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埃塞俄比亚西北部贡德尔镇孕妇营养不良及其相关因素。

Undernutrition and its associated factors among pregnant mothers in Gondar town, Northwest Ethiopia.

机构信息

Department of Epidemiology and Biostatistics, Institute of Public Health, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia.

Department of Public Health Nutrition, School of Public Health, College of Medicine and Health Sciences, Bahir Dar University, Bahir Dar, Ethiopia.

出版信息

PLoS One. 2019 Apr 22;14(4):e0215305. doi: 10.1371/journal.pone.0215305. eCollection 2019.

Abstract

BACKGROUND

Regardless of significant gains and signs of progress in the last decades, maternal undernutrition remains a major public health concern in Ethiopia. Supporting the progress of interventions being taken in the country with evidence might be important to keep the sustainability of the government effort. We aimed at determining the extent of undernutrition and its associated factors among pregnant mothers in Gondar town, Northwest Ethiopia.

METHOD

A community-based cross-sectional study was conducted by including 940 selected pregnant mothers through a cluster sampling. A face-to-face interview was administered to pregnant mothers at a household level. We collected data using an Online Data collection kit (ODK) and the collected data was directly downloaded from the Google Cloud platform and finally imported to Stata 14 for further analysis. A multivariable logistic regression model was fitted to identify factors associated with undernutrition. A crude and adjusted odds ratio with their 95% confidence interval was calculated to declare the association and its significance. Model fitness was assured through the Hosmer and Lemeshow goodness of fit test and model classification accuracy.

RESULT

14.4% (95%CI: 12.3-16.7) of pregnant mothers were undernourished. After adjusting for the main covariates; as the age of the pregnant mothers increases the odds of being undernourished decreases by 10% (AOR: 0.90; 95%CI: 0.87-0.95) and having a poor marital condition (AOR: 2.18; 95%CI: 1.03-4.59) increased the odds of undernutrition. The risk of undernutrition was also decreased by 43% among those pregnant mothers who consumed coffee sometimes (AOR: 0.57; 95%CI: 0.36-0.89) as compared to daily consumers.

CONCLUSION

A significant proportion of pregnant mother were undernourished. Integration of nutritional interventions with maternity health services would be highly important to improve the nutritional status of the mothers. It is also important to counsel pregnant mothers about a consequence of frequent coffee drinking during their pregnancy.

摘要

背景

尽管在过去几十年中取得了重大进展和迹象,但埃塞俄比亚的孕产妇营养不良仍然是一个主要的公共卫生问题。用证据支持该国正在采取的干预措施的进展可能对于保持政府努力的可持续性很重要。我们旨在确定在埃塞俄比亚贡德尔镇的孕妇中营养不良的程度及其相关因素。

方法

通过采用整群抽样方法,对 940 名选定的孕妇进行了一项基于社区的横断面研究。通过家庭层面的面对面访谈对孕妇进行了调查。我们使用在线数据收集工具 (ODK) 收集数据,并直接从谷歌云平台下载收集的数据,最后将其导入 Stata 14 进行进一步分析。采用多变量逻辑回归模型来确定与营养不良相关的因素。计算了粗比值比和调整后的比值比及其 95%置信区间,以表明关联及其显著性。通过 Hosmer 和 Lemeshow 拟合优度检验和模型分类准确性来确保模型拟合。

结果

14.4%(95%CI:12.3-16.7)的孕妇营养不良。在调整了主要协变量后;随着孕妇年龄的增加,营养不良的几率降低 10%(OR:0.90;95%CI:0.87-0.95),而婚姻状况不佳(OR:2.18;95%CI:1.03-4.59)则增加了营养不良的几率。与每天喝咖啡的孕妇相比,偶尔喝咖啡(OR:0.57;95%CI:0.36-0.89)的孕妇营养不良的风险降低了 43%。

结论

相当一部分孕妇营养不良。将营养干预措施与产妇保健服务相结合对于改善母亲的营养状况非常重要。还需要就孕妇在怀孕期间频繁喝咖啡的后果对孕妇进行咨询。

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