Gondar University Referral and Specialized Hospital, Gondar, Ethiopia.
Department of Medical Physiology, School of Medicine, College of Medicine and Health Science, University of Gondar, Gondar, Ethiopia.
Biomed Res Int. 2020 Oct 23;2020:8850074. doi: 10.1155/2020/8850074. eCollection 2020.
Stunting is a crucial indicator of long-term chronic undernutrition that reflects a failure to reach a linear growth. Adolescent girls are potentially at a higher risk of stunting as they are traditionally married at an early age in low-income countries. In Ethiopia, stunting has mostly been examined in early childhood, with limited information at the early adolescent age. Therefore, this study is aimed at determining the prevalence of stunting and its associated factors among early adolescent school girls age 10 to 14 in Gondar town.
We conducted a school-based cross-sectional study. A multistage sampling method was used to sample 662 adolescent girls in selected primary schools. A pretested, structured, and interviewer-administered questionnaire was used to collect the required data. Stata Version 14 and WHO Anthro-plus software were used to analyze the data. The bivariable and multivariable logistic regression model was fitted to identify factors associated with stunting. Adjusted Odds Ratio (AOR) with its 95% confidence interval (CI) was calculated, and a value ≤ 0.05 was considered to declare statistically significant variables.
The prevalence of stunting was 27.5% [95% CI: 25.5%-29.5%]. The odds of stunting were found to be higher among grade 5 students [AOR; 95% CI: 1.90; 1.13-3.20], those who reported a daily meal frequency of less than three [AOR; 95% CI: 2.37; 1.60-3.50], and those who were from food-insecure families [AOR; 95% CI: 2.52; 1.70-3.73]. Adolescent girls whose mothers were government employees [AOR; 95% CI: 0.48; 0.26-0.89] or merchants [AOR; 95% CI: 0.43; 0.28-0.67] were less likely to be stunted compared to those whose mothers were housewives.
Stunting among early adolescent girls is found to be a moderate public health problem. A school-based nutritional program might be helpful to reduce stunting in this group of adolescent girls.
发育迟缓是长期慢性营养不良的一个关键指标,反映了线性生长的失败。少女由于传统上在低收入国家早婚,因此她们可能面临更高的发育迟缓风险。在埃塞俄比亚,发育迟缓主要在儿童早期进行检查,而在青少年早期的信息有限。因此,本研究旨在确定 10 至 14 岁的城镇少女中发育迟缓的流行率及其相关因素。
我们进行了一项基于学校的横断面研究。采用多阶段抽样方法从选定的小学中抽取 662 名少女。使用经过预测试的结构化访谈式问卷收集所需数据。使用 Stata 版本 14 和 WHO Anthro-plus 软件分析数据。使用双变量和多变量逻辑回归模型来确定与发育迟缓相关的因素。计算调整后的优势比(AOR)及其 95%置信区间(CI),并认为 值≤0.05 为具有统计学意义的变量。
发育迟缓的患病率为 27.5% [95%CI:25.5%-29.5%]。研究发现,五年级学生[AOR;95%CI:1.90;1.13-3.20]、每天进餐次数少于三次的学生[AOR;95%CI:2.37;1.60-3.50]以及来自食物不安全家庭的学生[AOR;95%CI:2.52;1.70-3.73],发生发育迟缓的几率更高。母亲为政府雇员[AOR;95%CI:0.48;0.26-0.89]或商人[AOR;95%CI:0.43;0.28-0.67]的少女比母亲为家庭主妇的少女发生发育迟缓的几率更低。
青少年早期少女的发育迟缓被认为是一个中度的公共卫生问题。基于学校的营养计划可能有助于减少这一少女群体的发育迟缓。