Department of Sociology, Hohai University, Nanjing, China.
Department of Demography and Social Statistics, Obafemi Awolowo University, Ile-Ife, Osun State, Nigeria.
J Prim Care Community Health. 2021 Jan-Dec;12:21501327211002102. doi: 10.1177/21501327211002102.
Under-five morbidity is a significant public health concern in developing countries, and maternal intervention remains vital to achieving under-five optimal health.
The study examined the influence of maternal self-rated capability status (SCS) on under-five morbidity in Ibadan North Local Government Area (LGA), Oyo State, Nigeria.
The study interviewed 683 nursing mothers surveyed from 20 primary healthcare centers (PHCs) from 13th to 27th September 2018 in the LGA of study. We employed logistic regression models to examine the association of 4 domains of maternal SCS on under-five morbidity incidence controlling for the potential confounding effects of maternal, child, and household sociodemographic attributes.
Under-five children of mothers with poor status in the knowledge of child morbidity, experience-informed action, child morbidity exposure, and childcare vulnerability domains are, respectively, 497%, 323%, 400%, and 318% more likely to be at risk of morbidity than their peers born to mothers with good status. In addition, the odds of morbidity were lower for children born to women with more than 1 under-five children (AOR: 0.49, 95% CI: 0.27, 0.88), while the odds were higher for those from households that are food-insecure (AOR: 3.16, 95% CI: 1.31, 7.65) and dispose of wastes within the compound (AOR: 2.67, 95% CI: 1.31, 5.45) relative to children in the comparative categories.
Our findings revealed the significance of maternal SCS as a crucial pathway for understanding and reducing under-five morbidity. Community interventions should prioritize empowering nursing mothers with prevention and care information necessary to reduce the under-five morbidity burden at the community level.
五岁以下儿童发病率是发展中国家的一个重大公共卫生问题，而孕产妇干预对于实现五岁以下儿童最佳健康仍然至关重要。
本研究调查了伊巴丹北部地方政府区（奥约州，尼日利亚）孕产妇自我评估能力状况（SCS）对五岁以下儿童发病率的影响。
本研究于 2018 年 9 月 13 日至 27 日，在研究地区的 20 个初级保健中心（PHC）对 683 名哺乳母亲进行了访谈。我们采用逻辑回归模型，在校正了母亲、儿童和家庭社会人口统计学属性的潜在混杂效应后，检验了孕产妇 SCS 的 4 个领域与五岁以下儿童发病率的关联。
在儿童发病知识、经验导向行动、儿童发病暴露和儿童护理脆弱性等领域自我评估能力状况较差的母亲所生的五岁以下儿童，其发病风险分别比自我评估能力状况较好的母亲所生的同龄儿童高 497%、323%、400%和 318%。此外，与拥有一个或一个以上五岁以下儿童的女性相比，儿童发病风险较低（AOR：0.49，95%CI：0.27，0.88），而来自食物不安全家庭（AOR：3.16，95%CI：1.31，7.65）和在家庭范围内处理废物（AOR：2.67，95%CI：1.31，5.45）的家庭的儿童发病风险较高。
本研究结果表明，孕产妇 SCS 是理解和降低五岁以下儿童发病率的重要途径。社区干预措施应优先为哺乳母亲提供预防和护理信息，以减轻社区层面五岁以下儿童的发病负担。
