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埃塞俄比亚南部洪博区农村社区 6-12 岁学龄儿童发育迟缓的流行状况及相关因素。

Prevalence and associated factors for stunting among 6-12 years old school age children from rural community of Humbo district, Southern Ethiopia.

机构信息

Health Sciences and Medicine College, Wolaita Sodo University, Wolaita Sodo, Ethiopia.

International Maternal and Child Health (IMCH), Department of Women's and Children's Health, SE-751 85 Uppsala University, Uppsala, Sweden.

出版信息

BMC Public Health. 2018 May 24;18(1):653. doi: 10.1186/s12889-018-5561-z.

Abstract

BACKGROUND

Stunting is one of the most serious and challenging public health problems in Ethiopia, which constitute a significant obstacle to achieving better child health outcomes. This study aimed to assess the prevalence and factors associated with stunting among 6-12 years old children in Humbo district, Southern Ethiopia.

METHODS

This was a cross-sectional study conducted among 633 children 6-12 years old living in Humbo district, Southern Ethiopia, from March to April, 2015. A multistage cluster sampling technique was used to select participants from households in eight Villages in the study area. Height was measured using standard methods and height for age Z-score was computed to assess stunting. EPI info version 3.5.4 was used for data entry, whereas Anthroplus software and SPSS version 20.0 were used for computation of height for age Z-scores and statistical analyses respectively. Simple and multiple logistic regression analyses were used to examine factors associated with stunting in the study sample, using 95% confidence limits (statistical significance set at p < 0.050).

RESULTS

Prevalence of stunting was 57%, about, 3.5% were severely stunted, 27.3% moderately stunted and 26.4% mildly stunted, and the mean (SD) was - 1.1 (±1.2). About 7 (1.1%) boys and 15 (2.4%) girls were severely stunted. Age groups 10-12 years had significantly higher rate of stunting than others. Age (AOR = 1.7, 95% CI = 1.1-2.6), big family size (AOR = 4.6, 95% CI = 2.2-9.5) and field disposal of wastes (AOR = 2.7, 95% CI = 1.2-5.8) were factors significantly associated with stunting.

CONCLUSION

This study exposed high rate of stunting among school age children. Stunting remains a noticeable attribute of rural school age children. Findings suggest the need to implement evidence-based school-aged rural children nutrition policy and strategies as well as need for intervention to improve domestic waste management system in the rural community.

摘要

背景

发育迟缓是埃塞俄比亚最严重和最具挑战性的公共卫生问题之一,它是实现更好儿童健康结果的重大障碍。本研究旨在评估南部 Humbo 区 6-12 岁儿童发育迟缓的流行率及其相关因素。

方法

这是一项横断面研究,于 2015 年 3 月至 4 月在埃塞俄比亚南部 Humbo 区的 633 名 6-12 岁儿童中进行。采用多阶段聚类抽样技术从研究地区的 8 个村庄的家庭中选择参与者。采用标准方法测量身高,计算身高年龄 Z 评分以评估发育迟缓。EPI info 版本 3.5.4 用于数据输入,而 Anthroplus 软件和 SPSS 版本 20.0 分别用于计算身高年龄 Z 评分和统计分析。使用简单和多因素逻辑回归分析,使用 95%置信区间(统计显著性设置为 p<0.050),检查研究样本中与发育迟缓相关的因素。

结果

发育迟缓的患病率为 57%,约有 3.5%为严重发育迟缓,27.3%为中度发育迟缓,26.4%为轻度发育迟缓,平均(SD)为-1.1(±1.2)。约有 7 名(1.1%)男孩和 15 名(2.4%)女孩患有严重发育迟缓。10-12 岁年龄组的发育迟缓发生率明显高于其他年龄组。年龄(AOR=1.7,95%CI=1.1-2.6)、大家庭规模(AOR=4.6,95%CI=2.2-9.5)和田间废物处理(AOR=2.7,95%CI=1.2-5.8)是与发育迟缓显著相关的因素。

结论

本研究揭示了学龄儿童中发育迟缓的高发生率。发育迟缓仍然是农村学龄儿童的一个显著特征。研究结果表明,需要实施基于证据的农村学龄儿童营养政策和战略,并需要干预农村社区的家庭废物管理系统。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0556/5968559/87d7eabd2e6f/12889_2018_5561_Fig1_HTML.jpg

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