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母亲受教育程度与印度尼西亚发育迟缓贫困儿童营养结局的关系

Association of Maternal Education With Nutritional Outcomes of Poor Children With Stunting in Indonesia.

机构信息

Department of Health, Faculty of Vocational Studies, Universitas Airlangga, Surabaya, Indonesia.

Department of Nutrition and Health, Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada, Yogyakarta, Indonesia.

出版信息

Asia Pac J Public Health. 2023 Jul;35(5):373-380. doi: 10.1177/10105395231185980. Epub 2023 Jul 6.

Abstract

The consequences of poverty and food insecurity can indirectly contribute to obesity. Long-term effect of stunting children may be the risk factor for overweight and obesity in the poor in Indonesia. The role of parental education is also associated with overweight and obesity in children. This study aimed to observe the risk of stunted children becoming overweight and obese based on maternal education among poor people in Indonesia. This study involved three cohorts design. Cohort 1 is a 14-year cohort, and two 7-year cohorts for cohorts 2 and 3. We used secondary longitudinal data from Indonesian Family Life Survey (IFLS) 3 (2000), IFLS 4 (2007), and IFLS 5 (2014). After stratification by high maternal education and economic status of the family, there is an increased risk of stunting children becoming overweight and obese, with a risk ratio of 2 in cohort 1 and 1.69 in cohort 2. These results showed that stunted children with high-education mothers and lived in the low-income families have a 1.69 to 2 times higher risk of becoming overweight and obese. Thus, the importance of primary education and health education for women to increase children's health in the future.

摘要

贫困和粮食不安全的后果可能会间接导致肥胖。儿童发育迟缓的长期影响可能是印度尼西亚贫困人口超重和肥胖的风险因素。父母教育的作用也与儿童超重和肥胖有关。本研究旨在观察印度尼西亚贫困人口中基于母亲教育的发育迟缓儿童超重和肥胖的风险。本研究采用了三个队列设计。队列 1 是一个 14 年的队列,队列 2 和 3 是两个 7 年的队列。我们使用了来自印度尼西亚家庭生活调查(IFLS)3(2000 年)、IFLS 4(2007 年)和 IFLS 5(2014 年)的二次纵向数据。在按母亲教育水平和家庭经济状况分层后,发育迟缓儿童超重和肥胖的风险增加,队列 1 的风险比为 2,队列 2 为 1.69。这些结果表明,母亲受教育程度高且生活在低收入家庭的发育迟缓儿童超重和肥胖的风险增加 1.69 至 2 倍。因此,重视基础教育和妇女健康教育对提高儿童未来的健康水平至关重要。

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