埃塞俄比亚西北部灌溉和非灌溉使用者的儿童发育迟缓及其相关因素：一项比较性横断面研究。

Childhood stunting and associated factors among irrigation and non-irrigation user northwest, Ethiopia: a comparative cross-sectional study.

机构信息

Bahir Dar University Student Clinic, Bahir Dar University, P.O.Box 79, Bahir Dar, Ethiopia.

Department of Environmental Health, School of Public Health, College of Medicine and Health Sciences, Bahir Dar University, P.O.Box 79, Bahir Dar, Ethiopia.

出版信息

Ital J Pediatr. 2021 Apr 26;47(1):102. doi: 10.1186/s13052-021-01048-x.

DOI:10.1186/s13052-021-01048-x

PMID:33902661

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8074471/

Abstract

BACKGROUND

Stunting is a critical public health problem of developing countries like Ethiopia. Different interventions like irrigation activity have been carried out by the government of Ethiopia to improve the nutritional status of the community. However, there is scanty of data on childhood stunting and its associated factors between irrigation user and non-irrigation user.

OBJECTIVE

To assess the magnitude of childhood stunting and its associated factors between irrigation and non-irrigation user in North Mecha District, Northwest Ethiopia.

METHODS

A community-based comparative cross-sectional study design was employed from October to November 2019. A systematic sampling was used to draw mothers with children age 6-59 months (582 irrigated and 582 non- irrigated household users). Data were collected using questionnaire and anthropometric measurement tools. Multivariable logistic regression was used to identify the predictors of stunting. Adjusted odds ratios with 95% CI were used to determine the degree of association between independent and outcome variable. A-p-value < 0.05 was used as cutoff point to declare statistically significant variables with the outcome variable.

RESULTS

The prevalence of childhood stunting (6-59 months) among irrigation users [32.8% at 95%CI [29.1%-36.7%]] was slightly lower than non-users [40.2% at 95%CI [[36.3%-44.2%]]]. However, the difference did not show significant variation. The odds of childhood stunting were higher among a child from a mother had no antenatal visit, a child whose age was between 12 and 47 months, a child from a mother who did not use water and soap always for washing hands, and a child who had fever.

CONCLUSION

The prevalence of childhood stunting was high and did not show significant variation between irrigation and non-irrigation users. A child from mother had no antenatal visit, whose age was between 12 and 47 months, a mother who did not use water and soap always for washing hands, and who had fever were factors associated with higher child stunting. Thus, the identified modifiable factors should be strengthened to reduce stunting.

摘要

背景

发育迟缓是埃塞俄比亚等发展中国家的一个重大公共卫生问题。埃塞俄比亚政府已经开展了不同的干预措施，如灌溉活动，以改善社区的营养状况。然而，关于灌溉使用者和非灌溉使用者之间儿童发育迟缓及其相关因素的数据很少。

目的

评估在埃塞俄比亚西北部北梅恰地区，灌溉使用者和非灌溉使用者之间儿童发育迟缓的程度及其相关因素。

方法

本研究采用了 2019 年 10 月至 11 月期间的社区为基础的对照性横断面研究设计。采用系统抽样方法抽取了 582 户有 6-59 个月儿童的灌溉家庭用户和 582 户非灌溉家庭用户的母亲作为研究对象。使用问卷和人体测量工具收集数据。多变量逻辑回归用于确定发育迟缓的预测因素。使用 95%置信区间的调整比值比来确定独立变量与结局变量之间的关联程度。p 值<0.05 被用作截止值来确定与结局变量具有统计学显著意义的变量。

结果

灌溉使用者（6-59 个月）儿童发育迟缓（6-59 个月）的患病率[95%CI 为 29.1%-36.7%，即 32.8%]略低于非使用者[95%CI 为 36.3%-44.2%，即 40.2%]。然而，差异没有显示出显著的变化。具有以下特征的儿童发生发育迟缓的可能性更高：母亲没有产前检查、儿童年龄在 12-47 个月之间、母亲没有经常用水和肥皂洗手、儿童发烧。