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确定适当的政策目标以降低印度尼西亚城市贫困社区五岁以下儿童发育迟缓的患病率:2022 年印度尼西亚国家营养状况调查的二次数据分析。

Determination of appropriate policy targets to reduce the prevalence of stunting in children under five years of age in urban-poor communities in Indonesia: a secondary data analysis of the 2022 Indonesian national nutritional status survey.

机构信息

National Research and Innovation Agency Republic of Indonesia, Central Jakarta, Jakarta, Indonesia

National Research and Innovation Agency Republic of Indonesia, Central Jakarta, Jakarta, Indonesia.

出版信息

BMJ Open. 2024 Sep 20;14(9):e089531. doi: 10.1136/bmjopen-2024-089531.

Abstract

OBJECTIVE

Based on previous studies, urban-poor societies are very vulnerable to stunted children under five. The study aims to determine the appropriate policy targets to reduce the prevalence of stunted under-five children in urban-poor communities in Indonesia.

DESIGN

A study was conducted using a secondary data analysis. The study analysed existing data from the 2022 Indonesian National Nutritional Status Survey.

SETTING AND PARTICIPANTS

At the national level, Indonesia encompassed 43 284 toddlers.

INTERVENTIONS

Non-intervention study.

PRIMARY AND SECONDARY OUTCOMES

The study's eight independent factors were the mother's age, education, marital status, employment, wealth, antenatal care (ANC), children's age and sex, with nutritional status as the dependent variable. We employed a binary logistic regression test for the most recent exam.

RESULTS

Maternal age was related to stunted toddlers in communities of urban poor in Indonesia. The lower the education, the higher the possibility of having stunted kids. Unemployed mothers were 1.153 times more likely than employed mothers to have stunted under-five children (95% CI 1.145 to 1.160). The poorest were 1.235 times more likely to get stunted under-five than the poorer (95% CI 1.227 to 1.242). Mothers without ANC during pregnancy were 1.212 times more likely to get stunted kids than those with ANC during pregnancy (95% CI 1.186 to 1.240). All kids' ages were more probable than 0-11 to be stunted. Boys were 1.099 times more likely to be stunted than girls (AOR 1.099; 95% CI 1.093 to 1.105).

CONCLUSION

The appropriate policy targets to reduce the prevalence of stunted under-five children in urban-poor communities in Indonesia were younger mothers, those with poor education, those unemployed, the most impoverished, those without ANC, those with older under-five and those with boy kids.

摘要

目的

基于以往的研究,城市贫困社会中五岁以下发育迟缓儿童非常脆弱。本研究旨在确定适当的政策目标,以降低印度尼西亚城市贫困社区五岁以下发育迟缓儿童的患病率。

设计

使用二次数据分析进行研究。该研究分析了 2022 年印度尼西亚国家营养状况调查的现有数据。

设置和参与者

在国家层面上,印度尼西亚涵盖了 43284 名幼儿。

干预措施

非干预研究。

主要和次要结果

该研究的八个独立因素是母亲的年龄、教育程度、婚姻状况、就业状况、财富、产前护理(ANC)、儿童年龄和性别,营养状况为因变量。我们采用最近一次考试的二项逻辑回归检验。

结果

母亲年龄与印度尼西亚城市贫困社区发育迟缓的幼儿有关。教育程度越低,发育迟缓儿童的可能性越高。失业母亲生育发育迟缓五岁以下儿童的可能性是就业母亲的 1.153 倍(95%CI1.145-1.160)。最贫困的人比较贫困的人更容易发育迟缓,可能性是 1.235 倍(95%CI1.227-1.242)。怀孕期间没有 ANC 的母亲生育发育迟缓儿童的可能性是怀孕期间有 ANC 的母亲的 1.212 倍(95%CI1.186-1.240)。所有儿童的年龄都比 0-11 岁更有可能发育迟缓。男孩比女孩发育迟缓的可能性高 1.099 倍(AOR1.099;95%CI1.093-1.105)。

结论

印度尼西亚降低城市贫困社区五岁以下发育迟缓儿童患病率的适当政策目标是年轻母亲、受教育程度低的母亲、失业母亲、最贫困的母亲、没有 ANC 的母亲、五岁以下儿童年龄较大的母亲和男孩儿童的母亲。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d331/11418495/dfb9f1b518e1/bmjopen-14-9-g001.jpg

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