铁元素丰富的食物摄入与埃塞俄比亚 6-59 月龄儿童的相关因素分析：基于 2005-2016 年全国代表性数据

Iron-rich food consumption and predictors among children aged 6-59 months old in Ethiopia using 2005-2016 national representative data.

机构信息

Department of Public Health, Madda Walabu University, Goba, Ethiopia.

Department of English, Addis Ababa University, Addis Ababa, Ethiopia.

出版信息

Sci Rep. 2024 Nov 1;14(1):26319. doi: 10.1038/s41598-024-78167-y.

DOI:10.1038/s41598-024-78167-y

PMID:39487304

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11530540/

Abstract

Children who do not consume enough iron have decreased growth, reduced immunity, and poor cognitive development. This study aimed to assess the pooled iron-rich food consumption, trends, and predictors among children aged 6-59 months old in Ethiopia. This study used Ethiopian demographic and health survey (EDHS-2005-2016) data with a total weighted sample size of 26,773 among children aged 6-59 months old. A multilevel mixed-effects logistic regression analysis was used to identify predictors of good iron-rich food consumption. The pooled proportion of iron-rich food consumed among children aged 6-59 months in Ethiopia was 11.77% (10.71, 12.92%). In Ethiopia, the proportion of iron-rich food intake by children aged 6-59 months was slightly increased from 9.25% (8.04, 10.62%) in EDHS 2005 to 10.86% (9.06, 12.95%) in EDHS 2011, and sharply increased to 17.49% (15.04, 20.24%) in EDHS 2016. The findings indicated that being children born to mothers aged 20 to 34 years old [AOR = 0.56, 95% CI: 0.35, 0.89], mothers aged ≥ 35 years old [AOR = 0.47, 95% CI: 0.28, 0.82], married parents [AOR = 1.68, 95% CI: 1.14, 2.48], completed primary education [AOR = 1.32, 95% CI: 1.02, 1.73], secondary education [AOR = 2.66, 95% CI: 1.53, 4.59], a higher education status of mother [AOR = 3.98, 95% CI: 1.92, 8.23], medium family [AOR = 1.39, 95% CI: 1.03, 1.89], rich family [AOR = 1.45, 95% CI: 1.09, 1.95], media exposure [AOR = 1.35, 95% CI: 1.06, 1.72], residents of the Tigray [AOR = 2.69, 95% CI: 1.51, 4.79], Oromia [AOR = 3.30, 95% CI: 1.30, 4.02], Benishangul [AOR = 2.12, 95% CI: 1.15, 3.88], Gambela [AOR = 5.85, 95% CI: 2.97, 11.50], and Dire Dawa region [AOR = 3.38, 95% CI: 1.76, 6.47], were significantly associated with good iron-rich food consumption among children aged 6-59 months old. The findings revealed that iron-rich food intake was considerably low among Ethiopian children aged 6-59 months. Increasing women's literacy and economic empowerment improves iron-rich food consumption among children aged 6-59 months old.

摘要

儿童如果缺铁，其生长发育会减缓，免疫力降低，认知能力也会受到影响。本研究旨在评估埃塞俄比亚 6-59 个月大的儿童中富含铁的食物的总体消费情况、趋势和预测因素。本研究使用了埃塞俄比亚人口与健康调查（EDHS-2005-2016）的数据，其中 6-59 个月大的儿童的总加权样本量为 26773。采用多水平混合效应逻辑回归分析来识别良好的富含铁食物消费的预测因素。6-59 个月大的儿童中富含铁的食物的总比例为 11.77%（10.71，12.92%）。在埃塞俄比亚，6-59 个月大的儿童摄入富含铁的食物的比例从 2005 年 EDHS 的 9.25%（8.04，10.62%）略有增加到 2011 年 EDHS 的 10.86%（9.06，12.95%），到 2016 年 EDHS 急剧增加到 17.49%（15.04，20.24%）。研究结果表明，母亲年龄在 20 至 34 岁的儿童（AOR=0.56，95%CI：0.35，0.89）、母亲年龄在 35 岁以上的儿童（AOR=0.47，95%CI：0.28，0.82）、已婚父母的儿童（AOR=1.68，95%CI：1.14，2.48）、完成小学教育的儿童（AOR=1.32，95%CI：1.02，1.73）、完成中学教育的儿童（AOR=2.66，95%CI：1.53，4.59）、母亲受过高等教育的儿童（AOR=3.98，95%CI：1.92，8.23）、中等家庭的儿童（AOR=1.39，95%CI：1.03，1.89）、富裕家庭的儿童（AOR=1.45，95%CI：1.09，1.95）、接触媒体的儿童（AOR=1.35，95%CI：1.06，1.72）、居住在提格雷（AOR=2.69，95%CI：1.51，4.79）、奥罗莫（AOR=3.30，95%CI：1.30，4.02）、本尚古勒-古马兹（AOR=2.12，95%CI：1.15，3.88）、甘贝拉（AOR=5.85，95%CI：2.97，11.50）和德雷达瓦（AOR=3.38，95%CI：1.76，6.47）地区的儿童与 6-59 个月大的儿童良好的富含铁的食物消费显著相关。研究结果表明，埃塞俄比亚 6-59 个月大的儿童中富含铁的食物摄入量相当低。提高妇女的文化程度和经济赋权可以改善 6-59 个月大儿童的富含铁的食物消费。