Socio- economic status and household practices influence on undernutrition among children under five years in the Effutu municipality

Vivian Tackie, Christiana Asiedu
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Abstract

Introduction: Malnutrition is an underlying factor in many diseases for both children and adults and is particularly prevalent in developing countries. Malnutrition has been a worldwide problem which is being tackled in various ways and is usually prevalent among children in developing economies. The purpose of the study was to examine the Socio- economic status and household practices influence on undernutrition among children under five years in the Effutu Municipality. Methodology: A community-based research was conducted to assess the nutritional status of children under five years in Effutu municipality for a total of 350 children. A simple random sampling was used to select the communities for the study. Modified random walk was use to select the households from housing units. With the use of a pre-tested and structured questionnaire, data on children and care givers was collected. WHO Anthro software version 3.2.1 was used in determining the z-scores and SPSS software version 20 was used to perform univariate, and bivariate logistic regression analysis. A p<0.05 was deemed statistically significant. Results: Out of the 350 children under five, the most prevalent undernutrition case was stunting (59%). Stunting was most prevalent among children in the age group of 12-23 months (35.5%). Number of times child feeds daily is the only house hold practice that is associated with stunting at 95% significant level. Children whose parents were unemployed were almost twice likely to be stunted than those who were self-employed (OR=1.902 95% CI, 114 - 3.246). Children with parents who earn less than Ghc100 were about 10 times more likely to be stunted than those who earn more than Ghc1000 (OR=10.179; 95% CI, 2.198 - 47.145). Conclusion: The study showed that of the economic factors, mother’s occupation and household income was significantly associated with their child being stunted. The number of times a child feeds in a day was significantly associated with their child being stunted.
社会经济地位和家庭习俗对埃富图市五岁以下儿童营养不良有影响
导言:营养不良是儿童和成人许多疾病的潜在因素,在发展中国家尤为普遍。营养不良一直是一个世界性的问题,正在以各种方式加以解决,通常在发展中经济体的儿童中普遍存在。这项研究的目的是检查社会经济地位和家庭习俗对埃富图市五岁以下儿童营养不良的影响。方法:开展了一项以社区为基础的研究,以评估埃富图市总共350名五岁以下儿童的营养状况。采用简单的随机抽样方法来选择研究的社区。采用改进随机漫步法从住房单元中选择住户。通过使用预先测试和结构化的问卷,收集了儿童和照顾者的数据。采用WHO Anthro软件3.2.1版确定z分数,SPSS软件20版进行单因素、双因素logistic回归分析。p<0.05为差异有统计学意义。结果:在350名5岁以下儿童中,最常见的营养不良病例是发育迟缓(59%)。发育迟缓在12-23个月年龄组的儿童中最为普遍(35.5%)。儿童每天喂养的次数是唯一与发育迟缓相关的家庭做法,其显著性水平为95%。父母失业的儿童发育迟缓的可能性几乎是自雇儿童的两倍(OR=1.902 95% CI, 114 - 3.246)。父母收入低于100 ghc的儿童发育迟缓的可能性是父母收入超过1000 ghc的儿童的10倍(OR=10.179;95% ci, 2.198 - 47.145)。结论:在经济因素中,母亲的职业和家庭收入与儿童发育迟缓有显著的关系。孩子一天进食的次数与他们的孩子发育不良有显著关系。
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