Tafese Zelalem, Reta Alemayehu Fikadu, Anato Anchamo, Berhan Yifru, Stoecker Barbara J
School of Nutrition, Food Science and Technology, Hawassa University, Hawassa, Ethiopia.
St. Paul's Hospital Millennium Medical College, Addis Ababa, Ethiopia.
Curr Dev Nutr. 2020 Aug 22;4(9):nzaa137. doi: 10.1093/cdn/nzaa137. eCollection 2020 Sep.
Child undernutrition is a major public health problem in Ethiopia. Stunting is highest in food-insecure areas and insufficient evidence may impair the design of suitable interventions.
This study aimed to identify key factors contributing to undernutrition among 6- to 23-mo-old children.
A community-based cross-sectional study in food-insecure areas of Amhara and Oromia regions in April-June, 2018, enrolled 464 mother-child dyads. Bivariate and multivariate logistic regression analyses were conducted.
The prevalence of stunting (43.1%), wasting (12.3%), and underweight (27.3%) were high. Factors significantly associated with both stunting and underweight were child age of 12-23 mo (vs 6-11 mo), female, more siblings, lack of zinc supplement for diarrhea, inadequate diet diversity, and lack of iodized salt in complementary food. Our findings support the need to emphasize appropriate child feeding practices and iodized salt utilization. Improvement of primary health care services related to micronutrient supplementation and family spacing also are important to address child undernutrition in the study area.
儿童营养不良是埃塞俄比亚的一个主要公共卫生问题。发育迟缓在粮食不安全地区最为严重，而证据不足可能会影响合适干预措施的设计。
本研究旨在确定6至23个月大儿童营养不良的关键影响因素。
2018年4月至6月，在阿姆哈拉和奥罗米亚地区粮食不安全地区开展了一项基于社区的横断面研究，纳入了464对母婴。进行了双变量和多变量逻辑回归分析。
发育迟缓（43.1%）、消瘦（12.3%）和体重不足（27.3%）的患病率很高。与发育迟缓和体重不足均显著相关的因素包括12至23个月龄的儿童（相对于6至11个月龄）、女性、兄弟姐妹较多、腹泻时未补充锌、饮食多样性不足以及辅食中缺乏碘盐。我们的研究结果支持强调适当的儿童喂养方式和碘盐使用的必要性。改善与微量营养素补充和生育间隔相关的初级卫生保健服务对于解决研究地区的儿童营养不良问题也很重要。
