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审视儿童营养不良的地区差异:来自印度马哈拉施特拉邦的见解

Examining regional disparities in child malnutrition: insights from Maharashtra India.

作者信息

Khadse Rushikesh, Shaikh Rufi

机构信息

Department of Public Health and Mortality Studies, International Institute for Population Sciences, Mumbai, India.

Faculty of Spatial Sciences, University of Groningen, Groningen, The Netherlands.

出版信息

J Health Popul Nutr. 2025 Aug 7;44(1):284. doi: 10.1186/s41043-025-00910-6.

Abstract

BACKGROUND

Malnutrition poses a significant challenge at the national level in developing countries like India, where the state-level situation varies considerably. Therefore, this study aims to investigate child nutrition across different geographical regions of Maharashtra and assess inequalities in child malnutrition.

METHODS

Utilizing data from the National Family Health Survey (2019-21), the study employs univariate, bivariate, and Concentration Index statistical techniques for analysis.

RESULT

The findings reveal a decrease in the prevalence of stunting, wasting, and underweight, with North Maharashtra exhibiting an alarming situation regarding underweight children. The study underscores the importance of dietary patterns as crucial determinants in reducing malnutrition prevalence, highlighting factors such as initial breastfeeding practices and bottle feeding. Notably, malnutrition is predominantly concentrated among poor households in Maharashtra.

CONCLUSION

Overall, the study concludes that while there has been a declining trend in the prevalence of malnutrition over time, there has been no change observed in the most recent survey rounds. Factors such as household wealth, maternal education, and dietary patterns are strongly associated with the nutritional status of children. The importance of investigating the factors contributing to the stagnation in malnutrition reduction observed in recent survey rounds. Efforts should be directed towards addressing these underlying issues to effectively combat malnutrition.

摘要

背景

在印度等发展中国家,营养不良在国家层面构成重大挑战,且各邦情况差异很大。因此,本研究旨在调查马哈拉施特拉邦不同地理区域的儿童营养状况,并评估儿童营养不良方面的不平等现象。

方法

该研究利用来自全国家庭健康调查(2019 - 2021年)的数据,采用单变量、双变量和集中指数统计技术进行分析。

结果

研究结果显示,发育迟缓、消瘦和体重不足的患病率有所下降,但马哈拉施特拉邦北部体重不足儿童的情况令人担忧。该研究强调饮食模式作为降低营养不良患病率的关键决定因素的重要性,突出了初乳喂养习惯和奶瓶喂养等因素。值得注意的是,营养不良主要集中在马哈拉施特拉邦的贫困家庭。

结论

总体而言,该研究得出结论,虽然随着时间推移营养不良患病率呈下降趋势,但在最近几轮调查中未观察到变化。家庭财富、母亲教育程度和饮食模式等因素与儿童营养状况密切相关。调查导致最近几轮调查中营养不良减少停滞的因素很重要。应努力解决这些潜在问题,以有效应对营养不良问题。

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