乌干达西部霍伊马市霍伊马地区转诊医院五岁以下儿童营养不良的相关因素

Tumwesigye Nelson
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摘要

营养不良是撒哈拉以南非洲五岁以下儿童死亡和发病的主要原因之一。为了解五岁以下儿童营养不良的决定因素,本研究在霍伊马市的霍伊马地区转诊医院(Hoima Regional Referral Hospital,HRRH)进行。数据来源是家庭人口和社会经济特征,其中包括 HRRH 五岁以下儿童的人体测量数据。人体测量数据包括不同年龄儿童的身高、体重和MUAC。数据分析在 Epi Info 程序模块和 Stata 统计软件中进行。通过拟合二元逻辑回归模型进行了多变量分析,以确定五岁以下儿童营养不良的基本决定因素。结果发现,39-59 个月大的儿童比 12 个月以下的儿童更不可能体重不足。研究结果还显示,与牧民的儿童相比,农民的儿童发育迟缓更为普遍。不过,儿童消瘦与选定的儿童特征之间没有明显关系。值得注意的是,这项研究在指出霍伊马市五岁以下儿童的特定年龄组以及造成营养不良的职业方面非常重要。根据研究结果,该研究建议采用纯母乳喂养和适当的辅食喂养,尤其是在三岁以下儿童中。此外,还可以做出特殊安排,让从事种植业的母亲定期带孩子来进行母乳喂养。关键词营养不良 人体测量 母乳喂养 体重不足
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Factors Associated with Undernutrition among Children Under Five Years at Hoima Regional Referral Hospital, Hoima City Western Uganda
Undernutrition was one of the major causes of mortality and morbidity among under-five children in Sub-Saharan Africa. To understand the determinants of undernutrition among under-five children, this study was conducted at Hoima Regional Referral Hospital (HRRH) in Hoima City. The source of data was household demographic and socio-economic characteristics which included anthropometric data on under-five children at HRRH. Anthropometric data included height, weight and MUAC for the different ages of the children. Data analysis was done in the Epi Info program module and Stata statistical software. Multivariate analysis was done by fitting a binary logistic regression model to establish the underlying determinants of undernutrition among under-five children. It was found that children aged 39-59 months were less likely to be underweight than those aged less than twelve months. Findings also revealed that stunting was more prevalent among children of peasant farmers than the pastoralists. There was however no significant relationship between child wasting and selected child characteristics. It was worth noting that the study was essential in pointing out the particular age groups among under-five children as well as the occupations that contribute to undernutrition in Hoima City. Based on the findings, the study recommends exclusive breastfeeding and proper complementary feeding, especially among those aged less than three years. Special arrangements could also be put in place to have children of mothers engaged in cultivation brought regularly for breastfeeding. Keywords: Undernutrition, Anthropometric, Breastfeeding, Underweight.
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