School of Social Sciences, Western Sydney University, Locked Bag 1797, Penrith, NSW 2751, Australia.
School of Health Sciences, Campbelltown Campus, Western Sydney University, Locked Bag 1797, Penrith, NSW 2571, Australia.
Int J Environ Res Public Health. 2021 Apr 26;18(9):4578. doi: 10.3390/ijerph18094578.
Child wasting continues to be a major public health concern in South Asia, having a prevalence above the emergency threshold. This paper aimed to identify factors associated with wasting 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) of five countries in South Asia was combined. Multiple logistic regression analyses that adjusted for clustering and sampling weights were used to examine associated factors. Wasting prevalence was higher for children aged 0-23 months (25%) as compared to 24-59 months (18%), with variations in prevalence across the South Asian countries. The most common factor associated with child wasting was maternal BMI [adjusted odds ratio (AOR) for 0-23 months = 2.02; 95% CI: (1.52, 2.68); AOR for 24-59 months = 2.54; 95% CI: (1.83, 3.54); AOR for 0-59 months = 2.18; 95% CI: (1.72, 2.77)]. Other factors included maternal height and age, household wealth index, birth interval and order, children born at home, and access to antenatal visits. Study findings suggest need for nutrition specific and sensitive interventions focused on women, as well as adolescents and children under 2 years of age.
儿童消瘦仍然是南亚主要的公共卫生问题，其患病率高于紧急阈值。本文旨在确定南亚 0-23 个月、24-59 个月和 0-59 个月儿童消瘦的相关因素。综合了南亚五个国家最近的人口和健康调查（2014-2018 年）中 564518 名 0-59 个月儿童的加权样本。使用经过聚类和抽样加权调整的多因素逻辑回归分析来检验相关因素。0-23 个月儿童的消瘦患病率（25%）高于 24-59 个月儿童（18%），且在南亚各国之间存在差异。与儿童消瘦最常见的相关因素是母亲 BMI [0-23 个月的调整比值比（AOR）= 2.02；95%置信区间（CI）：（1.52, 2.68）；24-59 个月的 AOR = 2.54；95% CI：（1.83, 3.54）；0-59 个月的 AOR = 2.18；95% CI：（1.72, 2.77）]。其他因素包括母亲身高和年龄、家庭财富指数、出生间隔和顺序、在家中出生以及获得产前检查。研究结果表明，需要针对妇女以及 2 岁以下儿童和青少年实施专门的和敏感的营养干预措施。
