Factors associated with stunting among children according to the level of food insecurity in the household: a cross-sectional study in a rural community of Southeastern Kenya.
Factors associated with stunting among children according to the level of food insecurity in the household: a cross-sectional study in a rural community of Southeastern Kenya.
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根据家庭中粮食不安全的水平，与儿童发育迟缓相关的因素：在肯尼亚东南部农村社区的横断面研究。
DOI：
10.1186/s12889-015-1802-6
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发表时间：
2015-04-30
影响因子：
4.5
通讯作者：
Kaneko S
中科院分区：
文献类型：
--
作者：
Shinsugi C;Matsumura M;Karama M;Tanaka J;Changoma M;Kaneko S
5岁以下儿童的长期营养不良或发育迟缓受到若干家庭环境因素的影响，如粮食不安全、疾病负担和贫困。然而，即使在粮食不安全的情况下，也不是所有儿童都会发育迟缓。为了在地方一级寻求预防发育迟缓的解决办法，在肯尼亚东南部这个粮食高度不安全的地区进行了一项跨部门研究。这项研究是基于一个监测儿童人体测量状况的队列。一个结构化的问卷调查收集了以下信息：人口特征，家庭粮食安全的基础上，家庭粮食不安全获取量表（HFIAS），家庭社会经济地位（SES），和儿童健康状况。发育迟缓和潜在的预测因素之间的关联进行了检查，通过双变量和多变量逐步logistic回归分析。此外，还进行了按粮食安全水平分层的分析，以具体说明不同粮食不安全群体中与儿童发育迟缓有关的因素。在404名儿童中，发育迟缓的发生率为23.3%。粮食严重无保障的家庭占62.5%。在多变量分析中，与儿童发育迟缓无统计学显著相关性。然而，根据粮食安全水平单独进行的进一步分析显示了以下重要联系：在粮食严重不安全的家庭中，用牛奶喂茶/粥（校正比值比[aOR]：3.22; 95%置信区间[95% CI]：1.43 - 7.25）; 2 - 3岁与0 - 5月龄相比（aOR：4.04; 95%CI：1.01 - 16.14）;在没有严重粮食不安全的家庭中，饲养动物（aOR：3.24; 95%CI：1.04 - 10.07）;以最低地位的SES作为参考（aOR范围：0.13 - 0.22）。小于学龄的兄弟姐妹的数量没有显著相关性，但在后一个家庭组中略有相关性（aOR：2.81; 95%CI：0.92 - 8.58）。我们的研究结果表明，对儿童发育迟缓的措施，应根据在每个社区观察到的粮食安全水平进行优化。
Chronic malnutrition or stunting among children under 5 years old is affected by several household environmental factors, such as food insecurity, disease burden, and poverty. However, not all children experience stunting even in food insecure conditions. To seek a solution at the local level for preventing stunting, a cross-sectional study was conducted in southeastern Kenya, an area with a high level of food insecurity. The study was based on a cohort organized to monitor the anthropometric status of children. A structured questionnaire collected information on the following: demographic characteristics, household food security based on the Household Food Insecurity Access Scale (HFIAS), household socioeconomic status (SES), and child health status. The associations between stunting and potential predictors were examined by bivariate and multivariate stepwise logistic regression analyses. Furthermore, analyses stratified by level of food security were conducted to specify factors associated with child stunting in different food insecure groups. Among 404 children, the prevalence of stunting was 23.3%. The percentage of households with severe food insecurity was 62.5%. In multivariative analysis, there was no statistically significant association with child stunting. However, further analyses conducted separately according to level of food security showed the following significant associations: in the severely food insecure households, feeding tea/porridge with milk (adjusted Odds Ratio [aOR]: 3.22; 95% Confidence Interval [95% CI]: 1.43-7.25); age 2 to 3 years compared with 0 to 5 months old (aOR: 4.04; 95% CI: 1.01-16.14); in households without severe food insecurity, animal rearing (aOR: 3.24; 95% CI: 1.04-10.07); SES with lowest status as reference (aOR range: from 0.13 to 0.22). The number of siblings younger than school age was not significantly associated, but was marginally associated in the latter household group (aOR: 2.81; 95% CI: 0.92-8.58). Our results suggest that measures against childhood stunting should be optimized according to food security level observed in each community.
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影响因子：
3.3
作者：
Hall, Andrew;Kassa, Tamiru;Lee, Seung
通讯作者：
Lee, Seung
影响因子：
5.4
作者：
Bronte-Tinkew, J;DeJong, G
通讯作者：
DeJong, G
影响因子：
168.9
作者：
Black, RE;Morris, SS;Bryce, J
通讯作者：
Bryce, J
影响因子：
3.3
作者：
Heukelbach, J;de Oliveira, FAS;Feldmeier, H
通讯作者：
Feldmeier, H
DOI：
10.2471/blt.07.047308
发表时间：
2009-02-01
期刊：
Bulletin of the World Health Organization: International Journal of Public Health
影响因子：
--
作者：
Feldmeier, Hermann;Heukelbach, Jorg
通讯作者：
Heukelbach, Jorg