埃塞俄比亚西北部城市地区，三分之一少女发育迟缓。
One in three adolescent schoolgirls in urban northwest Ethiopia is stunted.
机构信息
Gondar University Teaching and Referral Hospital, University of Gondar, Gondar, Ethiopia.
Department of Human Nutrition, Institute of Public Health, University of Gondar, Gondar, Ethiopia.
出版信息
Ital J Pediatr. 2018 Mar 7;44(1):32. doi: 10.1186/s13052-018-0459-z.
BACKGROUND
Poor nutritional status of adolescent girls has a negative effect on the next generation as undernourished adolescents enter pregnancy with poor nutrient reserve. However, there is scarcity of evidence showing the burden of stunting among adolescent girls in Ethiopia. Therefore, the objective of this study aimed to assess prevalence of stunting and associated factors among school adolescent girls in Gondar City Administration, northwest Ethiopia.
METHODS
Cross-sectional study was conducted from March to April, 2017. A multi-stage sampling technique was used to select812 school adolescent girls. World Health Organization Anthro-plus software was used to analyze anthropometric data into Height for Age Z-score. A multivariable logistic regression analysis was employed to identify the factors associated with stunting. Adjusted Odds Ratio (AOR) with 95% confidence interval was used to show the strength of association, while a P-value< 0.05 of was used to declare the significance of association.
RESULTS
The overall prevalence of stunting among adolescent girls was 33.1% (95% CI: 29.9, 36.5). Middle age of adolescence (AOR = 0.22, 95% CI: 0.15, 0.34), unsatisfactory media exposure (AOR = 1.69, 95% CI: 1.01, 2.84) and poor mother's education (AOR = 2.84, 95% CI: 1.07, 7.94) were significantly associated with stunting.
CONCLUSIONS
One-third of adolescent girls are stunted in Gondar City which suggests the serious public health importance of the problem. Enhancing mother's education and media exposure are critical to address the high burden of stunting.
背景
青春期少女营养状况不良会对下一代产生负面影响，因为营养状况不佳的青少年在怀孕时储备的营养较差。然而，目前在埃塞俄比亚，缺乏有关青春期少女发育迟缓负担的证据。因此，本研究旨在评估贡德尔市行政区域内中学青春期少女的发育迟缓患病率及其相关因素。
方法
本研究于 2017 年 3 月至 4 月进行了一项横断面研究。采用多阶段抽样技术选择了 812 名中学青春期少女。使用世界卫生组织 Anthro-plus 软件将人体测量数据分析为身高年龄 Z 评分。采用多变量逻辑回归分析来确定与发育迟缓相关的因素。使用调整后的优势比（AOR）和 95%置信区间（CI）来表示关联的强度，而 P 值<0.05 用于表示关联的显著性。
结果
青春期少女发育迟缓的总体患病率为 33.1%（95%CI：29.9，36.5）。青春期年龄较大（AOR=0.22，95%CI：0.15，0.34）、媒体接触不满意（AOR=1.69，95%CI：1.01，2.84）和母亲教育程度差（AOR=2.84，95%CI：1.07，7.94）与发育迟缓显著相关。
结论
在贡德尔市，三分之一的青春期少女发育迟缓，这表明该问题具有严重的公共卫生重要性。提高母亲的教育水平和媒体接触度对于解决发育迟缓负担至关重要。
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