冈比亚五岁以下儿童发育迟缓、消瘦和体重不足并存的决定因素；来自 2019/20 年冈比亚人口健康调查的证据：多变量二元逻辑回归模型的应用。
Determinants of coexistence of stunting, wasting, and underweight among children under five years in the Gambia; evidence from 2019/20 Gambian demographic health survey: application of multivariate binary logistic regression model.
机构信息
Department of Statistics, Mekdela Amba University, P.O. Box: 32, Tuluawlyia, Ethiopia.
Department of Rural Development and Agricultural Extension, Mekdela Amba University, P.O. Box: 32, Tuluawlyia, Ethiopia.
出版信息
BMC Public Health. 2022 Aug 26;22(1):1621. doi: 10.1186/s12889-022-14000-3.
BACKGROUND
Malnutrition happens when there are insufficient amounts of nutrients and energy consumed improperly. Included are both undernutrition and overnutrition. This study is aimed to evaluate the relationship among undernutrition indicators of stunting, underweight, and wasting among those under 5 years given other predictors.
METHODS
The data were obtained from the measure of DHS program. A total of 2399 under-five children were involved in this study. A multivariate binary logistic regression model is used to assess the association between stunting, wasting, and being underweight given the effect of other predictors.
RESULTS
Of the 2399 under-five children considered in this study, 13.5, 18.7, and 5.9% of them suffered from stunting, underweight, and wasting, respectively. The majority of children (40.1%) were obtained from the Brikama local government area of Gambia; more than half of the children (52.9%) were male, and 63.3% of children lived in urban areas. The association between stunting and underweight, underweight and wasting, and stunting and wasting was measured by the odds ratio (OR) of 15.87, 46.34, and 1.75, respectively, given the other predictors. The estimated odds ratio for children who had an average birth size to become stunted, underweight, and wasted were 0.965, 0.885, and 0.989 times the estimated odds ratio of children who had a small birth size, respectively.
CONCLUSION
The prevalence of stunting and wasting for under-five children in Gambia was lower than the world prevalence, but the prevalence of being underweight was higher. Children who are underweight have a significant association with both stunting and wasting. The age of the child, the child's anemia level, and the birth type of the child are the common important determinants of stunting and underweight. The small birth size of a child was highly associated with a higher risk of stunting, underweight, and wasting among under five-year-olds.
背景
当摄入的营养和能量不足且摄入方式不当时，就会发生营养不良。包括营养不足和营养过剩。本研究旨在评估 5 岁以下儿童的生长迟缓、消瘦和体重不足等营养不足指标与其他预测因素之间的关系。
方法
数据来自 DHS 项目的测量。共有 2399 名五岁以下儿童参与了这项研究。使用多变量二项逻辑回归模型评估在其他预测因素的影响下，生长迟缓、消瘦和体重不足之间的关联。
结果
在这项研究中，2399 名五岁以下儿童中，分别有 13.5%、18.7%和 5.9%患有生长迟缓、消瘦和体重不足。大多数儿童（40.1%）来自冈比亚的布里卡马地方政府区；超过一半的儿童（52.9%）是男性，63.3%的儿童生活在城市地区。生长迟缓与消瘦、消瘦与体重不足、生长迟缓与消瘦之间的关联通过其他预测因素的 15.87、46.34 和 1.75 的优势比（OR）进行测量。具有平均出生体重的儿童成为生长迟缓、消瘦和消瘦的估计优势比分别为具有较小出生体重的儿童的估计优势比的 0.965、0.885 和 0.989 倍。
结论
冈比亚五岁以下儿童生长迟缓和消瘦的患病率低于世界患病率，但消瘦的患病率较高。消瘦的儿童与生长迟缓和消瘦都有显著的关联。儿童的年龄、儿童的贫血水平和儿童的出生类型是生长迟缓和消瘦的常见重要决定因素。儿童的出生体型较小与五岁以下儿童发生生长迟缓、消瘦和消瘦的风险增加高度相关。
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