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埃塞俄比亚巴赫达尔市公立小学生发育迟缓的流行情况及其相关因素:基于学校的横断面研究。

Prevalence of stunting and associated factors among public primary school pupils of Bahir Dar city, Ethiopia: School-based cross-sectional study.

机构信息

Faculty of Community Health, Alkan Health Sciences, Business and Technology College, Bahir Dar, Ethiopia.

Department of Nursing, GAMBY College of Medical Sciences, Bahir Dar, Ethiopia.

出版信息

PLoS One. 2021 Apr 12;16(4):e0248108. doi: 10.1371/journal.pone.0248108. eCollection 2021.

Abstract

BACKGROUND

Stunting is a well-established child-health indicator of chronic malnutrition, which reliably gives a picture of the past nutritional history and the prevailing environmental and socioeconomic circumstances.

OBJECTIVE

To investigate the prevalence of stunting and associated factors among public primary school children of the Bahir Dar city.

METHOD

A cross-sectional study was carried out from March to June 2019. Data were coded and entered into the Epi-Data and exported to SPSS version 23 software. The pupil was stunted if the height- for-age was ≤ -2 SDs from the median growth standards according to the WHO. A descriptive summary was computed using frequency, percent, mean, median and standard deviation. A simple logistic regression model was fitted to identify associated factors between the independent variables and the dependent variable at a 95% confidence interval (CI) and p-value <0.05.

RESULTS

370 primary school pupils were included in the study with the mean age of 10.15 (± 2.23 SD) years. 51.6% of the pupils were females. The total prevalence of stunting was 15.13% (95%CI; 11%, 19%). The burden of stunting was higher in the age group of 11 years and older. Pupil's age older than 11 years (AOR = 15. 6; 95%CI; 3.31, 73.45; p-value < 0. 001) and male sex (AOR = 7. 07; 95%CI: 2.51, 19.89; p-value < 0. 0002) were significantly associated with stunting.

CONCLUSION

The prevalence of stunting was relatively lower than the regional estimated stunting level. Older age and male sex were significantly associated with stunting.

摘要

背景

发育迟缓是一种公认的儿童健康指标,用于评估慢性营养不良,可以可靠地反映过去的营养史以及当前的环境和社会经济状况。

目的

调查巴塞尔城市公立小学儿童发育迟缓的流行情况及其相关因素。

方法

本横断面研究于 2019 年 3 月至 6 月进行。数据经过编码并输入 Epi-Data,然后导出到 SPSS 版本 23 软件。根据世界卫生组织的标准,如果身高年龄低于中位数生长标准的-2 个标准差,则判定为发育迟缓。采用频率、百分比、平均值、中位数和标准差进行描述性总结。使用简单的逻辑回归模型来确定独立变量与因变量之间的相关因素,置信区间为 95%(CI),p 值<0.05。

结果

本研究共纳入 370 名小学生,平均年龄为 10.15(±2.23 SD)岁,其中 51.6%为女生。发育迟缓的总患病率为 15.13%(95%CI:11%,19%)。发育迟缓的负担在 11 岁及以上年龄组更高。年龄大于 11 岁的学生(AOR=15.6;95%CI:3.31,73.45;p 值<0.001)和男性(AOR=7.07;95%CI:2.51,19.89;p 值<0.0002)与发育迟缓显著相关。

结论

发育迟缓的流行率相对低于该地区估计的发育迟缓水平。年龄较大和男性与发育迟缓显著相关。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/68ca/8041191/0ab0ba54017d/pone.0248108.g001.jpg

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