Saheed Rafit, Shahid Muhammad, Wang Jun, Qureshi Madeeha Gohar, Sun Xiaoke, Bibi Asma, Zia Sidra, Tang Kun
School of Public Policy, Pakistan Institute of Development Economics (PIDE), Islamabad 44000, Pakistan.
World Health Organization, Sub-Office, Peshawar 25000, Pakistan.
Children (Basel). 2022 Oct 31;9(11):1674. doi: 10.3390/children9111674.
The proposed research studied the determinants of male and female child malnutrition in Pakistan. More specifically, it observed the role of the sanitation facility and drinking water source as important determinants of malnutrition in a gender analysis.
Novel data of 1010 children under three years of age from PDHS 2017-18 were used. A CIAF (Cumulative Index for Anthropometric Failure) was established to assess malnourishment in the children. Discrete-choice logistic methodology was applied in this empirical research to study the likelihood of malnourishment in children.
The logistic regression results depicted that factors such as a child belonging to a deprived area, the status of home wealth, and the education of the mother were common determinants of malnutrition in children. Factors such as a child having diarrhea (OR = 1.55, CI = 0.96-2.50) and the drinking water source (OR = 0.62, CI = 0.37-1.03) were separate prominent predictors of malnutrition in male children whereas the sanitation facility was the main determinant of malnutrition in female children (OR = 0.64, CI = 0.43-0.95).
This study concludes that important links exist between the drinking water source and male child malnutrition and between sanitation facilities and female child malnutrition.
拟议的研究探讨了巴基斯坦儿童营养不良的决定因素。更具体地说，在性别分析中，该研究观察了卫生设施和饮用水源作为营养不良重要决定因素的作用。
使用了来自2017 - 18年巴基斯坦人口与健康调查（PDHS）的1010名三岁以下儿童的新数据。建立了儿童综合营养评估指数（CIAF）来评估儿童的营养不良状况。在这项实证研究中应用离散选择逻辑方法来研究儿童营养不良的可能性。
逻辑回归结果表明，诸如儿童所属贫困地区、家庭财富状况以及母亲的教育程度等因素是儿童营养不良的常见决定因素。诸如儿童腹泻（比值比 = 1.55，置信区间 = 0.96 - 2.50）和饮用水源（比值比 = 0.62，置信区间 = 0.37 - 1.03）等因素是男童营养不良的单独显著预测因素，而卫生设施是女童营养不良的主要决定因素（比值比 = 0.64，置信区间 = 0.43 - 0.95）。
本研究得出结论，饮用水源与男童营养不良之间以及卫生设施与女童营养不良之间存在重要联系。
