锌的利用、趋势和预测:埃塞俄比亚五岁以下腹泻儿童的 pooled 分析。

Zinc utilisation, trends, and predictors among under-five children with diarrhoea in Ethiopia: A pooled analysis.

机构信息

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

出版信息

PLoS One. 2024 Nov 19;19(11):e0314127. doi: 10.1371/journal.pone.0314127. eCollection 2024.

Abstract

Zinc has a significant benefit in saving children's lives. It decreases severity, diarrhoeal duration, and death rates. However, evidence on zinc utilisation, trends, and predictors among under-five children with diarrhoea in Ethiopia was sparse and inconclusive. This study aimed to assess the pooled zinc utilisation, trends, and predictors among under-five children with diarrhoea in Ethiopia. This study used Ethiopian demographic and health survey (EDHS-2005-2016) data with a total weighted sample size of 29,525 among under-five children with diarrhea. A multilevel mixed-effects logistic regression analysis was used to identify predictors of zinc utilisation. An adjusted odds ratio (AOR) along with a 95% confidence interval (CI) was used to estimate the strength of the association. The pooled zinc utilisation among under-five children in Ethiopia was 8.96% (95% CI: 7.44, 10.76%). In Ethiopia, the proportion of zinc utilisation by under-five children decreased from 0.22% (95% CI: 0.07, 0.74%) in EDHS 2005 to 0.04% (95% CI: 0.00, 0.22%) in EDHS 2011, and sharply increased to 33.60% in EDHS 2016. After adjusting for other background characteristics, having mothers complete primary education [AOR = 3.16, 95% CI: 1.57, 6.35] was a significant predictor of zinc utilisation among under-five children with diarrhea. The findings revealed that zinc utilisation was considerably low among Ethiopian under-five children with diarrhoea compared to reports from low-income countries. Ethiopia should pursue strategies to boost zinc utilisation in this group of population.

摘要

锌在拯救儿童生命方面具有重要意义。它可以降低严重程度、腹泻持续时间和死亡率。然而,关于埃塞俄比亚五岁以下腹泻儿童中锌的利用、趋势和预测因素的证据很少且没有定论。本研究旨在评估埃塞俄比亚五岁以下腹泻儿童中锌的利用、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,其中五岁以下腹泻儿童的总加权样本量为 29525 人。采用多水平混合效应逻辑回归分析来确定锌利用的预测因素。使用调整后的优势比(AOR)及其 95%置信区间(CI)来估计关联的强度。埃塞俄比亚五岁以下儿童中锌的利用率为 8.96%(95%CI:7.44,10.76%)。在埃塞俄比亚,五岁以下儿童锌的利用率从 EDHS 2005 年的 0.22%(95%CI:0.07,0.74%)下降到 EDHS 2011 年的 0.04%(95%CI:0.00,0.22%),然后急剧上升到 EDHS 2016 年的 33.60%。在调整其他背景特征后,母亲完成小学教育(AOR=3.16,95%CI:1.57,6.35)是五岁以下腹泻儿童锌利用的显著预测因素。研究结果表明,与来自低收入国家的报告相比,埃塞俄比亚五岁以下腹泻儿童的锌利用率相当低。埃塞俄比亚应采取策略来提高这一人群的锌利用率。

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