无统计学意义(CI = 0.725至1.768)。家庭规模的比值比为1,置信区间无统计学意义(CI = 0.8 - 1.21)。应用双变量逻辑回归分析后,关联保持不变。
母亲的教育程度对儿童的营养状况有明确且显著的影响。这是预防或改善儿童营养不良需要解决的关键因素。为此,必须在国家和地区层面开展可持续项目,提高妇女的教育水平,以应对日益增加的营养不良负担。