Deybasso Haji Aman, Belda Eyerusalem Shiferaw, Habtewold Ephrem Mannekulih
Department of Public Health, Adama Hospital Medical College, Adama, Ethiopia.
BMC Pediatr. 2025 Jul 3;25(1):526. doi: 10.1186/s12887-025-05854-8.
BACKGROUND: Multiple anthropometric failures are now used to describe children who exhibit anthropometric failures, such as stunting, underweight, and wasting, all of which can occur simultaneously in children under the age of five due to common causal factors. Compared to children with an isolated anthropometric failure, the risk of death for children with composite indicator anthropometric failures is higher and is analogous to being severely wasted. The objective of this study was to assess the prevalence of composite indicator anthropometric failures and associated factors among children aged 6-59 months in Mojo Town, Oromia Regional State in Ethiopia. METHODS: A community-based cross-sectional study was conducted among randomly selected 461 children and mothers/caregivers. Data were collected using structured interviewer-administered questionnaires and anthropometric measurements. The collected data were checked, coded, and entered into Epi info 7 version 3.1 and exported to the statistical package for Social Science version 25 for further analysis. Descriptive statistics were used to describe the study population. Bivariate logistic regression analysis was conducted to select candidate variables for multivariate logistic regression analysis at a p-value < 0.25. Multivariate logistic regression was used to assess the associations between independent and dependent variables. The strength of association was estimated using an adjusted odds ratio with a 95% confidence interval. Statistical significance was declared at p-value < 0.05. RESULT: The prevalence of composite indicator anthropometric failures was 24.5% [95% CI: 20.8, 28.8] among 6-59 month children. Family size of > = 5 [AOR = 1.75, 95% CI: 1.04, 2.97], presence of fever [AOR: 2.37, 95% CI: 1.39-4.08], low dietary diversity score [AOR: 2.20; 95% CI: 1.23, 4.108], children age category of 48-59 month [AOR: 2.59; 95%CI: 1.06, 6.37] and household food insecurity [AOR: 2.21; 95%CI: 1.38, 3.55] were significantly associated with composite index anthropometric failures. CONCLUSION: A quarter of children aged 6-59 months in the study area were exposed to composite indicator anthropometric failures. Family size, the presence of fever, dietary diversity, household food status, and child age were positively associated with composite index anthropometric failures.
背景:现在使用多种人体测量指标异常来描述出现人体测量指标异常的儿童,例如发育迟缓、体重不足和消瘦,由于共同的因果因素,所有这些情况都可能在五岁以下儿童中同时出现。与仅有一种人体测量指标异常的儿童相比,具有综合指标人体测量指标异常的儿童死亡风险更高,类似于严重消瘦的情况。本研究的目的是评估埃塞俄比亚奥罗米亚州莫乔镇6至59个月儿童中综合指标人体测量指标异常的患病率及相关因素。 方法:对随机选取的461名儿童及其母亲/照料者进行了一项基于社区的横断面研究。使用结构化访谈问卷收集数据并进行人体测量。对收集到的数据进行检查、编码,录入Epi info 7版本3.1,并导出到社会科学统计软件包版本25进行进一步分析。使用描述性统计来描述研究人群。进行双变量逻辑回归分析,以选择p值<0.25的多变量逻辑回归分析的候选变量。使用多变量逻辑回归来评估自变量和因变量之间的关联。使用调整后的比值比和95%置信区间来估计关联强度。p值<0.05时具有统计学意义。 结果:在6至59个月的儿童中,综合指标人体测量指标异常的患病率为24.5%[95%置信区间:20.8,28.8]。家庭规模≥5[AOR=1.75,95%置信区间:1.04,2.97]、发烧[AOR:2.37,95%置信区间:1.39 - 4.08]、饮食多样性得分低[AOR:2.20;95%置信区间:1.23,4.108]、48至59个月的儿童年龄组[AOR:2.59;95%置信区间:1.06,6.37]以及家庭粮食不安全[AOR:2.21;95%置信区间:1.38,3.55]与综合指标人体测量指标异常显著相关。 结论:研究区域内四分之一的6至59个月儿童存在综合指标人体测量指标异常。家庭规模、发烧情况(是否发烧)、饮食多样性、家庭粮食状况和儿童年龄与综合指标人体测量指标异常呈正相关。
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