Gilano Girma, Hailegebreal Samuel, Sako Sewunet, Seboka Binyam Tariku
Department of Health Informatics, School of Public Health, College of Medicine and Health Sciences, Arba Minch University, Arba Minch, Ethiopia.
Department of Health Informatics, College of Medicine and Health Sciences, Dilla University, Dilla, Ethiopia.
Ecol Food Nutr. 2022 Sep-Oct;61(5):608-623. doi: 10.1080/03670244.2022.2109023. Epub 2022 Aug 8.
Low height/length-for-age (stunting) is a public health problem in Ethiopia. Efforts that have been made to evaluate factors affecting national and international strategies related to the problem are very limited and poorly achieved. The present study aimed to evaluate low length/height-for-age (stunting) and its associated factors among children 6 to 23 months of age in Ethiopia. We used cross-sectional data collected for 2019 EMDHS. We cleaned, processed, and analyzed in Stata v.15. Socio-demographic, socio-economic parameters, and nutritional (wasting, diet frequency, breast milk, and animal milk) factors were used in the analysis. We fitted Generalized Linear Latent and Mixed Model (GLLAMM) to examine the associations. We analyzed the data of 2,037 children aged 6-23 months and found stunting of 933.07(45.80%). Some factors such as home delivery [coef. = -4.58, 95% CI:-7.81,-1.34] and household size of ≥6 [coef. = -5.53, 95% CI:-10.36,-7.10] were positively associated. No current breastfeeding [coef. = 10.70, 95% CI: 2.16, 19.23] and still breastfeed [coef. = 10.68, 95% CI: 2.62, 18.74] were negatively associated with stunting. Stunting among 6-23 months aged children in Ethiopia is very high above all the national, regional, and international targets. Feeding practice, socio-economic, and psychosocial-support for mothers need revised commitment for pragmatic solution.
年龄别身高/身长偏低（发育迟缓）是埃塞俄比亚的一个公共卫生问题。为评估影响与该问题相关的国家和国际战略的因素所做的努力非常有限且成效不佳。本研究旨在评估埃塞俄比亚6至23个月大儿童中年龄别身长/身高偏低（发育迟缓）情况及其相关因素。我们使用了2019年埃塞俄比亚微型家庭调查（EMDHS）收集的横断面数据。我们在Stata v.15中进行了清理、处理和分析。分析中使用了社会人口统计学、社会经济参数以及营养（消瘦、饮食频率、母乳和动物奶）因素。我们采用广义线性潜在和混合模型（GLLAMM）来检验关联。我们分析了2037名6至23个月大儿童的数据，发现发育迟缓的有933例（45.80%）。一些因素，如在家分娩[系数 = -4.58，95%置信区间：-7.81，-1.34]和家庭规模≥6人[系数 = -5.53，95%置信区间：-10.36，-7.10]呈正相关。当前未进行母乳喂养[系数 = 10.70，95%置信区间：2.16，19.23]和仍在母乳喂养[系数 = 10.68，95%置信区间：2.62，18.74]与发育迟缓呈负相关。埃塞俄比亚6至23个月大儿童的发育迟缓率远高于所有国家、地区和国际目标。喂养方式、社会经济状况以及对母亲的心理社会支持需要重新做出切实可行的改进承诺。
