Under nutrition and associated factors among adolescent girls attending school in the rural and urban districts of Debark, Northwest Ethiopia: A community-based comparative cross-sectional study.
Under nutrition and associated factors among adolescent girls attending school in the rural and urban districts of Debark, Northwest Ethiopia: A community-based comparative cross-sectional study.
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DOI：
10.1371/journal.pone.0254166
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发表时间：
2021
期刊：
影响因子：
3.7
通讯作者：
Ayele AD
中科院分区：
文献类型：
--
作者：
Alemu TG;Muhye AB;Ayele AD
青春期是指身体、智力和情感发生重大变化的青春期；因此，营养需求显著上升。尽管改善少女的营养状况有助于打破营养不良的代际循环，但埃塞俄比亚的许多研究都侧重于确定五岁以下和孕妇的营养状况，甚至没有显示城乡少女之间的差异。因此，本研究旨在比较2020年埃塞俄比亚西北部Debark地区在校少女中农村和城市的发育迟缓和消瘦患病率及其相关因素。在2020年2月25日至3月21日期间，对792名青春期女孩进行了基于社区的比较横断面研究。采用多阶段抽样和简单随机抽样的方法。数据是通过面对面的访谈问卷收集的。进行了不同的人体测量。收集的数据输入Epi-data，导出到SPSS进行分析。双变量分析中p值< 0.25的变量导出到多变量logistic回归模型，控制混杂因素，识别因子。采用调整后的比值比，分别以相应的95% CI和p值≤0.05宣布关联强度和统计学显著性。共有757名青春期少女参与研究，回复率为95.6%。发育迟缓和消瘦的总体患病率分别为20.1%和10.3%。农村少女发育迟缓率为24.2%；而在城市居民中这一比例为16%。同样，农村少女的消瘦率为8.5%；而城市居民的这一比例为12.1%。没有厕所[AOR: 1.95 (95% CI: 1.11, 3.43)]，最低媒体暴露[AOR: 5.14 (95% CI: 1.16, 22.74)]，较低的财富阶层[AOR:2.58 (95% CI: 1.310, 5.091)]和中等财富阶层[AOR: 2.37 (95% CI: 1.230, 4.554)]增加了农村环境中发育迟缓的可能性，而青少年早期年龄[AOR:3.17 (95% CI:1.445,6.95)]与城市环境中的发育迟缓显著相关。粮食不安全[AOR: 1.95 (95% CI: 1.01, 3.78)]与青春期女孩总体发育迟缓有关。农村地区青春期中期人群有3次以上的消瘦经历[AOR: 3.67 (95% CI: 1)]。21日,11.149)]。而城市居民女孩在青少年早期年龄组的发育消瘦是8倍[AOR: 8.39 (95% CI: 2.48-28.30)]。与城市少女相比，农村少女发育迟缓的比例更高。然而，城市居民的瘦度更高。较低的财富阶层、粮食不安全、最低的媒体曝光率和年龄与发育迟缓和消瘦显著相关。因此，增加厕所的覆盖率、提高社区的经济地位以及增加对少女的媒体曝光应该得到应有的重视。
Adolescence is the time of puberty in which a substantial changes in physical, mental, and emotional are observed; Nutritional requirements significantly rise as a result. Even though improving adolescent girls’ nutritional status helps to break the intergenerational cycle of malnutrition, many studies in Ethiopia focus on determining the nutritional status of under-five and pregnant women and even they don’t show disparities between urban and rural adolescent girls. Thus, this study was aimed at comparing the rural and urban prevalence’s of stunting and thinness and their associated factors among adolescent girls attending school in Debark district, Northwest Ethiopia, 2020. A community-based comparative cross-sectional study was conducted among 792 adolescent girls from February 25th to March 21st 2020. A multi-stage sampling followed by simple random sampling technique was used. Data were collected through a face-to-face interviewer-based questionnaire. Different anthropometric measurements were taken. The collected data were entered to Epi-data and exported into SPSS for analyses. Variables with p-values < 0.25 in the bivariable analysis were exported to multivariable logistic regression model to control confounders and identify the factor. The strength of association and statistical significance was declared using the adjusted odds ratios with its corresponding 95% CI, and p-value ≤ 0.05 respectively. A total of 757 adolescent girls with a response rate of 95.6% were participated in the study. The overall prevalence of stunting and thinness were 20.1% and 10.3%, respectively. Stunting among rural adolescent girls was 24.2%; whereas it was 16% among urban residents. Likewise, thinness among rural adolescent girls was 8.5%; whereas it was 12.1% among urban dwellers. No latrine [AOR: 1.95 (95% CI: 1.11, 3.43)], lowest media exposure [AOR: 5.14 (95% CI: 1.16, 22.74)], lower wealth class [AOR:2.58 (95% CI: 1.310, 5.091)], and middle wealth class[AOR: 2.37 (95% CI: 1.230, 4.554)] have risen the likelihood of stunting in rural setting while early adolescent age [AOR:3.17 (95% CI:1.445,6.95)] significantly associated with stunting in urban setting. Food insecurity [AOR: 1.95 (95% CI: 1.01, 3.78)] was associated with stunting in overall adolescent girls. Middle adolescent age groups in rural area have more than three times to experience thinness [AOR: 3.67 (95% CI: 1. 21, 11.149)]. Whereas urban resident girls fall in early adolescent age group developed thinness were eight times [AOR: 8.39 (95% CI: 2.48–28.30)]. Stunting was higher among rural adolescent girls as compared to urban. However, thinness was higher among urban dwellers. Lower wealth class, food insecurity, lowest media exposure, and age were significantly associated with stunting and thinness. Hence, increasing latrine coverage, boosting the economic status of the community, and increasing media exposure for adolescent girls should get due attention.
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DOI：
10.1186/s41110-018-0075-0
发表时间：
2018-01-01
期刊：
Nutrire
影响因子：
--
作者：
Garti, H.;Ali, Z.;Garti, H. A.
通讯作者：
Garti, H. A.
影响因子：
4.7
作者：
Geremew, Abraham;Mengistie, Bezatu;Sahilu, Geremew
通讯作者：
Sahilu, Geremew
影响因子：
4
作者：
Gebregyorgis, Tsgehana;Tadesse, Takele;Atenafu, Azeb
通讯作者：
Atenafu, Azeb
影响因子：
5.2
作者：
Das, Jai K.;Salam, Rehana A.;Bhutta, Zulfiqar A.
通讯作者：
Bhutta, Zulfiqar A.
影响因子：
2.2
作者：
Dars S;Sayed K;Yousufzai Z
通讯作者：
Yousufzai Z