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卢旺达五岁以下儿童发育迟缓:计划生育状况、家庭规模与构成的影响

Stunting among Under Five Years Old Children in Rwanda: Influences of Family Planning Status and Household Size and Composition.

作者信息

Bigirimana Jean Bosco

机构信息

College of Medicine and Health Sciences, University of Rwanda, Kigali, Rwanda.

出版信息

Rwanda J Med Health Sci. 2021 Apr 8;4(1):112-130. doi: 10.4314/rjmhs.v4i1.9. eCollection 2021 Apr.

Abstract

BACKGROUND

Stunting is one of the main challenges resulting in high child mortality and morbidity thought out the world, especially in many developing countries, including Rwanda. The overall prevalence rate of stunting is estimated at around 38% of under five years old children in Rwanda.

OBJECTIVE

To examine the influences of household size and composition and family planning status on stunting among children under five in Rwanda.

METHODS

The current study is a nationally representative cross-sectional study that used the secondary data analysis of Rwanda Demographic and Health Survey (DHS) 2014-2015. Logistic regression analysis was used to examine the association between family planning and household size and composition.

RESULTS

The sum-total of children under five in the household (log odds=0.373(<.05), CI=0.0577, 0.689), maternal age at childbirth (log odds=-0.682(<.05), CI=-1.222, -0.141), fertility preference (log odds =-0.296(<.05), CI=-0.549, -0.0427), and unmet need for family planning (log odds = 0.297(<.05), CI= 0.0193, 0.574) were statistically significant associated with stunting among studied children.

CONCLUSION

The findings of this study suggest a significant association between stunting and family planning and household size and composition.

摘要

背景

发育迟缓是导致全球儿童高死亡率和高发病率的主要挑战之一,尤其是在包括卢旺达在内的许多发展中国家。据估计,卢旺达五岁以下儿童发育迟缓的总体患病率约为38%。

目的

研究卢旺达五岁以下儿童家庭规模、家庭构成和计划生育状况对发育迟缓的影响。

方法

本研究是一项具有全国代表性的横断面研究,采用了2014 - 2015年卢旺达人口与健康调查(DHS)的二手数据分析。采用逻辑回归分析来研究计划生育与家庭规模和家庭构成之间的关联。

结果

家庭中五岁以下儿童总数(对数优势比 = 0.373(<.05),置信区间 = 0.0577, 0.689)、产妇分娩年龄(对数优势比 = -0.682(<.05),置信区间 = -1.222, -0.141)、生育偏好(对数优势比 = -0.296(<.05),置信区间 = -0.549, -0.0427)以及未满足的计划生育需求(对数优势比 = 0.297(<.05),置信区间 = 0.0193, 0.574)与所研究儿童的发育迟缓在统计学上显著相关。

结论

本研究结果表明发育迟缓与计划生育、家庭规模和家庭构成之间存在显著关联。

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