El Moussaoui Soufiane, Kaoutar Kamal, Chetoui Ahmed, Boutahar Keltoum, El Kardoudi Abdeslam, Najimi Mohamed, Bourrous Mounir, Chigr Fatiha
Biological Engineering Laboratory, Faculty of Sciences and Techniques, Sultan Moulay Slimane University, Beni Mellal, Morocco.
Mohamed VI University Hospital, Marrakesh, Morocco.
Port J Public Health. 2024 Aug 1;42(3):231-239. doi: 10.1159/000540091. eCollection 2024 Dec.
Malnutrition is the most common nutritional disorder in developing countries and it remains one of the most common causes of morbidity and mortality among children worldwide. Therefore, the current study aimed to assess the prevalence of wasting and its associated factors among under-five children in Marrakesh province in Morocco.
A community-based cross-sectional study design was used to determine the prevalence of wasting and its associated factors among under-5 years old children. A structured questionnaire was used to collect data from 430 children paired with their mothers. Anthropometric measurements and determinant factors were collected. SPSS version 19.0 statistical software was used for analysis. Multivariate logistic regression analysis was conducted to identify factors associated to the wasting of the children. Statistical association was declared significant if value was less than0.05.
In this study, the prevalence of wasting was 9.3%. The proportions of severe and moderate wasting children were 6.5% and 2.8%, respectively. Higher odds of wasting children among illiterate mothers were 17 times more likely compared with mothers with high levels (ORa = 17.17; 95% CI: 1.01-13.70). In line with this, the odds of wasting children among lower household incomes were 13 times more likely when compared to those with higher household incomes (ORa = 13.114; 95% CI: 1.13-7.60). Similarly, the odds of wasting children among mothers primiparous were 12 times more likely compared with multiparous (ORa = 12.88; 95% CI: 1.04-4.08). The odds of wasting children were more observed among children who did not benefit from exclusive breastfeeding (ORa = 12.297; 95% CI: 2.47-13.03, 1.03-5.34).
The current study showed that the prevalence of wasting among under-five children in Marrakesh province was relatively common. Mother's education level, household income, parity, and exclusive breastfeeding were significantly associated with wasting. Therefore, nutritional educational intervention programs in Marrakesh province should focus on these factors.
营养不良是发展中国家最常见的营养失调问题，并且仍然是全球儿童发病和死亡的最常见原因之一。因此，本研究旨在评估摩洛哥马拉喀什省五岁以下儿童消瘦症的患病率及其相关因素。
采用基于社区的横断面研究设计来确定五岁以下儿童消瘦症的患病率及其相关因素。使用结构化问卷从430名儿童及其母亲那里收集数据。收集人体测量数据和决定因素。使用SPSS 19.0版统计软件进行分析。进行多变量逻辑回归分析以确定与儿童消瘦相关的因素。如果p值小于0.05，则表明存在显著的统计关联。
在本研究中，消瘦症的患病率为9.3%。重度和中度消瘦儿童的比例分别为6.5%和2.8%。文盲母亲的孩子消瘦的几率比高学历母亲的孩子高17倍（优势比a = 17.17；95%置信区间：1.01 - 13.70）。与此一致的是，家庭收入较低的孩子消瘦的几率比家庭收入较高的孩子高13倍（优势比a = 13.114；95%置信区间：1.13 - 7.60）。同样，初产妇的孩子消瘦的几率比经产妇的孩子高12倍（优势比a = 12.88；95%置信区间：1.04 - 4.08）。未进行纯母乳喂养的孩子消瘦的几率更高（优势比a = 12.297；95%置信区间：2.47 - 13.03，1.03 - 5.34）。
本研究表明，马拉喀什省五岁以下儿童消瘦症的患病率相对较高。母亲的教育水平、家庭收入、胎次和纯母乳喂养与消瘦显著相关。因此，马拉喀什省的营养教育干预项目应关注这些因素。
