Goodall J
Dev Med Child Neurol. 1979 Jun;21(3):374-84. doi: 10.1111/j.1469-8749.1979.tb01630.x.
Following the observation that many children with kwashiorkor had a deprived look in their eyes, the guardians of 107 children with kwashiorkor and 111 controls were interviewed about their home life, in a survey made at New Mulago Hospital, Kampala, between 1969 and 1972. A child's age, sex and tribe were found to have an influence on the nutritional state, therefore 50 of each group were matched for these variables. Ten significant associations were found which distinguished kwashiorkor patients from the control group. Children with kwashiorkor were more likely to be attended by someone other than the mother; to have changed attendants when ill; to have a pregnant mother; and to have separated parents. Further to these, singletons of split partnerships were at special risk; breast-feeding had stopped; weaning was begun for bad reasons; a child was more often living away from the parents and had been sent away coincident with weaning. The fathers tended to be poor. It is suggested that these 10 factors could be used as a social scoring system in assessing the risk of incipient kwashiorkor.
在观察到许多夸休可尔症患儿眼神萎靡之后，于1969年至1972年期间在坎帕拉的新穆拉戈医院进行了一项调查，对107名夸休可尔症患儿和111名对照儿童的监护人就其家庭生活进行了访谈。研究发现儿童的年龄、性别和部落会对营养状况产生影响，因此每组各选取50名儿童按照这些变量进行匹配。结果发现了10个显著的关联因素，这些因素将夸休可尔症患者与对照组区分开来。患夸休可尔症的儿童更有可能由母亲以外的其他人照料；生病时更换过照料者；母亲怀孕；父母分居。除此之外，单亲离异家庭的独生子女面临特殊风险；母乳喂养已经停止；断奶理由不当；孩子更常与父母分开居住，且断奶时被送走。父亲往往很穷。建议这10个因素可用作社会评分系统，以评估初期夸休可尔症的风险。
