Stunting and Associated Factors among Under-Five-Age Children in West Guji Zone, Oromia, Ethiopia.
Stunting and Associated Factors among Under-Five-Age Children in West Guji Zone, Oromia, Ethiopia.
复制标题
DOI：
10.1155/2021/8890725
复制
发表时间：
2021
影响因子：
2.2
通讯作者：
Wachamo D
中科院分区：
文献类型：
--
作者：
Afework E;Mengesha S;Wachamo D
发育迟缓是埃塞俄比亚最重要的公共卫生问题之一。这仍然是一个规模更大的问题，特别是在农村和低收入地区。它反映了在生命早期生长和发育的最关键时期发生的慢性营养缺乏和疾病。它需要适当的干预来拯救未来，除非这会导致他们余生的认知和身体发育减弱。因此，这项研究旨在评估埃塞俄比亚奥罗米亚西古吉地区五岁以下儿童发育迟缓的患病率及其相关因素。本研究采用多阶段抽样方法，对来自3个地区的12名5岁以下儿童进行了以社区为基础的横断面研究。数据是通过使用结构化的预测问卷从儿童的母亲/照料者那里收集的。标准化的人体测量被用来测量儿童的长度、体重和身高。将数据输入Epi Info软件版本3.5.1，并输出到SPSS版本23，用于描述性和Logistic回归模型分析。5岁以下儿童发育迟缓患病率为244例(31.8%)，95%可信区间为28.6-35.2%。五岁以下儿童的父亲有一夫多妻制(AOR = 4.92，95%CI：3.46，7.00)，女性(AOR = 1.74，95%CI：1.23，2.47)，用餐次数少于4次(AOR = 2.95，95%CI：1.56，5.58)，未接种疫苗(AOR = 1.75，95%CI：1.15，2.67)，以及贫困家庭财富状况(AOR = 3.03，95%CI：1.6 3，5.6 3)和来自严重食物不安全家庭(AOR = ：2.92，95%CI：1.36，6.2 4)与同龄人相比，年龄偏短。近三分之一的五岁以下儿童在研究区发育迟缓，需要对喂养儿童的做法进行干预，以避免社区中的性别歧视。除了这一点外，卫生官员还需要与其他部门合作，共同采取行动，加强对一夫多妻制婚姻、家庭财富状况和粮食安全的执法，以改善儿童的健康和未来。
Stunting is one of the most important public health problems in Ethiopia. It remains a problem of greater magnitude particularly in rural and low-income areas. It reflects chronic nutritional deficiencies and illness that occur during the most critical periods for growth and development in early life. It needs proper intervention to save the future, unless it resulted in diminished cognitive and physical development for the rest of their lives. Therefore, this study aimed to assess the prevalence of stunting and associated factors among under-five children in West Guji Zone, Oromia, Ethiopia. A community-based cross-sectional study was conducted among 767 under-five children who were included in this study by using a multistage sampling technique in 12 kebeles from 3 selected districts. Data were collected from a mother/caregiver of the child by using a structured pretested questionnaire. Standardized anthropometric measurements were used to measure length, weight, and height of a child. Data were entered into Epi Info software version 3.5.1 and exported to SPSS version 23 for analysis for descriptive and logistic regression models. The prevalence of stunting was 244 (31.8%) with 95% CI (28.6–35.2) among under-five-age children. The under-five children whose fathers had a polygamous marriage (AOR = 4.92, 95% CI: 3.46, 7.00), being female sex (AOR = 1.74, 95% CI: 1.23, 2.47), having below 4 meal frequencies (AOR = 2.95, 95% CI: 1.56, 5.58), not vaccinated (AOR = 1.75, 95% CI: 1.15, 2.67), and from poor households' wealth status (AOR = 3.03, 95% CI: 1.63, 5.63) and also from severely food insecure household (AOR = 2.92, 95% CI: 1.36, 6.24) were short for their age compared with their counterparts. Nearly one-third of the under-five children were stunted in the study area which needs intervention on child-feeding practice to avoid sex discrimination in the community. In addition to this health officials in collaboration with other sectors, it is needed to act together to improve enforcement of the law for polygamous marriage, the household's wealth status, and food security for the better health of a child and future.