索罗蒂地区转诊医院五岁以下儿童营养不良的决定因素:综合分析

Acen Brenda
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摘要

这项横断面研究旨在探讨索罗蒂地区转诊医院(Soroti Regional Referral Hospital,SRRH)就诊的五岁以下儿童中与营养不良相关的因素。研究历时六个月,对 204 名 3 至 59 个月大的儿童进行了人体测量和护理人员访谈。采用身高/年龄(H/A)和体重/身高(W/H)指数的 Z 值进行分析,并辅以两次焦点小组讨论的定性分析。使用 Epi Data 3.1 版、EPI-INFO 7.0 版和 SPSS 25.0 版进行的统计分析揭示了惊人的数字:全球因慢性营养不良导致的发育迟缓率为 55.4%,严重发育迟缓率达到 25.8%。6-12 个月和 13-24 个月年龄组的急性营养不良发生率较高。疟疾和男性性别分别成为急性和慢性营养不良的重要预测因素。逻辑回归突出表明,3-24 个月年龄组是急性营养不良的重要风险因素,而近期驱虫则是保护因素。这项研究强调了儿童营养不良在 SRRH 中令人担忧的普遍程度,并指出了需要采取针对性干预措施的关键预测因素和与年龄相关的脆弱性。关键词急性营养不良 五岁以下儿童 发育迟缓 慢性营养不良 疟疾
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Determinants of Malnutrition in Children Under Five Years at Soroti Regional Referral Hospital: A Comprehensive Analysis
This cross-sectional study aimed to examine the factors associated with malnutrition among children under five years attending Soroti Regional Referral Hospital (SRRH). Conducted over six months, anthropometric measurements and caregiver interviews were collected from 204 children aged 3 to 59 months. Z-scores for height-for-age (H/A) and weight-for-height (W/H) indices were employed for analysis, supplemented by qualitative insights from two focus group discussions. Statistical analysis using Epi Data version 3.1, EPI-INFO version 7.0, and SPSS version 25.0 unveiled striking figures: global stunting due to chronic malnutrition stood at 55.4%, with severe stunting reaching 25.8%. Age groups 6-12 months and 13-24 months exhibited higher prevalence of acute malnutrition. Malaria and male gender emerged as significant predictors of acute and chronic malnutrition, respectively. Logistic regression highlighted the age group 3-24 months as a significant risk factor for acute malnutrition, while recent deworming served as a protective factor. This study underscores the alarming prevalence of childhood malnutrition at SRRH, delineating crucial predictors and age-related vulnerabilities demanding targeted interventions. Keywords: Acute malnutrition, Children under five years, Stunting, Chronic malnutrition, Malaria
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