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探讨母亲婚姻状况对儿童健康的影响:来自 2022 年坦桑尼亚人口与健康调查的见解。

Exploring the impact of maternal marital status on child health: insights from the 2022 Tanzanian Demographic and Health Survey.

机构信息

School of Economics, Makerere University.

Department of Economics, Kyambogo University.

出版信息

Afr J Reprod Health. 2024 Jul 31;28(7):91-101. doi: 10.29063/ajrh2024/v28i7.10.

DOI:10.29063/ajrh2024/v28i7.10
PMID:39101631
Abstract

The SDG 2.2 targets the end of all forms of malnutrition by 2030. Despite the efforts by the Tanzania government to attain this goal, over 30 percent of children under-five are stunted. This study explored the relationship between maternal marital status and child health outcomes in Tanzania using the Tanzania Demographic and Health Survey data set of 2022. A multiple logistic regression was conducted with the binary outcome variable "Stunted," using predictors such as the mother's age and education level, the child's birth size, birth order, and gender, as well as other household characteristics. The study findings highlight a significant association between maternal marital status and child stuntedness. The mothers in a marriage relationship are 30% less likely to have stunted children (OR=0.70, 95%CI, 0.56-0.86) compared to the mothers outside the marriage relationship. Mothers with primary and secondary education or higher, show a lower likelihood of having stunted children (OR=0.90, 95%CI 0.70-1.17) and (OR=0.68, 95%CI 0.44- 1.03) respectively compared to their uneducated counterparts. In other words, a mother being married or educated reduces the odds of her children being stunted. The probability of child stuntedness reduces as the wealth quintile of the household increases. This study contributes to the understanding of the factors influencing child health outcomes in Tanzania especially the role of marriage.

摘要

可持续发展目标 2.2 旨在 2030 年底消除所有形式的营养不良。尽管坦桑尼亚政府为此做出了努力,但仍有超过 30%的五岁以下儿童发育迟缓。本研究利用 2022 年坦桑尼亚人口与健康调查数据集,探讨了坦桑尼亚母亲婚姻状况与儿童健康结果之间的关系。采用二元因变量“发育迟缓”,使用母亲年龄和受教育程度、儿童出生体重、出生顺序和性别以及其他家庭特征等预测因素进行了多项逻辑回归。研究结果表明,母亲婚姻状况与儿童发育迟缓之间存在显著关联。处于婚姻关系中的母亲,其子女发育迟缓的可能性降低了 30%(OR=0.70,95%CI,0.56-0.86),而处于婚姻关系之外的母亲则增加了 30%(OR=1.30,95%CI,1.04-1.63)。与未受过教育的母亲相比,受过小学及以上教育的母亲,其子女发育迟缓的可能性分别降低了 10%(OR=0.90,95%CI 0.70-1.17)和 30%(OR=0.68,95%CI 0.44- 1.03)。换句话说,母亲结婚或受教育程度会降低子女发育迟缓的几率。随着家庭财富五分位数的增加,儿童发育迟缓的概率降低。本研究有助于了解影响坦桑尼亚儿童健康结果的因素,特别是婚姻的作用。

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