UNU-MERIT (United Nations University), Boschstraat 24, 6211, Maastricht, the Netherlands.
Public Health. 2020 Jun;183:132-137. doi: 10.1016/j.puhe.2020.03.012. Epub 2020 Jun 1.
The objective of this study is to examine the association between forced displacement and child nutritional status among households affected by the Boko Haram insurgency in Nigeria.
The study design is a cross-sectional analysis.
Cross-sectional survey data from 1278 host community households and 531 internally displaced households in north eastern Nigeria were used. Acute child malnutrition was measured using the mid-upper arm circumference. The main independent variable was self-reported internal displacement. Household, child, and community characteristics were included as covariates. Probit and ordinary least squares regressions were used to model the association between forced displacement and child malnutrition.
Displacement was associated with a 57% increase in the likelihood of acute malnutrition and the effects were notable among infants and in areas with a greater incidence of conflict. Displacement also significantly reduced dietary diversity and increased hunger.
Conflict-induced displacement is associated with poor child nutritional status, and this is potentially achieved through the reduction of household dietary diversity and food security. The use of data from areas affected by an ongoing conflict provides insights that can shape nutrition policies and humanitarian assistance planning.
本研究旨在探讨尼日利亚博科圣地叛乱事件中受影响家庭的被迫流离失所与儿童营养状况之间的关联。
研究设计为横断面分析。
使用了来自尼日利亚东北部 1278 个宿主社区家庭和 531 个国内流离失所家庭的横断面调查数据。使用上臂中部周长来衡量急性儿童营养不良。主要的独立变量是自我报告的内部流离失所。家庭、儿童和社区特征被包括为协变量。使用概率单位和普通最小二乘法回归来模拟强迫流离失所与儿童营养不良之间的关联。
流离失所与急性营养不良的可能性增加了 57%，而且在婴儿中以及冲突发生率较高的地区，这种影响更为显著。流离失所还显著降低了饮食多样性，并增加了饥饿感。
冲突引起的流离失所与儿童营养状况不佳有关，这可能是通过减少家庭饮食多样性和粮食安全来实现的。利用受持续冲突影响地区的数据提供了可以影响营养政策和人道主义援助规划的见解。
