Kahssay Molla, Mohamed Lidia, Gebre Abel
Department of Public Health, Samara University, Semera, Afar, Ethiopia.
Afar Regional Health Bureau, Semera, Afar, Ethiopia.
J Environ Public Health. 2020 Feb 21;2020:7367139. doi: 10.1155/2020/7367139. eCollection 2020.
Adolescence is an essential stage in the human life cycle, a transition period between childhood and adulthood that is characterized by rapid growth spurt in which nutritional requirement is high. Adolescents are risk groups for malnutrition, but they are not part of a target in many intervention strategies. Hence, this study was aimed at assessing nutritional status of adolescent girls and its associated factors.
Institutional based cross-sectional study design was employed among randomly selected 348 school going adolescent girls. Data were entered into Epi Info and transported to SPSS version 20 for further analysis. Binary logistic regression analysis was used to identify predicators of nutritional status of adolescent girls at value <0.05 and 95% confidence level.
This study revealed that 22.9% and 8.82% of school adolescent girls were stunted and thin, respectively. Being at early adolescent age (14-15 years) [AOR = 1.4, 95% CI (1.04-4.28)], ownership of phone [AOR = 3.3, 95% CI (1.55-7.02)], and dietary diversity score of <4 food groups [AOR = 2.2, 95% CI (1.4-4.54)] were some of the potential predictors of stunting. Similarly, dietary diversity score of <4 food groups [AOR = 1.8, 95% CI (1.14-4.38)] and low food consumption [AOR = 3, 95% CI (1.15-7.90)] were some of the potential predictors of thinness. . The prevalence of both stunting and thinness is a public health problem in the study area. Early adolescent age (10-14 years), ownership of phone, and dietary diversity score of <4 food groups were independent predictors of stunting. Dietary diversity score of <4 food groups and eating less than usual were independent predictors of thinness. An integrated nutritional intervention and health related services that meet the needs of adolescent girls in the school community have to be established and strengthened. Since adolescent age is period of growth and development in which growth spurt and nutritional requirement are high, adolescents should be provided with enough meals and diversified foods.
青春期是人类生命周期中的一个重要阶段,是童年与成年之间的过渡时期,其特点是生长迅速,营养需求高。青少年是营养不良的风险群体,但在许多干预策略中他们并非目标对象。因此,本研究旨在评估青春期女孩的营养状况及其相关因素。
采用基于机构的横断面研究设计,对随机选取的348名在校青春期女孩进行研究。数据录入Epi Info软件,并传输至SPSS 20版本进行进一步分析。采用二元逻辑回归分析,在P值<0.05和95%置信水平下确定青春期女孩营养状况的预测因素。
本研究显示,在校青春期女孩中分别有22.9%和8.82%发育迟缓及消瘦。处于青春期早期(14 - 15岁)[比值比(AOR)= 1.4,95%置信区间(CI)(1.04 - 4.28)]、拥有手机[AOR = 3.3,95% CI(1.55 - 7.02)]以及食物种类少于4种的饮食多样性得分[AOR = 2.2,95% CI(1.4 - 4.54)]是发育迟缓的一些潜在预测因素。同样,食物种类少于4种的饮食多样性得分[AOR = 1.8,95% CI(1.14 - 4.38)]和低食物摄入量[AOR = 3,95% CI(1.15 - 7.90)]是消瘦的一些潜在预测因素。发育迟缓和消瘦的患病率在研究地区均是公共卫生问题。青春期早期(10 - 14岁)、拥有手机以及食物种类少于4种的饮食多样性得分是发育迟缓的独立预测因素。食物种类少于4种的饮食多样性得分以及饮食量比平常少是消瘦的独立预测因素。必须建立并加强满足学校社区青春期女孩需求的综合营养干预和健康相关服务。由于青春期是生长发育时期,生长迅速且营养需求高,应向青少年提供足够的膳食和多样化的食物。