Women's autonomy and men's involvement in child care and feeding as predictors of infant and young child anthropometric indices in coffee farming households of Jimma Zone, South West of Ethiopia
Women's autonomy and men's involvement in child care and feeding as predictors of infant and young child anthropometric indices in coffee farming households of Jimma Zone, South West of Ethiopia
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DOI：
10.1371/journal.pone.0172885
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发表时间：
2017-03-06
期刊：
影响因子：
3.7
通讯作者：
Belachew, Tefera
中科院分区：
文献类型：
--
作者：
Abate, Kalkidan Hassen;Belachew, Tefera
研究背景发展中国家儿童死亡和营养不良的主要原因是儿童保育和喂养不佳，这需要在近因因素之外进行详细的调查。本研究的目的是进行评估协会的妇女的自主权和男子参与儿童人体测量指标在西南经济作物的生计areas of South-West Ethiopia.MethodsMulti-stage分层抽样选择749农户生活在三个咖啡生产分区的Jimma区，埃塞俄比亚。妇女自主权的领域进行了测量的工具改编自人口健康调查。一个模型来确定父亲参与儿童保育。通过世卫组织婴幼儿喂养做法核心指标评估了护理做法。使用标准技术一式两份进行长度和重量测量。使用SPSS for Windows 21进行数据分析。结果年龄别体重（WAZ）、年龄别身高（HAZ）、身高别体重（WHZ）和年龄别BMI（BAZ）的平均值（SD）为-0.52（1.26）、-0.73（1.43）、-0.13（1.34）和-0.1（1.39）。多元线性回归分析结果显示，母亲有大额购物自主权的儿童WHZ得分比母亲无大额购物自主权的儿童高0.42。此外，父亲参与育儿和喂养的孩子HAZ评分高0.1。在年龄方面，儿童年龄每增加一个月，HAZ评分下降0.04分，WHZ下降0.01分。同样，生活在粮食无保障家庭的儿童的HAZ得分比生活在粮食有保障家庭的儿童低0.29。家庭规模每增加一个人，一个孩子的WHZ分数就减少0.08。男性儿童的WHZ和HAZ评分分别比同龄女性儿童低0.25和0.38。ConclusionWomen's autonomy and men's involvement appeared in tandem with better child anthropometric outcomes.这种情况下的营养干预措施除了粮食安全措施外，还应包括加强妇女对资源的自主权和男子参与儿童保育和喂养。
BackgroundMost of child mortality and under nutrition in developing world were attributed to suboptimal childcare and feeding, which needs detailed investigation beyond the proximal factors. This study was conducted with the aim of assessing associations of women's autonomy and men's involvement with child anthropometric indices in cash crop livelihood areas of South West Ethiopia.MethodsMulti-stage stratified sampling was used to select 749 farming households living in three coffee producing sub-districts of Jimma zone, Ethiopia. Domains of women's Autonomy were measured by a tool adapted from demographic health survey. A model for determination of paternal involvement in childcare was employed. Caring practices were assessed through the WHO Infant and young child feeding practice core indicators. Length and weight measurements were taken in duplicate using standard techniques. Data were analyzed using SPSS for windows version 21. A multivariable linear regression was used to predict weight for height Z-scores and length for age Z-scores after adjusting for various factors.ResultsThe mean (sd) scores of weight for age (WAZ), height for age (HAZ), weight for height (WHZ) and BMI for age (BAZ) was -0.52(1.26), -0.73(1.43), -0.13(1.34) and -0.1(1.39) respectively. The results of multi variable linear regression analyses showed that WHZ scores of children of mothers who had autonomy of conducting big purchase were higher by 0.42 compared to children's whose mothers had not. In addition, a child whose father was involved in childcare and feeding had higher HAZ score by 0.1. Regarding age, as for every month increase in age of child, a 0.04 point decrease in HAZ score and a 0.01 point decrease in WHZ were noted. Similarly, a child living in food insecure households had lower HAZ score by 0.29 compared to child of food secured households. As family size increased by a person a WHZ score of a child is decreased by 0.08. WHZ and HAZ scores of male child was found lower by 0.25 and 0.38 respectively compared to a female child of same age.ConclusionWomen's autonomy and men's involvement appeared in tandem with better child anthropometric outcomes. Nutrition interventions in such setting should integrate enhancing women's autonomy over resource and men's involvement in childcare and feeding, in addition to food security measures.