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埃塞俄比亚北部提格雷南部6至23个月大儿童家庭菜园蔬菜对减少发育迟缓的贡献。

Contribution of home garden vegetables on reducing stunting among 6- to 23-month-old children in South Tigray, northern Ethiopia.

作者信息

Mahari Hailemariam Tekie, Kahsay Zenebe Abraha, Abraha Girmay Gebresamuel, Abraha Amanuel Zenebe, Henry Carol J, Nickerson Michael T, Mulugeta Bezabih Afework

机构信息

Department of Food Science and Post-Harvest Technology Mekelle University Mekelle Ethiopia.

Department of Agricultural and Resources Economics Mekelle University Mekelle Ethiopia.

出版信息

Food Sci Nutr. 2023 May 22;11(8):4713-4721. doi: 10.1002/fsn3.3435. eCollection 2023 Aug.

Abstract

The study was conducted to analyze the contribution of home garden vegetables in reducing stunting among 6- to 23-month-old children from South Tigray, Northern Ethiopia. The quasi-experimental study design was used. Multistage sampling technique was used to select the districts and study communities. A total of 94 purposively selected vegetable producer (intervention) households and 260 randomly selected non-producer (control) households were included in the study (1:3 ratio). The recumbent length of children was measured using horizontal wooden board to the nearest 0.1 cm. The length-for-age -scores were computed using WHO-Anthro 2006 software. Propensity score-matching and difference-in-difference (DID) estimates were used to analyze data using STATA software version 12. Prevalence of child stunting was 19.8 (12.7-29.4) and 21.1 (16.4-26.7)% (baseline) and 43.5 (33.5-54.1) and 46.5 (45.7-47.2)% (end line) among intervention and control groups, respectively. Child stunting was higher for boys and older children from both intervention and control households. DID estimation revealed that there was no significant difference in child stunting between intervention and control households (DID = 1.7,  = .604). However, there was an intervention effect of -0.5, 2.5, and 1.7% in the prevalence of child stunting among females, males, and both sexes, respectively. Vegetable production as an intervention strategy reduced the prevalence of stunting in children aged 6-23 months. However, vegetable production needs to be well integrated with other nutrition-sensitive interventions to realize the objective of reducing child stunting.

摘要

本研究旨在分析家庭菜园蔬菜对减少埃塞俄比亚北部提格雷南部6至23个月大儿童发育迟缓的贡献。采用了准实验研究设计。使用多阶段抽样技术选择地区和研究社区。共有94户有目的地选择的蔬菜种植户(干预组)和260户随机选择的非种植户(对照组)纳入研究(比例为1:3)。使用水平木板测量儿童的仰卧长度,精确到0.1厘米。使用WHO-Anthro 2006软件计算年龄别身长分数。使用STATA软件版本12,通过倾向得分匹配和双重差分(DID)估计来分析数据。干预组和对照组儿童发育迟缓的患病率分别为19.8(12.7 - 29.4)%和21.1(16.4 - 26.7)%(基线),以及43.5(33.5 - 54.1)%和46.5(45.7 - 47.2)%(终线)。干预组和对照组中,男孩和年龄较大儿童的发育迟缓情况更为严重。DID估计显示,干预组和对照组儿童发育迟缓情况无显著差异(DID = 1.7,P = 0.604)。然而,蔬菜生产对女性、男性和两性儿童发育迟缓患病率的干预效果分别为 - 0.5%、2.5%和1.7%。作为一种干预策略,蔬菜生产降低了6至23个月大儿童的发育迟缓患病率。然而,蔬菜生产需要与其他营养敏感型干预措施充分整合,以实现减少儿童发育迟缓的目标。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/af6f/10420768/04e936ef32b3/FSN3-11-4713-g003.jpg

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