Department of Public Health, Mizan Tepi University, Mizan Aman, Ethiopia.
Department of Public Health, Arba Minch University, Arba Minch, Ethiopia.
J Environ Public Health. 2020 Mar 21;2020:9520973. doi: 10.1155/2020/9520973. eCollection 2020.
The community-based cross sectional study was conducted in the Arba Minch Health and Demographic Surveillance Site, Southern Ethiopia. The simple random sampling method was used to recruit 656 mother-child pairs. Height for age score was computed using WHO Anthro version 3.2.2 software. Multivariable logistic regression model was fitted, and adjusted odds ratio (AOR) at value <0.05 was used to determine statistically significant association between predictors and outcome variable.
The prevalence of stunting among children of 6-59 months in the study area was 47.9% (95% CI; 44.0-51.7). The likelihood of stunting was significantly higher among children who live in households with medium (AOR 2.20, 95% CI: 1.43-3.37) and poor (AOR 2.87, 95% CI: 1.72-4.81) wealth status. In addition, children who were not exclusively breast fed (AOR 1.55, 95% CI: 1.07-2.24), whose mothers had not participated in decision of major household purchases (AOR 2.27, 95% CI: 1.21-4.26), and whose mothers lacked decision on freedom of mobility (AOR 1.96, 95% CI: 1.05-3.66) were significantly stunted compared with counterparts.
Stunting is a severe public health problem in the area. Therefore, efforts should be taken to enhance maternal empowerment, household wealth, and infant and young child feeding practice for reducing stunting among children.
本社区横断面研究在埃塞俄比亚南部的阿尔巴明奇健康和人口监测点进行。采用简单随机抽样方法招募了 656 对母婴。身高年龄评分使用 WHO Anthro 版本 3.2.2 软件进行计算。采用多变量逻辑回归模型进行拟合,使用 值<0.05 的调整优势比(AOR)来确定预测因素与结局变量之间的统计学显著关联。
研究区域 6-59 月龄儿童的发育迟缓患病率为 47.9%(95%CI;44.0-51.7)。生活在中等(AOR 2.20,95%CI:1.43-3.37)和贫困(AOR 2.87,95%CI:1.72-4.81)家庭财富状况的儿童发生发育迟缓的可能性显著更高。此外,非纯母乳喂养(AOR 1.55,95%CI:1.07-2.24)、其母亲未参与重大家庭购买决策(AOR 2.27,95%CI:1.21-4.26)以及其母亲在行动自由方面缺乏决策权(AOR 1.96,95%CI:1.05-3.66)的儿童与对照组相比,发育迟缓的风险显著更高。
该地区发育迟缓是一个严重的公共卫生问题。因此,应努力增强产妇赋权、家庭财富以及婴幼儿喂养实践,以降低儿童发育迟缓的发生率。