Gebretsadik Meseret Tamrat, Sisay Assefa Legesse, Tamiru Dessalegn, Belachew Tefera
Department of Nutrition and Dietetics, Public Health Faculty, Institute of Health Jimma University Jimma Ethiopia.
Department of Epidemiology, Public Health Faculty, Institute of Health Jimma University Jimma Ethiopia.
Food Sci Nutr. 2023 Nov 16;12(3):1581-1591. doi: 10.1002/fsn3.3821. eCollection 2024 Mar.
Undernutrition in childhood is a crucial public health issue in Ethiopia. Yet, more than an assessment of undernutrition using conventional index is needed to conclude the overall prevalence of undernutrition among children aged 6-23 months. Therefore, this study aimed to assess the prevalence of undernutrition using composite index of anthropometric failure and its associated factors among children aged 6-23 months in Southwest Ethiopia. A community-based cross-sectional study was employed among 440 mother-child pairs selected using a two-stage cluster sampling method in the rural Kersa district, Jimma Zone, Southwest Ethiopia. A pretested structured questionnaire was used to collect data. Multivariable logistic regression analysis was employed to identify factors associated with undernutrition. Variables with a -value of <.05 were considered statistically significant. The proportion of undernutrition using composite indexes of anthropometric failure was 57.3% among children aged 6-23 months. Children being male [AOR = 1.55; 95% CI (1.013, 2.373)], not met minimum acceptable diet (MAD) [AOR = 2.104; 95% CI (1.05, 4.214)], larger family size [AOR = 1.699; 95% CI (1.0791, 2.675)], having comorbidity [AOR = 3.31; 95% CI (2.068, 5.327)], and being in food insecurity household [AOR = 3.12; 95% CI (2.0, 4.868)] were more likely to be in anthropometric failure, whereas children from the mother who attended higher and above schooling [AOR = 0.244; 95% CI (0.093, 0.641)] were less likely to be in anthropometric failure. More than half of children aged 6-23 months were experienced anthropometric failure. Male children, those who have not received the MAD, come from larger families, have comorbidities, live in food-insecure households, and have mothers with higher education levels were found to be at higher risk of anthropometric failure.
儿童营养不良是埃塞俄比亚一个至关重要的公共卫生问题。然而，要得出6至23个月大儿童中营养不良的总体患病率，仅使用传统指标评估营养不良是不够的。因此，本研究旨在利用人体测量失败综合指数评估埃塞俄比亚西南部6至23个月大儿童中营养不良的患病率及其相关因素。在埃塞俄比亚西南部吉马地区克萨农村地区，采用两阶段整群抽样方法选取了440对母婴，开展了一项基于社区的横断面研究。使用经过预测试的结构化问卷收集数据。采用多变量逻辑回归分析来确定与营养不良相关的因素。P值<0.05的变量被认为具有统计学意义。在6至23个月大的儿童中，使用人体测量失败综合指数得出的营养不良比例为57.3%。男性儿童[AOR = 1.55；95% CI(1.013, 2.373)]、未达到最低可接受饮食(MAD)[AOR = 2.104；95% CI(1.05, 4.214)]、家庭规模较大[AOR = 1.699；95% CI(1.0791, 2.675)]、患有合并症[AOR = 3.31；95% CI(2.068, 5.327)]以及生活在粮食不安全家庭[AOR = 3.12；95% CI(2.0, 4.868)]的儿童更有可能出现人体测量失败，而母亲接受过高中及以上教育的儿童出现人体测量失败的可能性较小[AOR = 0.244；95% CI(0.093, 0.641)]。超过一半的6至23个月大儿童出现了人体测量失败。研究发现，男性儿童、未接受最低可接受饮食的儿童、来自大家庭的儿童、患有合并症的儿童、生活在粮食不安全家庭的儿童以及母亲受教育程度较高的儿童出现人体测量失败的风险更高。
