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太阳能菜园项目对贝宁北部卡拉莱区饮食多样性、妇女营养状况和微量营养素水平的影响。

The impact of a Solar Market Garden programme on dietary diversity, women's nutritional status and micronutrient levels in Kalalé district of northern Benin.

机构信息

Health Promotion Sciences Department, University of Arizona, 1295 N. Martin Avenue, Campus PO Box 245163, Tucson, AZ 85724, USA.

School of Global Policy and Strategy (GPS), University of California, San Diego, La Jolla, CA, USA.

出版信息

Public Health Nutr. 2019 Oct;22(14):2670-2681. doi: 10.1017/S1368980019001599. Epub 2019 Jul 8.

Abstract

OBJECTIVE

To examine the impacts of a Solar Market Garden 1-year solar-powered drip irrigation (SMG) programme in Kalalé district of northern Benin on mothers' nutritional status and micronutrient levels.

DESIGN

Using a quasi-experimental design, sixteen villages were assigned to four groups: (i) SMG women's groups (WG); (ii) comparison WG; (iii) SMG non-WG (NWG); and (iv) comparison NWG. Difference-in-differences (DID) estimates were used to assess impacts on mothers' food consumption, diversity, BMI, prevalence of underweight (BMI < 18·5 kg/m2) and anaemia, and deficiencies of iron (ID) and vitamin A (VAD).

SETTING

Kalalé district, northern Benin.

PARTICIPANTS

Non-pregnant mothers aged 15-49 years (n 1737).

RESULTS

The SMG programme significantly increased mothers' intake of vegetables (DID = 25·31 percentage points (pp); P < 0·01), dietary diversity (DID = 0·74; P < 0·01) and marginally increased their intake of flesh foods (DID = 10·14 pp; P < 0·1). Mean BMI was significantly increased among SMG WG compared with the other three groups (DID = 0·44 kg/m2; P < 0·05). The SMG programme also significantly decreased the prevalence of anaemia (DID = 12·86 pp; P < 0·01) but no impacts were found for the prevalence of underweight, ID and VAD.

CONCLUSIONS

Improving mothers' dietary intake and anaemia prevalence supports the need to integrate gender-based agriculture to improve nutritional status. However, it may take more than a year, and additional nutrition and health programmes, to impact the prevalence of maternal underweight, ID and VAD.

摘要

目的

探讨太阳能市场花园(SMG)为期 1 年的太阳能滴灌计划对贝宁北部卡拉莱区母亲营养状况和微量营养素水平的影响。

设计

采用准实验设计,将 16 个村庄分为四组:(i)SMG 妇女小组(WG);(ii)对照 WG;(iii)SMG 非妇女小组(NWG);(iv)对照 NWG。使用差值法(DID)估计来评估对母亲食物摄入、多样性、BMI、消瘦(BMI<18.5kg/m2)和贫血以及缺铁(ID)和维生素 A(VAD)缺乏症的影响。

地点

贝宁北部卡拉莱区。

参与者

15-49 岁非孕妇母亲(n=1737)。

结果

SMG 计划显著增加了母亲蔬菜摄入量(DID=25.31 个百分点(pp);P<0.01)、饮食多样性(DID=0.74;P<0.01),并适度增加了肉类食物摄入量(DID=10.14pp;P<0.1)。与其他三组相比,SMG WG 的平均 BMI 显著增加(DID=0.44kg/m2;P<0.05)。SMG 计划还显著降低了贫血的患病率(DID=12.86pp;P<0.01),但消瘦、ID 和 VAD 的患病率没有变化。

结论

改善母亲的饮食摄入和贫血患病率支持需要将基于性别的农业纳入其中,以改善营养状况。然而,要改善母亲消瘦、ID 和 VAD 的患病率,可能需要 1 年以上的时间和额外的营养和健康计划。

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