孟加拉国孕产妇特征对贫困家庭 5 岁以下儿童营养状况的影响中介作用
Maternal Characteristics Mediating the Impact of Household Poverty on the Nutritional Status of Children Under 5 Years of Age in Bangladesh.
机构信息
56291International Centre for Diarrhoeal Disease Research, Dhaka, Bangladesh.
Asian University for Women, Chittagong, Bangladesh.
出版信息
Food Nutr Bull. 2021 Sep;42(3):389-398. doi: 10.1177/0379572121999016. Epub 2021 Jun 1.
OBJECTIVES
We explored the maternal characteristics that mediate the effect of household poverty on childhood undernutrition.
METHODS
We used the population-based Bangladesh Demographic Health Survey data from 2014 for demographic characteristics, child and maternal factors.
RESULTS
Of the 7173 under-5 children, 3456 (48.2%) had undernutrition. The prevalence of undernutrition was less common in wealthy households (poorest vs richest: adjusted prevalence ratio [aPR] = 1.37), mothers having history of antenatal care (ANC) visits (no visit vs ≥ 4 visits: aPR = 1.22), maternal higher education (no education vs higher education: aPR = 1.54), and mothers with good nutritional status (underweight vs healthy: aPR = 1.13). The risk of undernutrition (37.1%) was attributed to household wealth, mediated 55% by maternal factors; of which 20% by maternal education, 21% by ANC visits, and 14% by maternal nutritional status.
CONCLUSIONS
Our study findings outlined higher maternal education, ≥ 4 ANC visits and good maternal nutritional status in mediating the impact of household wealth on childhood nutrition.
目的
我们探讨了家庭贫困对儿童营养不良影响的中介因素中的产妇特征。
方法
我们使用了 2014 年基于人群的孟加拉国人口健康调查数据，获取人口统计学特征、儿童和产妇因素。
结果
在 7173 名 5 岁以下儿童中，有 3456 名（48.2%）存在营养不良。在富裕家庭中，营养不良的患病率较低（最贫困与最富有相比：调整后的患病率比 [aPR] = 1.37），母亲有产前保健（ANC）就诊史（无就诊与≥4 次就诊相比：aPR = 1.22）、母亲受过高等教育（未受教育与受过高等教育相比：aPR = 1.54），以及母亲营养状况良好（体重不足与健康相比：aPR = 1.13）。营养不良的风险（37.1%）归因于家庭财富，其中 55%由产妇因素介导；其中 20%由母亲教育程度、21%由 ANC 就诊、14%由母亲营养状况介导。
结论
我们的研究结果表明，较高的母亲教育程度、≥4 次 ANC 就诊和良好的母亲营养状况在介导家庭财富对儿童营养的影响方面发挥了作用。
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