Kotebe Metropolitan University, Menelik II Medical and Health Science College, Addis Ababa, Ethiopia
Kotebe Metropolitan University, Menelik II Medical and Health Science College, Addis Ababa, Ethiopia.
BMJ Open. 2023 May 31;13(5):e065347. doi: 10.1136/bmjopen-2022-065347.
To determine the prevalence of stunting and thinness and associated factors among adolescents attending public schools in Lideta subcity, Addis Ababa, Ethiopia, in 2021.
Cross-sectional.
Public schools in Lideta subcity, Addis Ababa, Ethiopia.
Adolescents from grades 5-12 in public schools and students whose parents gave consent for participation.
Bivariate and multivariable logistic regression analyses were used to examine the association between the independent variables and stunting and thinness. Using a 95% CI and adjusted OR (AOR), factors with a p value of less than 0.05 were determined to have a significant association.
The prevalence of stunting and thinness, as well as the factors associated with stunting and thinness, were secondary outcomes.
The overall prevalence of stunting and thinness was 7.2% (95% CI: 5.3% to 9.3%) and 9% (95% CI: 6.8% to 11.4%), respectively. Stunting was associated with a larger family size (AOR=3.76; 95% CI: 1.58 to 8.94), low dietary diversity (AOR=2.87; 95% CI: 1.44 to 5.74), food insecurity (AOR=2.81; 95% CI: 1.38 to 5.71) and a lower wealth index (AOR=3.34; 95% CI: 1.51 to 7.41). On the other hand, thinness was associated with maternal education in those who were unable to read and write (AOR=2.5; 95% CI: 1.97 to 8.11), inadequate dietary diversity (AOR=4.81; 95% CI: 2.55 to 9.07) and larger family size (AOR=2.46; 95% CI: 1.14 to 5.29).
Adolescent stunting and thinness were common in Addis Ababa's public schools. Family size, dietary diversity and food security were the main factors associated with both thinness and stunting. Therefore, to solve the problem of adolescent stunting and thinness, the administration of Addis Ababa city should prioritise minimising food insecurity while boosting productivity to enhance adolescent nutritional diversity. Moreover, nutritional education should be strengthened by healthcare providers working at public schools as well as health extension workers.
确定 2021 年在埃塞俄比亚亚的斯亚贝巴利达塔分区公立学校就读的青少年中发育迟缓与消瘦的流行率及其相关因素。
横断面研究。
埃塞俄比亚亚的斯亚贝巴利达塔分区的公立学校。
公立学校 5-12 年级的青少年，以及其父母同意参与的学生。
使用双变量和多变量逻辑回归分析来检验自变量与发育迟缓与消瘦之间的关联。使用 95%置信区间和调整后的比值比 (AOR)，确定 p 值小于 0.05 的因素具有显著关联。
发育迟缓与消瘦的流行率以及与发育迟缓与消瘦相关的因素是次要结局。
发育迟缓与消瘦的总体流行率分别为 7.2%（95%CI：5.3%至 9.3%）和 9%（95%CI：6.8%至 11.4%）。较大的家庭规模（AOR=3.76；95%CI：1.58 至 8.94）、较低的饮食多样性（AOR=2.87；95%CI：1.44 至 5.74）、粮食不安全（AOR=2.81；95%CI：1.38 至 5.71）和较低的财富指数（AOR=3.34；95%CI：1.51 至 7.41）与发育迟缓相关。另一方面，在那些无法读写的人当中，消瘦与母亲的教育程度有关（AOR=2.5；95%CI：1.97 至 8.11）、饮食多样性不足（AOR=4.81；95%CI：2.55 至 9.07）和较大的家庭规模（AOR=2.46；95%CI：1.14 至 5.29）与消瘦相关。
在亚的斯亚贝巴的公立学校中，青少年发育迟缓与消瘦较为常见。家庭规模、饮食多样性和粮食安全是消瘦和发育迟缓的主要相关因素。因此，为了解决青少年发育迟缓与消瘦的问题，亚的斯亚贝巴市行政当局应优先考虑减轻粮食不安全，同时提高生产力，以增加青少年的营养多样性。此外，医疗保健提供者和卫生推广人员应加强在公立学校开展的营养教育。
