Department of Reproductive Health, School of Public Health, College of Medical and Health Sciences, Dilla University, Dilla, Ethiopia.
Biomed Res Int. 2021 May 7;2021:6645996. doi: 10.1155/2021/6645996. eCollection 2021.
Malnutrition accounts for almost half of the global under-five child mortality. Worm infections are one of the immediate and commonest causes that affect the nutritional status of children. There is limited data related to the magnitude of wasting and associated factors among children. Therefore, this study was aimed at assessing the magnitude of wasting and associated factors among children aged 2 to 5 years in the Wonago district of Gedeo Zone, southern Ethiopia.
Community-based cross-sectional study design was conducted. A total of 3324 children aged 2-5 years were included in the study. A pretested semistructured questionnaire was used for data collection, and anthropometric measurements were computed using the World Health Organization Anthro-nutritional software. The multivariate logistic regression analyses with adjusted odds ratio, 95% confidence interval, and value less than 0.05 were used to identify the factors significantly associated with wasting.
A total of 3273 children aged 2-5 years participated with a 98.5% response rate. The magnitude of wasting was 13%. The factors like government-employed fathers [AOR = 1.93; 95% CI (1.08, 3.46)], child's age range between 48 and 59 months [AOR = 1.46; 95% CI (1.01, 2.09)], being a male child [AOR = 1.42; 95% CI (1.07, 1.88)], having diarrheal disease in the past two weeks [AOR = 0.39; 95% CI (0.17, 0.90)], and bathing less than two times per week [AOR = 1.42; 95% CI (1.03, 1.96)] were factors significantly associated with wasting.
Undernutrition in children is still a problem, and the proportion of wasting was 13%. Government-employed fathers, child's age range between 48 and 59 months, being a male child, having diarrheal disease in the past two weeks, and bathing below two times per week were significantly associated with children's nutritional status warranting close attention by policymakers and stakeholders. For researchers, a further longitudinal study is recommended to get strong evidence.
营养不良占全球五岁以下儿童死亡人数的近一半。蠕虫感染是影响儿童营养状况的最常见的直接原因之一。关于儿童消瘦的严重程度和相关因素的数据有限。因此,本研究旨在评估埃塞俄比亚南部盖多地区沃纳戈区 2 至 5 岁儿童消瘦的严重程度和相关因素。
采用基于社区的横断面研究设计。共纳入 3324 名 2-5 岁儿童进行研究。使用经过预测试的半结构式问卷收集数据,并使用世界卫生组织 Anthro-nutritional 软件计算人体测量学测量值。采用多元逻辑回归分析,调整后的优势比(OR)、95%置信区间(CI)和 P 值小于 0.05,用于确定与消瘦显著相关的因素。
共有 3273 名 2-5 岁儿童参与,应答率为 98.5%。消瘦的严重程度为 13%。政府雇佣的父亲(OR=1.93;95%CI(1.08,3.46))、48 至 59 个月大的儿童(OR=1.46;95%CI(1.01,2.09))、男童(OR=1.42;95%CI(1.07,1.88))、过去两周患有腹泻病(OR=0.39;95%CI(0.17,0.90))和每周洗澡次数少于两次(OR=1.42;95%CI(1.03,1.96))是与消瘦显著相关的因素。
儿童营养不良仍然是一个问题,消瘦的比例为 13%。政府雇佣的父亲、48 至 59 个月大的儿童、男童、过去两周患有腹泻病和每周洗澡次数少于两次与儿童营养状况显著相关,值得政策制定者和利益相关者密切关注。对于研究人员,建议进行进一步的纵向研究以获得更有力的证据。