Shyam Aparna G, Fuller Nigel J, Shah Pankaj B
Department of Public Health, Masters in Public Health Programme, University of Liverpool, Liverpool, UK.
Department of Community Medicine, Sri Ramachandra Medical Centre and Research Institute, Chennai, Tamil Nadu, India.
J Family Med Prim Care. 2020 Mar 26;9(3):1380-1385. doi: 10.4103/jfmpc.jfmpc_1041_19. eCollection 2020 Mar.
There is a paucity of research investigating the association between antenatal care (ANC) attendance and child undernutrition in Madhya Pradesh, India.
To determine whether body weight status in children under the age of 5 years is associated with ANC attendance in Madhya Pradesh.
A cross-sectional study was carried out using data from India's National Family Health Survey (2005-2006). Bodyweight status (an indicator of undernutrition) was determined using weight-for-age. Descriptive statistics and logistic regression were used to estimate prevalence and obtain adjusted odds ratios (AOR) to investigate associations between ANC indicators and weight-for-age.
Majority of children were underweight (55.1%). ANC attendance was inadequate, with only 36.8% of women having four or more visits. None of the ANC indicators were associated with body weight status. Increased child age especially an age of 2 years (AOR 2.29; 1.66-3.15), belonging to a scheduled tribe [ST] (AOR 2.36; CI 1.64-3.39), scheduled caste [SC] (AOR 1.75; CI 1.25-2.45) or other backward caste [OBC] (AOR 1.43; CI 1.08-1.89) were associated with being underweight; a birth weight of ≥2.5 kg was associated with lower relative odds of being underweight (AOR 0.43; CI 0.29-0.64). Mothers who had a normal BMI (AOR 0.66; CI 0.53-0.82) or were overweight (AOR 0.42; CI 0.25-0.69) were less likely to have underweight children.
ANC attendance was not associated with body weight status. Increased child age, low birth weight, poor maternal nutrition status and belonging to SCs, STs or OBCs increased the odds of child undernutrition.
在印度中央邦，关于产前保健（ANC）就诊情况与儿童营养不良之间关联的研究较少。
确定印度中央邦5岁以下儿童的体重状况是否与产前保健就诊情况相关。
利用印度全国家庭健康调查（2005 - 2006年）的数据进行了一项横断面研究。采用年龄别体重来确定体重状况（营养不良的一个指标）。使用描述性统计和逻辑回归来估计患病率，并获得调整后的优势比（AOR），以研究产前保健指标与年龄别体重之间的关联。
大多数儿童体重不足（55.1%）。产前保健就诊情况不佳，只有36.8%的妇女进行了四次或更多次就诊。没有一项产前保健指标与体重状况相关。儿童年龄增加，尤其是2岁（AOR 2.29；1.66 - 3.15）、属于在册部落[ST]（AOR 2.36；CI 1.64 - 3.39）、在册种姓[SC]（AOR 1.75；CI 1.25 - 2.45）或其他落后种姓[OBC]（AOR 1.43；CI 1.08 - 1.89）与体重不足相关；出生体重≥2.5千克与体重不足的相对几率较低相关（AOR 0.43；CI 0.29 - 0.64）。体重指数正常（AOR 0.66；CI 0.53 - 0.82）或超重（AOR 0.42；CI 0.25 - 0.69）的母亲生育体重不足儿童的可能性较小。
产前保健就诊情况与体重状况无关。儿童年龄增加、低出生体重、母亲营养状况差以及属于在册种姓[SC]、在册部落[ST]或其他落后种姓[OBC]会增加儿童营养不良的几率。
