School of Social Sciences, Western Sydney University, Locked Bag 1797, Penrith, NSW 2751, Australia.
School of Health Sciences, Western Sydney University, Campbelltown Campus, Locked Bag 1797, Penrith, NSW 2571, Australia.
Nutrients. 2020 Dec 18;12(12):3875. doi: 10.3390/nu12123875.
South Asia continues to be the global hub for child undernutrition with 35% of children still stunted in 2017. This paper aimed to identify factors associated with stunting among children aged 0-23 months, 24-59 months, and 0-59 months in South Asia. A weighted sample of 564,518 children aged 0-59 months from the most recent Demographic and Health Surveys (2014-2018) was combined of five countries in South Asia. Multiple logistic regression analyses that adjusted for clustering and sampling weights were used to examine associated factors. The common factors associated with stunting in three age groups were mothers with no schooling ([adjusted odds ratio (AOR) for 0-23 months = 1.65; 95% CI: (1.29, 2.13)]; [AOR for 24-59 months = AOR = 1.46; 95% CI: (1.27, 1. 69)] and [AOR for 0-59 months = AOR = 1.59; 95% CI: (1.34, 1. 88)]) and maternal short stature (height < 150 cm) ([AOR for 0-23 months = 2.00; 95% CI: (1.51, 2.65)]; [AOR for 24-59 months = 3.63; 95% CI: (2.87, 4.60)] and [AOR for 0-59 months = 2.87; 95% CI: (2.37, 3.48)]). Study findings suggest the need for a balanced and integrated nutrition strategy that incorporates nutrition-specific and nutrition-sensitive interventions with an increased focus on interventions for children aged 24-59 months.
南亚仍然是全球儿童营养不良的中心,2017 年仍有 35%的儿童发育迟缓。本文旨在确定南亚 0-23 个月、24-59 个月和 0-59 个月儿童发育迟缓的相关因素。南亚五个国家的最新人口与健康调查(2014-2018 年)的加权样本中包括了 564,518 名 0-59 个月的儿童。采用多因素逻辑回归分析,对聚类和抽样权重进行了调整,以检验相关因素。三个年龄组中与发育迟缓相关的共同因素是母亲未接受过教育([0-23 个月校正后的优势比(AOR)= 1.65;95%可信区间(CI):(1.29, 2.13)];[24-59 个月的 AOR = 1.46;95% CI:(1.27, 1.69)]和[0-59 个月的 AOR = 1.59;95% CI:(1.34, 1.88)])和母亲身材矮小(身高<150cm)([0-23 个月的 AOR = 2.00;95% CI:(1.51, 2.65)];[24-59 个月的 AOR = 3.63;95% CI:(2.87, 4.60)]和[0-59 个月的 AOR = 2.87;95% CI:(2.37, 3.48)])。研究结果表明,需要制定一个平衡和综合的营养战略,将营养具体干预和营养敏感干预结合起来,并更加关注 24-59 个月儿童的干预措施。