Biomass fuel use for household cooking in Swaziland: is there an association with anaemia and stunting in children aged 636 months?
Biomass fuel use for household cooking in Swaziland: is there an association with anaemia and stunting in children aged 636 months?
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DOI：
10.1093/trstmh/trt055
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发表时间：
2013-09-01
影响因子：
2.2
通讯作者：
Nyasulu, Peter S.
中科院分区：
文献类型：
--
作者：
Machisa, Mercilene;Wichmann, Janine;Nyasulu, Peter S.
这项研究是第二项调查家庭烹饪使用生物质燃料与儿童贫血和发育迟缓之间关系的研究。这些燃料包括煤、木炭、木材、粪便和农作物残渣。分析了2006 - 2007年斯威士兰人口与健康调查（横断面研究设计）的数据。儿童发育迟缓是通过年龄和身高确定的，贫血是通过血红蛋白测量确定的。在多项逻辑回归分析中确定了BMF使用与健康结果之间的关联。分析中考虑了各种混杂因素。共纳入636月龄儿童1150例，其中596例（51.8例）为贫血，317例（27.6例）为发育不良。在单变量分析中，BMF的使用与儿童贫血无显著相关性。儿童贫血的独立危险因素是儿童年龄、儿童腹泻史和母亲贫血状况。在调整了儿童性别、年龄、出生体重和前出生间隔后，未观察到使用BMF与儿童发育迟缓之间有统计学意义的关联。这项研究确定，有必要将儿童贫血和发育迟缓列为健康结果，并在斯威士兰采取公共卫生干预措施。需要在全球范围内进一步研究使用营养物质对儿童贫血和发育迟缓的潜在影响。
This study is the second to investigate the association between the use of biomass fuels (BMF) for household cooking and anaemia and stunting in children. Such fuels include coal, charcoal, wood, dung and crop residues.Data from the 20062007 Swaziland Demographic and Health Survey (a cross-sectional study design) were analysed. Childhood stunting was ascertained through age and height, and anaemia through haemoglobin measurement. The association between BMF use and health outcomes was determined in multinomial logistic regression analyses. Various confounders were considered in the analyses.A total of 1150 children aged 636 months were included in the statistical analyses, of these 596 (51.8) and 317 (27.6) were anaemic and stunted, respectively. BMF use was not significantly associated with childhood anaemia in univariate analysis. Independent risk factors for childhood anaemia were childs age, history of childhood diarrhoea and mothers anaemia status. No statistically significant association was observed between BMF use and childhood stunting, after adjusting for childs gender, age, birth weight and preceding birth interval.This study identified the need to prioritize childhood anaemia and stunting as health outcomes and the introduction of public health interventions in Swaziland. Further research is needed globally on the potential effects of BMF use on childhood anaemia and stunting.