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五岁以下儿童发育迟缓的决定因素:卢旺达尼亚加塔雷区的案例研究。

Determinants of Stunting in Children Under Five Years: A Case Study of Nyagatare District, Rwanda.

作者信息

Habiryayo Vincent, Mizero Olivier, Izabayo Pelagie, Uwizeyimana Janviere, Kwizera Marie Sandrine, Mbarushimana Valens, Sunday François Xavier

机构信息

Public Health, Mount Kenya University, Kigali-Rwanda.

Department of Human Nutrition and Dietetics, School of Public Health, College of Medicine and Health Sciences, University of Rwanda, Kigali, Rwanda.

出版信息

Rwanda J Med Health Sci. 2025 Mar 31;8(1):111-124. doi: 10.4314/rjmhs.v8i1.9. eCollection 2025 Mar.

Abstract

BACKGROUND

Stunting is an indicator of chronic malnutrition. It is highly prevalent in Rwanda and negatively impacts children's survival and overall growth development.

OBJECTIVE

This study aimed to investigate the determinants of stunting among children under five years in Nyagatare District, Rwanda.

METHODS

A quantitative cross-sectional study was conducted in December 2021 involving 253 households with mothers of children under five years of age. The data were collected using structured questionnaires, and anthropometric measurements were taken for both children and mothers. The analyses were performed using WHO Anthro Survey Analyser and SPSS version 21. Findings were reported through frequency tables, bivariate analysis, and logistic regression.

RESULTS

The study found that 19.1% of the children were stunted, and 7.2% severely stunted. Bivariate analysis revealed that, lower level of the mother's education was associated with stunting (p=0.025). Logistic regression analysis indicated that children whose mothers had no education had higher odds of being stunted (OR=3.6, 95%CI: 1.3-9.9, p=0.012) compared to the mothers attained secondary education. Likewise, those whose mothers had primary education had higher odds of stunting (OR=1.7, 95% CI: 0.9-3.3) than those with secondary education.

CONCLUSION

The prevalence of stunting in Nyagatare District remains a concern. Preventing childhood stunting in this rural area, efforts should focus on improving mothers' education.

摘要

背景

发育迟缓是慢性营养不良的一个指标。它在卢旺达非常普遍,对儿童的生存和整体生长发育产生负面影响。

目的

本研究旨在调查卢旺达尼亚加塔雷区五岁以下儿童发育迟缓的决定因素。

方法

2021年12月进行了一项定量横断面研究,涉及253户有五岁以下儿童母亲的家庭。使用结构化问卷收集数据,并对儿童和母亲进行人体测量。分析使用世界卫生组织人体测量调查分析仪和SPSS 21版进行。通过频率表、双变量分析和逻辑回归报告结果。

结果

研究发现19.1% 的儿童发育迟缓,7.2% 严重发育迟缓。双变量分析显示,母亲教育水平较低与发育迟缓有关(p=0.025)。逻辑回归分析表明,与受过中等教育的母亲相比,母亲未受过教育的儿童发育迟缓的几率更高(OR=3.6,95%CI:1.3-9.9,p=0.012)。同样,母亲受过小学教育的儿童发育迟缓的几率(OR=1.7,95%CI:0.9-3.3)高于受过中等教育的儿童。

结论

尼亚加塔雷区发育迟缓的患病率仍然令人担忧。为预防这个农村地区的儿童发育迟缓,应努力提高母亲的教育水平。

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