肯尼亚基图伊县6至59个月儿童发育迟缓的预测因素
Predictors of stunting among children aged 6-59 months in Kitui County, Kenya.
作者信息
Chui Morris K, Osero Justus O, Mugo Judy W
机构信息
Department of Family Medicine, Community Health and Epidemiology, School of Health Sciences, Kenyatta University, P.O.Box 43844-00100 Nairobi, Kenya.
Department of Family Medicine, Community Health and Epidemiology, Kenyatta University, P.O.Box 43844-00100 Nairobi, Kenya.
出版信息
Afr Health Sci. 2024 Dec;24(4):420-430. doi: 10.4314/ahs.v24i4.52.
BACKGROUND
Stunting in children below the age of five is a significant public health problem in Kenya. Stunting has transitory and lifelong effects on people and communities, including high risk of morbidity and death, lowered mental and physical growth, and decreased productivity.
OBJECTIVE
To investigate the predictors of stunting in children aged 6 to 59 months in Kitui County, Kenya.
METHODS
This was a cross-sectional analytical survey that used multistage cluster sampling. Data were gathered through questionnaires, interviews with key informants and discussions with focus groups. Anthropometric measurements were taken to assess the rate of stunting.
RESULTS
The stunting rate was 26.6%. The independent predictors of stunting included birth weight < 2500 grams (AOR = 2.302; 95% CI: 1.027-6.150; p: 0.043), having secondary education (AOR = 5.404; 95% CI: 1.607-18.173; p: 0.006), mother's MUAC < 23 cm (AOR = 2.845; 95% CI: 1.125-7.192; p:0.012), and having no access to a latrine/toilet (AOR = 0.008; 95% CI: 0.009-0.561; p: 0.013).
CONCLUSIONS
Stunting was high and was influenced by sociodemographic factors, and the household environment.
背景
五岁以下儿童发育迟缓是肯尼亚一个严重的公共卫生问题。发育迟缓对个人和社区有短期和长期影响，包括高发病和死亡风险、身心发育受影响以及生产力下降。
目的
调查肯尼亚基图伊县6至59个月儿童发育迟缓的预测因素。
方法
这是一项采用多阶段整群抽样的横断面分析调查。通过问卷调查、与关键信息提供者访谈以及与焦点小组讨论收集数据。进行人体测量以评估发育迟缓率。
结果
发育迟缓率为26.6%。发育迟缓的独立预测因素包括出生体重<2500克（比值比=2.302；95%置信区间：1.027 - 6.150；p值：0.043）、接受过中等教育（比值比=5.404；95%置信区间：1.607 - 18.173；p值：0.006）、母亲的上臂中段臂围<23厘米（比值比=2.845；95%置信区间：1.125 - 7.192；p值：0.012）以及没有厕所（比值比=0.008；95%置信区间：0.009 - 0.561；p值：0.013）。
结论
发育迟缓率较高，且受社会人口学因素和家庭环境影响。
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