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母亲的艾滋病毒感染状况及其子女的营养状况:基于津巴布韦人口与健康调查数据(2015 - 2016年)二次分析的见解

Mothers' HIV status and their children's nutritional status: Insights from secondary analysis of the Zimbabwe Demographic and Health Survey data (2015-2016).

作者信息

Musuka Godfrey N, Dzinamarira Tafadzwa, Cuadros Diego F, Murewanhema Grant, Chingombe Innocent, Takavarasha Felicia, Herrera Helena, Mapingure Munyaradzi

机构信息

ICAP at Columbia University Harare Zimbabwe.

Department of Geography and Geographic Information Science University of Cincinnati Cincinnati OH USA.

出版信息

Food Sci Nutr. 2021 Aug 7;9(10):5509-5516. doi: 10.1002/fsn3.2509. eCollection 2021 Oct.

Abstract

Infants and young children are completely dependent on others, primarily their mothers, for nutrition. This means maternal health status is one of the most important maternal characteristics that are predictors of the nutritional status of children. This study aimed to describe the association between mothers' HIV status and their children's nutritional status using data from the Zimbabwe Demographic and Health Survey (2015-16). We used statistical analysis to determine the association between mothers' HIV status and their children's nutritional status. The findings revealed that 30%, 4%, and 11% of children whose mothers were HIV positive presented with moderate-to-severe stunting, wasting, and underweight, respectively. The risk of stunting was higher for children whose mothers were HIV positive compared with children whose mothers were HIV negative (odds ratio [OR] 1.23; 95% confidence interval [CI] 1.00-1.52)). Maternal HIV-positive status is associated with an increased risk of the child being underweight (OR 1.69; 95% CI 1.24-2.30). The prevalence of being underweight, stunting, and wasting is still high among children of HIV-positive mothers several years into HIV Care and Treatment programs. This study's findings call for implementation of a robust national wide improved infant and young child feeding scheme to enhance the overall nutritional status of children in the country.

摘要

婴幼儿完全依赖他人,主要是母亲来获取营养。这意味着母亲的健康状况是预测儿童营养状况的最重要的母亲特征之一。本研究旨在利用津巴布韦人口与健康调查(2015 - 16年)的数据,描述母亲的艾滋病毒感染状况与其子女营养状况之间的关联。我们使用统计分析来确定母亲的艾滋病毒感染状况与其子女营养状况之间的关联。研究结果显示,母亲为艾滋病毒阳性的儿童中,分别有30%、4%和11%出现中度至重度发育迟缓、消瘦和体重不足。与母亲为艾滋病毒阴性的儿童相比,母亲为艾滋病毒阳性的儿童发育迟缓的风险更高(优势比[OR] 1.23;95%置信区间[CI] 1.00 - 1.52)。母亲艾滋病毒阳性状态与儿童体重不足风险增加相关(OR 1.69;95% CI 1.24 - 2.30)。在艾滋病毒护理和治疗项目开展数年之后,艾滋病毒阳性母亲的子女中体重不足、发育迟缓和消瘦的患病率仍然很高。本研究结果呼吁实施一项强有力的全国范围的改善婴幼儿喂养计划,以提高该国儿童的整体营养状况。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8076/8498060/dd2bfcdd4e8a/FSN3-9-5509-g001.jpg

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