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喀麦隆班姆埃达卫生区 6-59 个月境内流离失所儿童营养不良的程度及其预测因素:一项基于社区的横断面研究。

Magnitude and predictors of malnutrition among internally displaced persons' children 6 - 59 months in Bamenda Health District of Cameroon: A community-based cross-sectional study.

机构信息

Department of Public Health and Hygiene, Faculty of Health Sciences, University of Buea, Buea, Cameroon.

Department of Nutritional Science, School of Applied Science and Technology, Mukuba University, Kitwe, Zambia.

出版信息

Nutr Health. 2024 Sep;30(3):605-612. doi: 10.1177/02601060221132134. Epub 2022 Oct 13.

Abstract

A major cause of morbidity and mortality amongst children in displaced settings is malnutrition. Approximately, 45% of deaths are linked to undernutrition among children under 5 years of age. The study aimed to determine the prevalence and associated factors of malnutrition among internally displaced (IDP) children from 6 to 59 months. A community-based cross-sectional study with an analytical approach was conducted from May to June 2021. A multistage cluster sampling method was used to select mothers/caregivers and administer a structured questionnaire that consisted of three sections: sociodemographic and environmental characteristics, health-related factors and anthropometric measurements) was used to collect data. Data were analysed using SPSS version 27.0. Bivariate analysis was done at < 0.20 and logistic regression at a 5% level of significance. Overall, 395 children were enrolled with a mean age of 31.4  ±  9.1 months and 59.0% were males. Findings revealed that 52% of children were malnourished; stunted (22.1%), wasted (4.8%), underweight (6.3%) and overweight (35.4%). Independent predictors of overall malnutrition were the age of the mothers/caregivers (AOR: 8.0, 95% CI: 2.0 - 32.1), children who had not taken all their vaccines (AOR: 2.3, 95% CI: 1.4 -3.8), children not dewormed (AOR: 2.9, 95% CI: 1.3-6.3), Children not exclusively breastfed (AOR  =  3.3, 95% CI: 1.1-9.6). The prevalence of malnutrition was high among children living in internally displaced households. Thus, there is a need for vaccination and deworming campaigns, and nutritional and educational intervention programmes to improve both forms of malnutrition: undernutrition and over-nutrition.

摘要

在流离失所环境中,儿童发病率和死亡率的一个主要原因是营养不良。大约 45%的 5 岁以下儿童死亡与营养不良有关。本研究旨在确定 6 至 59 个月的境内流离失所儿童(IDP)中营养不良的流行率及其相关因素。这是一项基于社区的横断面研究,采用分析方法,于 2021 年 5 月至 6 月进行。采用多阶段聚类抽样方法选择母亲/照顾者,并使用结构化问卷进行调查,问卷包括三个部分:社会人口学和环境特征、与健康相关的因素和人体测量)收集数据。使用 SPSS 版本 27.0 进行数据分析。在<0.20 时进行二变量分析,在 5%水平上进行逻辑回归分析。总体而言,共纳入 395 名儿童,平均年龄为 31.4±9.1 个月,59.0%为男性。研究结果显示,52%的儿童营养不良;发育迟缓(22.1%)、消瘦(4.8%)、体重不足(6.3%)和超重(35.4%)。儿童总体营养不良的独立预测因素为母亲/照顾者年龄(AOR:8.0,95%CI:2.0-32.1)、未接种所有疫苗的儿童(AOR:2.3,95%CI:1.4-3.8)、未驱虫的儿童(AOR:2.9,95%CI:1.3-6.3)、未纯母乳喂养的儿童(AOR=3.3,95%CI:1.1-9.6)。生活在境内流离失所家庭的儿童中,营养不良的患病率很高。因此,需要开展疫苗接种和驱虫运动,以及营养和教育干预方案,以改善营养不良和营养过剩这两种形式。

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