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系统评价和荟萃分析方案,研究埃塞俄比亚学龄儿童(6-14 岁)发育迟缓及其决定因素。

A systematic review and meta-analysis protocol on stunting and its determinants among school-age children (6-14years) in Ethiopia.

机构信息

College of Medicine and Health Sciences, Department of Public Health, Samara University, Samara, Ethiopia.

College of Medicine and Health Sciences, Department of Nursing, Samara University, Samara, Ethiopia.

出版信息

PLoS One. 2021 Mar 18;16(3):e0248390. doi: 10.1371/journal.pone.0248390. eCollection 2021.

Abstract

BACKGROUND

In Ethiopia, stunting is a common public health problem among school-age children. Even though several studies were conducted in different parts of the country, the national pooled prevalence of stunting and its determinants not estimated. Therefore, this study intends to determine the pooled prevalence and determinants of stunting among school-age children in Ethiopia.

METHODS

This review protocol is registered at PROSPERO with Registration number: CRD42020160625. Online databases (Medline, PubMed, Scopus, and Science direct), Google, Google Scholar, and other grey literature will be used to search articles until June 2020. The quality assessment will be performed using the Joanna Briggs Institute checklist. The analysis will be organized and presented according to the Preferred Reporting Items for Systematic Reviews and Meta-Analysis. The presence of heterogeneity among studies will be examined using a chi-squared test on Cochran's Q statistic with a 5% level of statistical significance, subgroup analyses, and meta-regression will be performed to investigate sources of heterogeneity. To identify influential studies, sensitivity analysis will be conducted. Presence publication bias will be examined by observing funnel plots. The presence of a statistical association will be declared at a p-value <0.05 with the 95% CI.

DISCUSSION

Stunting is a major public health problem in Ethiopia, which affects the health of children. So, designing and implementing different nutritional strategies and promoting healthcare services is extremely mandatory to overcome stunting problems in the country. To understand this, estimating the prevalence of stunting at the national level and determining the pertinent common determinants using high-level evidence is fairly imperative. Therefore, this study will offer a summarizing finding.

摘要

背景

在埃塞俄比亚,发育迟缓是学龄儿童中常见的公共卫生问题。尽管在该国不同地区进行了几项研究,但尚未估计全国范围内发育迟缓的普遍流行率及其决定因素。因此,本研究旨在确定埃塞俄比亚学龄儿童发育迟缓的普遍流行率及其决定因素。

方法

本综述方案已在 PROSPERO 注册,注册号为:CRD42020160625。将使用在线数据库(Medline、PubMed、Scopus 和 Science direct)、Google、Google Scholar 和其他灰色文献搜索文章,直至 2020 年 6 月。使用 Joanna Briggs 研究所清单进行质量评估。将根据系统评价和荟萃分析的首选报告项目进行分析和呈现。将使用 Cochran 的 Q 统计量的卡方检验检查研究之间的异质性存在,如果统计显著性水平为 5%,则进行亚组分析和荟萃回归分析,以调查异质性的来源。为了确定有影响力的研究,将进行敏感性分析。通过观察漏斗图检查发表偏倚的存在。将宣布存在统计学关联的 p 值 <0.05 和 95%置信区间。

讨论

发育迟缓是埃塞俄比亚的一个主要公共卫生问题,影响儿童的健康。因此,制定和实施不同的营养策略并促进医疗保健服务是克服该国发育迟缓问题的极其必要。为了了解这一点,在国家层面估计发育迟缓的流行率并使用高水平证据确定相关的常见决定因素是非常必要的。因此,本研究将提供一个总结性的发现。

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Long-term consequences of stunting in early life.儿童早期生长迟缓的长期后果。
Matern Child Nutr. 2011 Oct;7 Suppl 3(Suppl 3):5-18. doi: 10.1111/j.1740-8709.2011.00349.x.
7
Prevalence and trends of stunting among pre-school children, 1990-2020.1990-2020 年学龄前儿童发育迟缓的流行率和趋势。
Public Health Nutr. 2012 Jan;15(1):142-8. doi: 10.1017/S1368980011001315. Epub 2011 Jul 14.

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