东帝汶五岁以下儿童发育迟缓的危险因素。

IF 2.6 4区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Annals of Global Health Pub Date : 2023-09-28 eCollection Date: 2023-01-01 DOI:10.5334/aogh.4199
Kanae Nomura, Aliza K C Bhandari, Emilie Louise Akiko Matsumoto-Takahashi, Osamu Takahashi
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引用次数: 0

摘要

背景:营养不良,包括发育迟缓,是导致五岁以下儿童死亡的近45%的原因。它不仅影响儿童的成长,而且对认知和身体能力也有长期的负面影响。东帝汶是东南亚儿童发育迟缓发病率最高的国家。因此,本研究旨在确定发育迟缓的患病率及其相关因素。方法:这是一项使用2016年东帝汶人口与健康调查进行的横断面研究。研究了五岁以下儿童发育迟缓的患病率,并进行了双变量和多变量逻辑回归分析,以确定与发育迟缓相关的因素。结果:在4581名五岁以下儿童中,近40%的儿童发育迟缓。大多数发育迟缓儿童的母亲年龄在20-30岁之间,约33%的母亲在≤19岁时生下第一个孩子。值得注意的是,在我们的调整模型中,女性儿童发育迟缓的风险低于男性儿童[OR:0.75,95%CI:(0.64-0.88),p<0.001]。同样,其他因素,如财富指数、产后护理、目前的母乳喂养、孩子的年龄和孩子出生时的体型,也与发育迟缓有关。结论:目前的研究结果表明,东帝汶儿童发育迟缓主要与孕产妇和儿童的社会人口状况有关。因此,至关重要的是要确定东帝汶卫生设施提供的服务质量、卫生工作者和志愿者的参与情况以及母亲使用卫生服务的意愿。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Risk Factors Associated with Stunting among Children Under Five in Timor-Leste.

Background: Undernutrition, including stunting, is the cause of almost 45% of all deaths among children under the age of five. It not only affects child growth but also has a long-term negative influence on cognitive and physical abilities. Timor-Leste has the highest prevalence of child stunting in Southeast Asia. Therefore, this study aimed to identify the prevalence of stunting and factors associated with it.

Methods: This was a cross-sectional study conducted using the Demographic and Health Survey of 2016 for Timor-Leste. The prevalence of stunting among children under five years of age was examined, and bivariable and multivariable logistic regression analysis was conducted to identify the factors associated with stunting.

Results: Among 4,581 children under five years of age, growth in nearly 40% was stunted. The majority of the mothers with stunted children were of age 20-30 years with about 33% having their first baby at ≤19 years of age. Compared to women of <145 cm of height, those of ≥145 cm height had lower likelihood of having a stunted child (OR: 0.62, 95% CI: [0.48-0.80], p < 0.001). It was also interesting to note that the risk of stunting was lower among female children than male children [OR: 0.75, 95% CI: (0.64-0.88), p < 0.001] in our adjusted model. Similarly, other factors such as wealth index, postnatal care visits, currently breastfeeding, age of the child, and size of the child at birth were also associated with stunting.

Conclusion: The present findings indicate that child stunting in Timor-Leste is mainly associated with maternal and child sociodemographic status. Hence, it is crucial to identify the quality of services provided by health facilities, the involvement of health workers and volunteers, and the intention of mothers to use the health services in Timor-Leste.

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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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