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埃塞俄比亚东北门格斯格雷行政区 6-59 月龄儿童营养不良及其相关因素:一项基于社区的横断面研究。

Undernutrition and its associated factors among children aged 6 to 59 months in Menz Gera Midir district, Northeast Ethiopia: A community-based cross-sectional study.

机构信息

School of Biomedical and Laboratory Sciences, Department of Hematology and Immunohematology, College of Medicine and Health Science, University of Gondar, Gondar, Ethiopia.

出版信息

PLoS One. 2022 Dec 6;17(12):e0278756. doi: 10.1371/journal.pone.0278756. eCollection 2022.

Abstract

BACKGROUND

Undernutrition can lead to impaired physical growth, restricted intellectual skills, low school performance, reduced working capacity, and rooted disability in adult life. Thus, this study was designed to assess the prevalence and associated factors of undernutrition among children aged 6 to 59 months.

METHODS

A community-based cross-sectional study was conducted among 432 children aged 6 to 59 months in the Menz Gera Midir District. A multi-stage sampling technique was applied to recruit the study participants. Socio-demographic and socio-economic variables were collected by using structured questionnaires. Anthropometric measurements of the children were measured according to the World Health Organization's recommendation. A data collection sheet was used to collect information on the types of foods and number of meals consumed by the child. A bivariable and multivariable logistic regression was performed to identify factors associated with undernutrition.

RESULT

In this study, about 11.3% (95% CI: 8.3-14.3%), 50.2% (95% CI: 45.5-55.0%), and 28% (95% CI: 23.8-32.3%) were wasted, stunted, and underweight, respectively. Children aged 12-23 months (AOR: 1.97; 95% CI: 1.01-3.87), 36-47 months (AOR: 2.05; 95% CI: 1.00-4.19), and being anemic (AOR: 2.92; 95% CI: 1.73-4.92) were found to be an independent predictor of stunting. Moreover, being anemic was found to be significantly associated with wasting (AOR: 6.84; 95% CI: 3.16-14.82).

CONCLUSION

According to the findings of this study, undernutrition was a serious public health issue among 6-59 month old children in the Menz Gera Midir District. Children's age and anemia status were significantly associated with stunting and wasting. Therefore, community-based nutrition programs are vital to reduce childhood undernutrition.

摘要

背景

营养不良可导致身体生长受限、智力发育受限、学习成绩不佳、工作能力下降以及成年后生活能力受损。因此,本研究旨在评估 6 至 59 个月龄儿童的营养不良患病率及其相关因素。

方法

在门泽格雷达米尔区开展了一项社区为基础的横断面研究,纳入了 432 名 6 至 59 个月龄的儿童。采用多阶段抽样技术招募研究对象。使用结构化问卷收集社会人口学和社会经济学变量。根据世界卫生组织的建议对儿童进行人体测量。使用数据收集表收集儿童所食用食物的种类和餐数信息。采用单变量和多变量逻辑回归分析确定与营养不良相关的因素。

结果

在本研究中,分别有 11.3%(95%CI:8.3-14.3%)、50.2%(95%CI:45.5-55.0%)和 28%(95%CI:23.8-32.3%)的儿童消瘦、发育迟缓、体重不足。12-23 月龄(AOR:1.97;95%CI:1.01-3.87)、36-47 月龄(AOR:2.05;95%CI:1.00-4.19)和贫血(AOR:2.92;95%CI:1.73-4.92)的儿童被发现是发育迟缓的独立预测因素。此外,贫血与消瘦显著相关(AOR:6.84;95%CI:3.16-14.82)。

结论

根据本研究结果,6-59 月龄儿童的营养不良问题在门泽格雷达米尔区是一个严重的公共卫生问题。儿童的年龄和贫血状况与发育迟缓及消瘦显著相关。因此,开展以社区为基础的营养计划对于减少儿童营养不良至关重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a08a/9725165/2447a6f8a731/pone.0278756.g001.jpg

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