Kahssay Molla, Woldu Etsay, Gebre Abel, Reddy Surender
Department of Public Health, College of Medical and Health Sciences, Samara University, Semera, Afar Ethiopia.
BMC Nutr. 2020 Feb 17;6:9. doi: 10.1186/s40795-020-00332-z. eCollection 2020.
Stunting is defined as a child with a height for-age Z-score less than minus two standard deviations. Globally, 162 million less than 5 years were stunted. In Ethiopia, Nationally the prevalence of stunting among under five children was 38.4% and in Afar it is above the national average (41.1%). This study was aimed to identify determinants of stunting among children aged 6 to 59 months in rural Dubti district, Afar region, North East Ethiopia, 2017.
Community based unmatched case-control study design was conducted among 322 (161 cases and 161 controls) children aged 6 to 59 months from March 2-30/ 2017. Simple random method was used to select 5 kebelles from 13 kebelles. Training was given for data collectors and supervisors. Data were entered to EPI data version 3.02 and exported to SPSS version 20 for analysis. Binary logistic regression analysis was used and variables with -value < 0.25 on univariable binary logistic regression analysis were further analyzed on multivariable binary logistic regression analysis and statistical significance was declared at 95% CI.
Being from a mother with no education (AOR = 4.92, 95%CI (1.94, 12.4), preceding birth interval less than 24 months (AOR = 4.94, 95% (2.17, 11.2), no ANC follow-up (AOR = 2.81, 95% (1.1.46, 5.38), no access to latrine (AOR =3.26, 95% CI (1.54-6.94), children born from short mother < 150 cm (AOR = 3.75, 95%CI (1.54, 9.18), not fed colostrum (AOR = 4.45, 95% CI (1.68, 11.8), breast fed for less than 24 months (AOR = 3.14, 95% CI (1.7, 5.79) and non-exclusive breast feeding (AOR = 6.68, 95% (3.1, 14.52) were determinants of stunting at 95% CI.
No maternal education, preceding birth interval less than 24 months, no ANC follow-up, no access to latrine, short maternal height, not feeding colostrum, duration of breast feed less than 24 months and non- exclusive breast feeding were determinants of stunting at 95% CI.
发育迟缓被定义为身高年龄Z评分低于负两个标准差的儿童。全球有1.62亿5岁以下儿童发育迟缓。在埃塞俄比亚，全国5岁以下儿童发育迟缓的患病率为38.4%，而在阿法尔地区则高于全国平均水平（41.1%）。本研究旨在确定2017年埃塞俄比亚东北部阿法尔地区杜布蒂农村地区6至59个月儿童发育迟缓的决定因素。
2017年3月2日至30日，在322名（161例病例和161名对照）6至59个月大的儿童中进行了基于社区的非匹配病例对照研究设计。采用简单随机方法从13个行政区中选取5个行政区。对数据收集者和监督员进行了培训。数据录入EPI数据3.02版本，并导出到SPSS 20版本进行分析。采用二元逻辑回归分析，对单变量二元逻辑回归分析中P值<0.25的变量在多变量二元逻辑回归分析中进一步分析，并在95%置信区间声明统计学意义。
母亲未受过教育（比值比=4.92，95%置信区间（1.94，12.4））、上次生育间隔小于24个月（比值比=4.94，95%（2.17，11.2））、未进行产前检查随访（比值比=2.81，95%（1.46，5.38））、无法使用厕所（比值比=3.26，95%置信区间（1.54 - 6.94））、母亲身高<150cm的儿童（比值比=3.75，95%置信区间（1.54，9.18））、未喂养初乳（比值比=4.45，95%置信区间（1.68，11.8））、母乳喂养少于24个月（比值比=3.14，95%置信区间（1.7，5.79））和非纯母乳喂养（比值比=6.68，95%（3.1，14.52））是95%置信区间发育迟缓的决定因素。
母亲未受过教育、上次生育间隔小于24个月、未进行产前检查随访、无法使用厕所、母亲身高矮、未喂养初乳、母乳喂养持续时间少于24个月和非纯母乳喂养是95%置信区间发育迟缓的决定因素。
