School of Public Health, College of Medicine and Health Sciences, University of Rwanda, Kigali P.O. Box 4286, Rwanda.
School of Public Health, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg 2193, South Africa.
Int J Environ Res Public Health. 2023 Feb 24;20(5):4068. doi: 10.3390/ijerph20054068.
Stunted linear growth continues to be a public health problem that overwhelms the entire world and, particularly, developing countries. Despite several interventions designed and implemented to reduce stunting, the rate of 33.1% is still high for the proposed target of 19% in 2024. This study investigated the prevalence and associated factors of stunting among children aged 6-23 months from poor households in Rwanda. A cross-sectional study was conducted among 817 mother-child dyads (two individuals from one home) living in low-income families in five districts with a high prevalence of stunting. Descriptive statistics were used to determine the prevalence of stunting. In addition, we used bivariate analysis and a multivariate logistic regression model to measure the strength of the association between childhood stunting and exposure variables. The prevalence of stunting was 34.1%. Children from households without a vegetable garden (AOR = 2.165, -value < 0.01), children aged 19-23 months (AOR = 4.410, -value = 0.01), and children aged 13-18 months (AOR = 2.788, -value = 0.08) showed increased likelihood of stunting. On the other hand, children whose mothers were not exposed to physical violence (AOR = 0.145, -value < 0.001), those whose fathers were working (AOR = 0.036, -value = 0.001), those whose parents were both working (AOR = 0.208, -value = 0.029), and children whose mothers demonstrated good hand washing practice (AOR = 0.181, -value < 0.001) were less likely to be stunted. Our findings underscore the importance of integrating the promotion of handwashing practices, owning vegetable gardens, and intimate partner violence prevention in the interventions to fight child stunting.
发育迟缓仍然是一个全球性的公共卫生问题,尤其是在发展中国家。尽管已经设计并实施了多项干预措施来减少发育迟缓,但在 2024 年将目标定为 19%的情况下,目前 33.1%的比例仍然很高。本研究调查了卢旺达贫困家庭 6-23 个月儿童发育迟缓的流行率及其相关因素。在五个高度流行发育迟缓的地区,对 817 对母婴对子(一个家庭中的两个人)进行了横断面研究。采用描述性统计方法确定发育迟缓的流行率。此外,我们还使用了单变量分析和多变量逻辑回归模型来衡量儿童发育迟缓与暴露变量之间关联的强度。发育迟缓的流行率为 34.1%。家中没有菜园的儿童(AOR=2.165,-值<0.01)、19-23 个月大的儿童(AOR=4.410,-值=0.01)和 13-18 个月大的儿童(AOR=2.788,-值=0.08)发育迟缓的可能性更高。另一方面,母亲未遭受身体暴力的儿童(AOR=0.145,-值<0.001)、父亲有工作的儿童(AOR=0.036,-值=0.001)、父母均有工作的儿童(AOR=0.208,-值=0.029)和母亲有良好洗手习惯的儿童(AOR=0.181,-值<0.001)发育迟缓的可能性较小。我们的研究结果强调了将促进洗手习惯、拥有菜园和预防亲密伴侣暴力纳入干预措施以对抗儿童发育迟缓的重要性。