Maternal autonomy is inversely related to child stunting in Andhra Pradesh, India.
Maternal autonomy is inversely related to child stunting in Andhra Pradesh, India.
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DOI：
10.1111/j.1740-8709.2008.00161.x
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发表时间：
2009-01
影响因子：
3.4
通讯作者：
Bentley M
中科院分区：
文献类型：
--
作者：
Shroff M;Griffiths P;Adair L;Suchindran C;Bentley M
儿童发育迟缓是长期营养不良的结果，导致生活质量差、发病率和死亡率高。在南亚，妇女地位低下被认为是终生营养不良的主要决定因素之一。女性地位低可能会导致女性健康状况受损，进而与婴儿出生体重较低有关，并可能影响婴儿护理和营养的质量。母亲自主权（定义为妇女在家庭中的个人权力以及影响和改变环境的能力）可能是影响儿童保育并最终影响婴儿和儿童健康结果的重要因素。为了研究印度安得拉邦孕产妇自主权与儿童发育迟缓之间的关系，我们分析了全国家庭健康调查 (NFHS)-2 的数据。我们使用了来自 NFHS-2 的母亲及其 <36 个月大的孩子 (n = 821) 的横截面人口统计、健康和人体测量信息。自治的主要解释变量由四个维度呈现——决策、旅行许可、对家庭暴力的态度和财务自治——使用七个二元变量构建。使用逻辑回归模型来测试女性自主权指标与生育发育不良儿童的风险之间的关联。拥有较高自主权的女性{以获得金钱的机会来表示[比值比（OR）= 0.731； 95% 置信区间 (CI) 0.546, 0.981] 和选择进入市场的自由度 [OR = 0.593;在控制了家庭社会经济地位和母亲的教育程度后，95% CI (0.376, 0.933]} 的孩子发育迟缓的可能性显着降低。在印度南部的这个邦，女性自主权的两个维度对儿童成长具有独立的影响，这表明需要采取干预措施来增加妇女的经济和身体自主权。
Child stunting, an outcome of chronic undernutrition, contributes to poor quality of life, morbidity and mortality. In South Asia, the low status of women is thought to be one of the primary determinants of undernutrition across the lifespan. Low female status can result in compromised health outcomes for women, which in turn are related to lower infant birthweight and may affect the quality of infant care and nutrition. Maternal autonomy (defined as a woman’s personal power in the household and her ability to influence and change her environment) is likely an important factor influencing child care and ultimately infant and child health outcomes. To examine the relationship between maternal autonomy and child stunting in Andhra Pradesh, India, we analysed data from National Family Health Survey (NFHS)-2. We used cross-sectional demographic, health and anthropometric information for mothers and their oldest child <36 months (n = 821) from NFHS-2. The main explanatory variables of autonomy are presented by four dimensions – decision making, permission to travel, attitude towards domestic violence and financial autonomy – constructed using seven binary variables. Logistic regression models were used to test associations between indicators of female autonomy and the risk of having a stunted child. Women with higher autonomy {indicated by access to money [odds ratio (OR) = 0.731; 95% confidence interval (CI) 0.546, 0.981] and freedom to choose to go to the market [OR = 0.593; 95% CI 0.376, 0.933]} were significantly less likely to have a stunted child, after controlling for household socio-economic status and mother’s education. In this south Indian state, two dimensions of female autonomy have an independent effect on child growth, suggesting the need for interventions that increase women’s financial and physical autonomy.
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影响因子：
4.6
作者：
ENGLE, PL
通讯作者：
ENGLE, PL
影响因子：
6.9
作者：
Abadian, S
通讯作者：
Abadian, S
影响因子：
3.5
作者：
Bloom, SS;Wypij, D;Das Gupta, M
通讯作者：
Das Gupta, M
影响因子：
2.4
作者：
Dharmalingam, A;Morgan, SP
通讯作者：
Morgan, SP
影响因子：
5.4
作者：
Basu, AM;Stephenson, R
通讯作者：
Stephenson, R