What Do Mothers Know About Nutrition? Impacts on Childhood Nutrition Outcomes in Sub-Saharan Africa.

IF 1.8 4区 医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Maternal and Child Health Journal Pub Date : 2025-03-01 Epub Date: 2025-01-13 DOI:10.1007/s10995-025-04052-3
Achamyeleh Birhanu Teshale, Godness Kye Biney, Michael Sarfo, Edward Kwabena Ameyaw, Sanni Yaya
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引用次数: 0

Abstract

Introduction: Globally, the prevalence of undernutrition is highest in the sub-Saharan African region with over a third of the world's stunted children residing in this region. Many studies have explored child nutrition in sub-Saharan Africa, but they often overlook the intricate nuances of maternal knowledge. We examined the association between maternal nutritional knowledge and childhood nutritional outcomes.

Methods: This was a secondary analysis utilizing data from the Demographic and Health Survey of eight sub-Saharan African countries that were conducted between 2019 and 2022, focusing on children aged 6 to 23 months. The study used latent class analysis to identify discrete patterns of nutrition and health-related knowledge and mixed-effects logistic regression to assess their association with childhood nutritional outcomes namely, stunting and wasting. Statistical significance was determined at p < 0.05.

Results: Most participants knew the importance of colostrum (76.8%) and continued breastfeeding (76.7%), as well as immunization (60.0%) and diarrhoea prevention and treatment strategies (65.1%). However, only 24.49% knew about family planning. Children of high knowledge group/class had a 17% lower risk of childhood stunting (crude model; COR = 0.83; 95%CI: 0.77, 0.90, adjusted model; AOR = 0.89; 95%CI: 0.82, 0.97) and a 22% lower risk of wasting (COR = 0.78; 95%CI: 0.69, 0.89, adjusted model; AOR = 0.84; 95%CI: 0.73, 0.96) compared to those from the low knowledge group/class.

Conclusion: These results highlight the pivotal role of maternal knowledge in shaping children's health outcomes and emphasize the urgent need for targeted interventions and comprehensive maternal education programs to address the identified knowledge gaps and improve child health outcomes.

母亲对营养了解多少?对撒哈拉以南非洲儿童营养结果的影响。
导言:在全球范围内,撒哈拉以南非洲地区的营养不良发生率最高,世界上超过三分之一的发育迟缓儿童生活在该地区。许多研究都探讨了撒哈拉以南非洲地区的儿童营养问题,但它们往往忽视了孕产妇知识中错综复杂的细微差别。我们研究了母亲营养知识和儿童营养结果之间的关系。方法:这是一项二次分析,利用了2019年至2022年期间对8个撒哈拉以南非洲国家进行的人口与健康调查的数据,重点是6至23个月的儿童。该研究使用潜在分类分析来确定营养和健康相关知识的离散模式,并使用混合效应逻辑回归来评估它们与儿童营养结局(即发育迟缓和消瘦)的关联。结果:大多数参与者知道初乳(76.8%)和继续母乳喂养(76.7%)的重要性,以及免疫(60.0%)和腹泻预防和治疗策略(65.1%)。然而,只有24.49%的人知道计划生育。高知识组/班级的儿童儿童发育迟缓风险降低17%(粗模型;or = 0.83;95%CI: 0.77, 0.90,校正模型;aor = 0.89;95%CI: 0.82, 0.97),消瘦风险降低22% (COR = 0.78;95%CI: 0.69, 0.89,校正模型;aor = 0.84;95%CI: 0.73, 0.96)。结论:这些结果突出了孕产妇知识在塑造儿童健康结果中的关键作用,并强调迫切需要有针对性的干预措施和全面的孕产妇教育计划,以解决已确定的知识差距和改善儿童健康结果。
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来源期刊
Maternal and Child Health Journal
Maternal and Child Health Journal PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-
CiteScore
3.20
自引率
4.30%
发文量
271
期刊介绍: Maternal and Child Health Journal is the first exclusive forum to advance the scientific and professional knowledge base of the maternal and child health (MCH) field. This bimonthly provides peer-reviewed papers addressing the following areas of MCH practice, policy, and research: MCH epidemiology, demography, and health status assessment Innovative MCH service initiatives Implementation of MCH programs MCH policy analysis and advocacy MCH professional development. Exploring the full spectrum of the MCH field, Maternal and Child Health Journal is an important tool for practitioners as well as academics in public health, obstetrics, gynecology, prenatal medicine, pediatrics, and neonatology. Sponsors include the Association of Maternal and Child Health Programs (AMCHP), the Association of Teachers of Maternal and Child Health (ATMCH), and CityMatCH.
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