Demilew Yeshalem Mulugeta, Emiru Amanu Aragaw
School of Public Health, College of Medicine and Health Sciences, Bahir Dar University P.O.Box 79, Bahir Dar, Ethiopia.
Afr Health Sci. 2018 Sep;18(3):756-766. doi: 10.4314/ahs.v18i3.34.
Under nutrition in adolescents is an important determinant of health outcomes. Yet, adolescents are not usually part of health and nutrition surveys. Therefore, this research was conducted to assess factors associated with under nutrition among school adolescents.
A cross-sectional study was conducted among 424 school adolescents from November 1-15, 2015. Simple random sampling was used to select the study participants. Data were collected using structured questionnaire and analyzed by SPSS version 20 software. Both bivariate and multivariable logistic regression analyses were carried out to identify predictors of under nutrition. Furthermore, anthropometric data were calculated using Anthro-plus software.
The prevalence of stunting and thinness were 24.8 % and 7.1 %, respectively. Male gender [AOR=3.2, 95 % CI: (1.7, 5.8)], infrequent food intake [AOR=4.6, 95% CI: (2.6, 8.0)], unavailability of latrine [AOR=2.7, 95 % CI: (1.2, 6.0)], and poor hand washing practice [AOR=3.9, 95 % CI: (1.9, 8.1)] were independent predictors of stunting. Factors associated with thinness were being male [AOR=11.5, 95% CI: (3.3, 39.5)], illness in the last two weeks [AOR=2.9, 95 % CI: (1.2, 7.0)], and having more than five family members [AOR=3.6, 95% CI: (1.3, 9.4)].
The prevalence of under nutrition was high in this study. Infrequent food intake, unavailability of a latrine, poor hand washing practice, and large family members were the factors associated with under nutrition. There is need to implement nutrition education to school adolescents by giving emphasis on environmental and personal hygiene.
青少年营养不良是健康结果的一个重要决定因素。然而,青少年通常不是健康和营养调查的对象。因此,开展本研究以评估在校青少年中与营养不良相关的因素。
2015年11月1日至15日对424名在校青少年进行了一项横断面研究。采用简单随机抽样选取研究参与者。使用结构化问卷收集数据,并通过SPSS 20版软件进行分析。进行了双变量和多变量逻辑回归分析以确定营养不良的预测因素。此外,使用Anthro-plus软件计算人体测量数据。
发育迟缓率和消瘦率分别为24.8%和7.1%。男性[AOR=3.2,95%CI:(1.7, 5.8)]、食物摄入不频繁[AOR=4.6,95%CI:(2.6, 8.0)]、没有厕所[AOR=2.7,95%CI:(1.2, 6.0)]以及洗手习惯差[AOR=3.9,95%CI:(1.9, 8.1)]是发育迟缓的独立预测因素。与消瘦相关的因素有男性[AOR=11.5,95%CI:(3.3, 39.5)]、过去两周患病[AOR=2.9,95%CI:(1.2, 7.0)]以及家庭成员超过五人[AOR=3.6,95%CI:(1.3, 9.4)]。
本研究中营养不良的患病率很高。食物摄入不频繁、没有厕所、洗手习惯差以及家庭成员多是与营养不良相关的因素。有必要对在校青少年实施营养教育,重点关注环境卫生和个人卫生。