城乡差异与孟加拉国儿童功能障碍相关因素的横断面研究。
Urban-rural difference in factors associated with childhood functional difficulty in Bangladesh: a cross-sectional study.
机构信息
Department of Population Science and Human Resource Development, University of Rajshahi, Rajshahi, Bangladesh.
Department of Public Health, First Capital University of Bangladesh, Chuadanga, Bangladesh.
出版信息
Front Public Health. 2023 Nov 2;11:1270853. doi: 10.3389/fpubh.2023.1270853. eCollection 2023.
OBJECTIVE
Early childhood functional difficulty poses a substantial worldwide public health challenge, leading to adverse effects on children's quality of life and overall productivity. Moreover, it represents a significant social and economic problem in Bangladesh. Therefore, the current study aimed to identify factors contributing to childhood functional difficulty in Bangladesh within the context of urban-rural areas.
METHODS
A nationally representative cross-sectional survey data from Multiple Indicator Cluster Survey (MICS), 2019 in Bangladesh was used in this study. Chi-square test and multivariable logistic regression analyses were carried out to identify factors associated with childhood functional difficulty.
RESULTS
Functional difficulties were found in approximately 3.3% of children 2-4 years of age in urban areas and 2.5% in rural areas. Having a mother with functional difficulties and undernutrition were identified as significant factors common in both urban and rural areas. Further, mothers who had no formal education (AOR = 2.76, 95%CI = 1.18-6.45) and experienced infant death (AOR = 1.94, 95%CI = 1.01-3.70) were identified as significant factors of functional difficulty in urban areas. On the other hand, in rural areas, no access to mass media, children with acute respiratory infection (ARI) (AOR = 2.13, 95%CI = 1.39-3.28), female sex (AOR = 0.69, 95%CI = 0.53-0.91), child undernutrition (AOR = 1.73, 95%CI = 1.32-2.27) and poorer socio-economic status (AOR = 1.95, 95%CI = 1.08-3.55) were found significant factors.
CONCLUSION
Functional difficulty was found to be present in one out of every 35 children age 2 to 4 years in Bangladesh. Childhood functional difficulties were reported slightly higher in urban areas as compared to rural areas. Reducing childhood difficulties in urban areas demands comprehensive strategies: quality healthcare, inclusive education, community support, better information systems, and collaboration. To achieve urban-rural parity in child health, address disparities in economic development, healthcare, and education, especially for girls.
目的
儿童早期功能障碍是一个全球性的重大公共卫生挑战，对儿童的生活质量和整体生产力产生不良影响。此外，这也是孟加拉国的一个重大社会和经济问题。因此，本研究旨在探讨城乡地区导致孟加拉国儿童功能障碍的因素。
方法
本研究使用了 2019 年孟加拉国多指标类集调查（MICS）的全国代表性横断面调查数据。采用卡方检验和多变量逻辑回归分析来识别与儿童功能障碍相关的因素。
结果
城市地区 2-4 岁儿童中约有 3.3%存在功能障碍，农村地区为 2.5%。母亲存在功能障碍和营养不良是城乡地区共同的显著因素。此外，母亲未接受正规教育（AOR=2.76，95%CI=1.18-6.45）和经历过婴儿死亡（AOR=1.94，95%CI=1.01-3.70）是城市地区儿童功能障碍的显著因素。另一方面，在农村地区，无法获得大众媒体、儿童患急性呼吸道感染（ARI）（AOR=2.13，95%CI=1.39-3.28）、女孩（AOR=0.69，95%CI=0.53-0.91）、儿童营养不良（AOR=1.73，95%CI=1.32-2.27）和较差的社会经济地位（AOR=1.95，95%CI=1.08-3.55）是显著因素。
结论
研究发现，孟加拉国 2 至 4 岁儿童中每 35 名儿童中就有 1 名存在功能障碍。城市地区儿童功能障碍的报告略高于农村地区。为了在城乡地区实现儿童健康的均等化，需要制定综合战略，包括提供优质的医疗保健、包容性教育、社区支持、更好的信息系统以及合作。为了解决城乡地区儿童健康方面的差距，特别是针对女孩，需要解决经济发展、医疗保健和教育方面的差距。
Zotero 插件