Department of Community Medicine, Faculty of Medicine and Health Sciences, Sana'a University, Sana'a, Yemen.
Field Epidemiology Training Programme, Ministry of Public Health and Population, Sana'a, Yemen.
J Nutr Sci. 2023 Aug 4;12:e91. doi: 10.1017/jns.2023.72. eCollection 2023.
Concurrent wasting and stunting (WaSt) is a serious form of malnutrition among young children, particularly vulnerable groups affected by the conflict. Understanding the prevalence and risk factors of WaSt among vulnerable children is important to develop effective intervention measures to reduce the burden of WaSt. The present study aimed to identify the prevalence of and risk factors for WaSt among marginalised children aged 6-59 months in Sana'a city, Yemen. A community-based cross-sectional design was conducted on a total sample size of 450 marginalised children aged 6-59 months who lived at home with their mothers. Multivariable logistic regression analysis was performed and the prevalence of WaSt was found to be 10⋅7 %. Children aged 24-59 months were protected from WaSt (adjusted odds ratio (AOR) 0⋅40, 95 % confidence interval (CI) 0⋅21, 0⋅75). A higher prevalence of WaSt was associated with male sex (AOR 2⋅31, 95 % CI 1⋅13, 4⋅71), no history of being breastfed (AOR 3⋅57, 95 % CI 1⋅23, 10⋅39), acute diarrhoea (AOR 2⋅12, 95 % CI 1⋅12, 4⋅02) and family income sources of assistance from others (AOR 2⋅74, 95 % CI 1⋅08, 6⋅93) or salary work (AOR 2⋅22, 95 % CI 1⋅10, 4⋅47). Continued breast- and bottle-feeding were not associated with WaSt in children aged 6-23 months. Mothers' age, education and work status, family size and drinking water source were not associated with WaSt. Overall, we found that the prevalence of WaSt among marginalised children remained high. Interventions to improve household income, hygienic conditions and child feeding practices are necessary to promote child growth.
同时存在消瘦和发育迟缓（WaSt）是幼儿中一种严重的营养不良形式，尤其是受冲突影响的脆弱群体。了解脆弱儿童中 WaSt 的流行情况和风险因素对于制定有效干预措施以减轻 WaSt 的负担非常重要。本研究旨在确定也门萨那市 6-59 个月大的边缘儿童 WaSt 的流行情况和风险因素。对 450 名居住在家中与母亲一起的 6-59 个月大的边缘儿童进行了基于社区的横断面设计。进行了多变量逻辑回归分析，发现 WaSt 的患病率为 10.7%。24-59 个月大的儿童可免受 WaSt 的影响（调整后的优势比（AOR）0.40，95%置信区间（CI）0.21，0.75）。较高的 WaSt 患病率与男性（AOR 2.31，95%CI 1.13，4.71）、无母乳喂养史（AOR 3.57，95%CI 1.23，10.39）、急性腹泻（AOR 2.12，95%CI 1.12，4.02）和家庭收入来源（AOR 2.74，95%CI 1.08，6.93）或工资工作（AOR 2.22，95%CI 1.10，4.47）有关。6-23 个月大的儿童持续母乳喂养和奶瓶喂养与 WaSt 无关。母亲的年龄、教育和工作状况、家庭规模和饮用水来源与 WaSt 无关。总体而言，我们发现边缘儿童的 WaSt 患病率仍然很高。需要改善家庭收入、卫生条件和儿童喂养习惯的干预措施，以促进儿童生长。
