埃塞俄比亚东北部阿塔耶镇6个月至5岁儿童发育迟缓患病率及相关因素

Hana Moges, Debora Alemayehu, Hasna Redi, Yemata Gebeyehu, Abebe Dires, Sisay Gedamu
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引用次数: 6

摘要

充足的营养对儿童的生长发育至关重要。全球约有1.55亿儿童发育迟缓。在埃塞俄比亚,大约一半的儿童死亡与营养不良有关。因此,本研究旨在评估埃塞俄比亚东北部阿塔耶镇6个月至5岁儿童发育迟缓的发生率。2018年3月至4月,对415名儿童进行了横断面研究。访谈者采用结构化问卷和测量法收集数据。采用多因素logistic分析,p值< 0.05为差异有统计学意义。总体而言,近一半的儿童(48.4%)发育迟缓。25-59月龄儿童(AOR= 1.9,95% CI: 1.15, 3.23)、男性儿童(AOR=1.7,95% CI: 1.03, 2.89)、非纯母乳喂养儿童(AOR= 1.9,95% CI: 1.03, 3.51)、母亲不识字儿童(AOR= 2.4, 95% CI: 1.005-6.08)、月收入低于500埃塞尔比尔儿童(AOR= 3.2, 95% CI: 1.76-6.01)与发育迟缓有统计学显著相关。在阿塔耶镇,发育迟缓的负担明显高于埃塞俄比亚和阿姆哈拉地区发育迟缓的总体发生率,并且它仍然是阿姆哈拉地区的一个主要公共卫生问题。2-5岁儿童、男性、非纯母乳喂养、母亲文盲和月收入低是发育迟缓的独立预测因素。因此,这项研究强调有必要提高母亲/照料者对儿童喂养的认识,以及在婴儿出生后的头6个月进行纯母乳喂养的必要性。此外,还需要国家和区域卫生办公室开展合作活动,以减轻发育迟缓的负担。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Prevalence and Associated Factors of Stunting Among Children Aged Six Month - Five Year in Ataye Town, Northeast Ethiopia
Adequate nutrition is vital to children’s growth and development. Globally, about 155 million children were stunted. In Ethiopia, about half of child’s mortality was related to malnutrition. Hence, this study was aimed to assess the prevalence of stunting among children aged six month- five year in Ataye town, Northeast Ethiopia. A cross-sectional study was conducted among 415 children from March to April, 2018. Interviewer administered structured questionnaire and measurement was used to collect the data. Multivariate logistic analysis was used and variables with a P-value of < 0.05 were considered statistically significant. Overall, nearly half of children (48.4%) were stunted. Children with age group of 25-59 months (AOR= 1.9, 95% CI: 1.15, 3.23), being male (AOR=1.7,95% CI: 1.03, 2.89), non-exclusive breast feeding (AOR= 1.9,95% CI: 1.03, 3.51), maternal illiteracy (AOR= 2.4, 95% CI: 1.005-6.08), and getting monthly income of less than 500 Ethiopian birr (AOR= 3.2, 95% CI: 1.76-6.01) had statistically significant association with stunting. In Ataye town, the burden of stunting was significantly higher than the overall prevalence of stunting in Ethiopia as well as in Amhara region and it is continued as a major public health problem in Amhara region. Children aged between 2-5 years old, being male, non-exclusive breast feeding practice, maternal illiteracy, and low monthly income were independent predictors of stunting. Thus, this study underlines the need for increasing the awareness of mothers/caregivers about child feeding and the necessity of exclusive breast feeding in the first six months of life. Moreover, it requires collaborative activity from national and regional health office to reduce the burden of stunting.
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