埃塞俄比亚 6-23 个月大儿童最低进餐频率不足的空间差异和决定因素:利用2019年埃塞俄比亚小型人口与健康调查(EMDHS)进行的空间和多层次分析。

IF 2.6 4区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Annals of Global Health Pub Date : 2024-06-25 eCollection Date: 2024-01-01 DOI:10.5334/aogh.4448
Berhan Tekeba, Almaz Tefera Gonete, Melkamu Tilahun Dessie, Alebachew Ferede Zegeye, Tadesse Tarik Tamir
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引用次数: 0

摘要

简介最低进餐次数是指儿童一天进餐的次数。如果进餐次数不足,婴幼儿很容易营养不良。关于全国范围内进餐次数不足的空间分布和决定因素的信息很少。因此,我们旨在调查埃塞俄比亚幼儿进餐次数不足的空间分布和决定因素。研究方法采用埃塞俄比亚最新的人口与健康调查数据。分析使用了 1610 名 6-23 个月大儿童的加权样本。通过估算全球莫兰 I 值来评估最低进餐频率的地区差异。此外,还建立了一个多变量多层次逻辑回归模型,以确定与进餐频率不足有关的因素。计算了95% CI(置信区间)的调整赔率(AOR),以评估解释变量与结果变量之间关系的强度和显著性。P值为.的因素为.。结果研究发现,进餐频率不足的发生率为 30.56%(95% CI:28.33-32.88)。我们发现了具有统计学意义的膳食不足率较高的群组,主要分布在索马里、阿姆哈拉北部、南部各民族地区东部和奥罗米亚西南部地区。儿童年龄、产前检查(ANC)次数、婚姻状况和社区文盲率是与膳食不足频率相关的重要因素。结论研究结果表明,埃塞俄比亚幼儿进餐次数不足的比例较高,而且在埃塞俄比亚各地区的分布也不尽相同。因此,决策者和其他相关机构在设计干预措施时应优先考虑风险地区。因此,应特别关注索马里地区、阿姆哈拉北部地区、南方各民族东部地区和奥罗莫西南部地区。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Spatial Variation and Determinants of Inadequate Minimum Meal Frequency among Children Aged 6-23 Months in Ethiopia: Spatial and multilevel analysis using Ethiopian Mini Demographic and Health Survey (EMDHS) 2019.

Introduction: Minimum meal frequency is the number of times children eat in a day. Without adequate meal frequency, infants and young children are prone to malnutrition. There is little information on the spatial distribution and determinants of inadequate meal frequency at the national level. Therefore, we aimed to investigate the spatial distribution and determinants of inadequate meal frequency among young children in Ethiopia. Methods: The most recent Ethiopian demographic and health survey data was used. The analysis was conducted using a weighted sample of 1,610 children aged 6-23 months old. The Global Moran's I was estimated to assess the regional variation in minimum meal frequency. Further, a multivariable multilevel logistic regression model was fitted to identify factors associated with inadequate meal frequency. The AOR (adjusted odds ratio) at 95% CI (confidence interval) was computed to assess the strength and significance of the relationship between explanatory variables and the outcome variable. Factors with a p-value of <0.05 are declared statistically significant. Results: This study revealed that the prevalence of inadequate meal frequency was found to be 30.56% (95% CI: 28.33-32.88). We identified statistically significant clusters of high inadequate meal frequency, notably observed in Somalia, northern Amhara, the eastern part of southern nations and nationalities, and the southwestern Oromia regions. Child age, antenatal care (ANC) visit, marital status, and community level illiteracy were significant factors that were associated with inadequate meal frequency. Conclusion: According to the study findings, the proportion of inadequate meal frequency among young children in Ethiopia was higher and also distributed non-randomly across Ethiopian regions. As a result, policymakers and other concerned bodies should prioritize risky areas in designing intervention. Thus, special attention should be given to the Somalia region, the northern part of Amhara, the eastern part of Southern nations and nationalities, and southwestern Oromia.

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来源期刊
Annals of Global Health
Annals of Global Health PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-
CiteScore
5.30
自引率
3.40%
发文量
95
审稿时长
11 weeks
期刊介绍: ANNALS OF GLOBAL HEALTH is a peer-reviewed, open access journal focused on global health. The journal’s mission is to advance and disseminate knowledge of global health. Its goals are improve the health and well-being of all people, advance health equity and promote wise stewardship of the earth’s environment. The journal is published by the Boston College Global Public Health Program. It was founded in 1934 by the Icahn School of Medicine at Mount Sinai as the Mount Sinai Journal of Medicine. It is a partner journal of the Consortium of Universities for Global Health.
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