Maternal daily work hours affect nutritional status of children in Northern Ghana.
Maternal daily work hours affect nutritional status of children in Northern Ghana.
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DOI：
10.1186/s41110-018-0075-0
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发表时间：
2018-01-01
期刊：
影响因子：
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通讯作者：
Garti, H. A.
中科院分区：
文献类型：
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作者：
Garti, H.;Ali, Z.;Garti, H. A.
背景在加纳，关于母亲每日工作时间对儿童营养状况影响的数据很少。这类数据对于制定改善儿童营养的产妇就业政策可能很重要。因此，本研究试图确定产妇每日工作时间对加纳北方地区农民和公务员母亲营养状况的影响。方法.对320名有6-59个月孩子的母亲进行了分析性横断面调查。母亲每天的工作时间和儿童的饮食摄入量进行了评估与结构式问卷。还对儿童进行人体测量，以确定儿童营养状况。使用双变量分析和多变量回归模型确定母亲每日工作时间与儿童营养状况之间的关联。结果大多数儿童（45.1%）年龄在2岁至3岁之间。发育迟缓、消瘦和体重不足的患病率分别为17.8%、8.1%和10.3%。只有发育不良（p = 0.031）与母亲就业显著相关，农民子女（22.1%）高于公务员子女（12.8%）。即使母亲的年龄（p = 0.035），最低饮食多样性（p = 0.040），不消费豆类（p = 0.031）和其他蔬菜（p = 0.006）与发育迟缓在双变量水平，多变量logistic回归分析显示，只有母亲的日常工作时间有显着影响发育迟缓。与每天工作6小时以上的母亲相比，最多工作4小时的母亲生育发育迟缓儿童的可能性高5.4倍[AOR = 5.375; 95%CI（1.751-16.502）; p = 0.003]。结论目前的研究结果表明，母亲每天的工作时间可能是加纳北方地区儿童发育迟缓的一个重要决定因素。©The Author（s）2018.
Background. Data on the effect of maternal daily work hours on child nutritional status is scarce in Ghana. Such data may be important in defining maternal employment policies for improved child nutrition. This study therefore sought to determine the effect of maternal daily work hours on the nutritional status of farmer and public service mothers in the northern region of Ghana. Methods. An analytical cross-sectional survey was conducted among 320 mothers with children 6-59 months. Maternal daily work hours and dietary intake of children were assessed with a structured questionnaire. Anthropometric measurements of children were also taken to classify child nutritional status. The association between maternal daily work hours and child nutritional status was determined using both bivariate analysis and multivariate regression modelling. Results. Majority of the children (45.1%) were aged between their second and third birthdays. The prevalence of stunting, wasting, and underweight were 17.8, 8.1, and 10.3% respectively. Only stunting (p = 0.031) associated significantly with maternal employment and was higher among children of farmers (22.1%) compared to public servants (12.8%). Even though maternal age (p = 0.035), minimum dietary diversity (p = 0.040), non-consumption of legumes (p = 0.031) and other vegetables (p = 0.006) associated with stunting at bivariate level, multivariate logistic regression analysis revealed that only maternal daily work hours had significant effect on stunting. Compared to mothers who worked above 6 h a day, those who worked only a maximum of 4 h were 5.4 times more likely to have stunted children [AOR = 5.375; 95% CI (1.751-16.502); p = 0.003]. Conclusion. Present study results show that maternal daily work hours could be an important determinant of child stunting in northern region of Ghana. ©The Author(s) 2018.