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尼日利亚北部慢性营养不良的决定因素研究:来自尼日利亚人口与健康调查的定量证据 国际粮食政策研究所(IFPRI)工作论文第45号(2017年9月)

Study of the Determinants of Chronic Malnutrition in Northern Nigeria: Quantitative Evidence from the Nigeria Demographic and Health Surveys International Food Policy Research Institute (IFPRI) Working Paper 45 (September 2017).

作者信息

Amare Mulubrhan, Benson Todd, Fadare Olusegun, Oyeyemi Motunrayo

机构信息

1 International Food Policy Research Institute (IFPRI), Washington, DC, USA.

出版信息

Food Nutr Bull. 2018 Jun;39(2):296-314. doi: 10.1177/0379572118768568. Epub 2018 Apr 11.

Abstract

BACKGROUND

Close to half of all children younger than 5 years in the Northeast and Northwest geopolitical zones were estimated to be stunted in their growth for their age in 2013 compared to 22% of children in the rest of Nigeria.

OBJECTIVES

We examine the drivers of chronic child undernutrition in northern Nigeria and how those drivers differ from other areas of the country.

METHODS

Both a standard child-level regression-based approach and decomposition analysis were used to address the determinants of stunting and decompose how drivers differ between northern Nigeria and other areas of the country using 2008 and 2013 Nigeria DHS data.

RESULTS

There are strong differences in the levels of the determinants of undernutrition in young children between the 2 parts of the country. However, equally important, the decomposition analysis shows that there are significant differences between northern Nigeria and other areas of Nigeria in the effect of the same determinant of nutritional status in accelerating or retarding the linear growth of young children.

CONCLUSIONS

A national program to address child undernutrition must recognize this heterogeneity in its design. To impose across Nigeria, a single set of approaches to address the factors which results in stunted children is likely to fail for large numbers of children if these strong geographical differences in how these determinants operate to affect child nutritional status are not considered. Solutions need to be developed within northern Nigeria to more closely reflect the way the determinants of nutritional status operate in this area of the country.

摘要

背景

据估计,2013年东北和西北地缘政治区近半数5岁以下儿童生长发育迟缓,而尼日利亚其他地区这一比例为22%。

目的

我们研究尼日利亚北部儿童慢性营养不良的驱动因素,以及这些驱动因素与该国其他地区有何不同。

方法

使用基于标准儿童层面回归的方法和分解分析,利用2008年和2013年尼日利亚人口与健康调查(DHS)数据,确定发育迟缓的决定因素,并分解尼日利亚北部和该国其他地区驱动因素的差异。

结果

该国这两个地区幼儿营养不良决定因素的水平存在很大差异。然而,同样重要的是,分解分析表明,在影响幼儿线性生长的营养状况相同决定因素的作用方面,尼日利亚北部与尼日利亚其他地区存在显著差异。

结论

解决儿童营养不良问题的国家计划在设计时必须认识到这种异质性。如果不考虑这些决定因素在影响儿童营养状况方面的强烈地理差异,在尼日利亚全境采用单一方法来解决导致儿童发育迟缓的因素,可能会使大量儿童无法受益。需要在尼日利亚北部制定解决方案,以更密切地反映营养状况决定因素在该国这一地区的作用方式。

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