Mother's education is the most important factor in socio-economic inequality of child stunting in Iran
Mother's education is the most important factor in socio-economic inequality of child stunting in Iran
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DOI：
10.1017/s1368980013002280
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发表时间：
2014-09-01
影响因子：
3.2
通讯作者：
Fotouhi, Akbar
中科院分区：
文献类型：
--
作者：
Emamian, Mohammad Hassan;Fateh, Mansooreh;Fotouhi, Akbar
目的：营养不良是最重要的健康问题之一，特别是在发展中国家。本研究的目的是描述的社会经济不平等的发育迟缓及其决定因素在Iranship.Design：横断面，以人口为基础的调查，在2009年进行的第一次。采用随机整群抽样的方法，测量儿童的体重和身高，并根据WHO儿童生长发育标准计算人体测量指标。家庭的社会经济地位是通过对家庭资产和家庭社会规格进行主成分分析来确定的。集中指数被用来计算发育迟缓方面的社会经济不平等，其决定因素通过分解该指数来衡量。影响差距的社会经济群体之间的因素被确认通过使用Oaxaca-布林德分解法。设置：Shahroud区在伊朗东北部。主题：儿童（n 1395）年龄，6 years.Results：在发育迟缓的社会经济不平等的集中指数为20.1913。母亲受教育程度对这一指标的分解贡献率达70%。低社会经济地位组和高社会经济地位组的平均年龄别身高Z评分分别为-0.544和-0.335。母亲的教育程度是造成这两个groups.Conclusions之间的差距的最主要因素：有一个显着的社会经济不平等的研究儿童。如果母亲的教育在伊朗社会的所有不同群体中平等分配，人们可以期望消除70%的社会经济不平等。即使在高社会经济群体中，平均年龄身高Z分数也低于国际标准。这些问题突出表明有必要采取新的干预措施，特别是改善产妇教育。
Objective: Malnutrition is one of the most important health problems, especially in developing countries. The present study aimed to describe the socio-economic inequality in stunting and its determinants in Iran for the first time.Design: Cross-sectional, population-based survey, carried out in 2009. Using randomized cluster sampling, weight and height of children were measured and anthropometric indices were calculated based on child growth standards given by the WHO. Socio-economic status of families was determined using principal component analysis on household assets and social specifications of families. The concentration index was used to calculate socio-economic inequality in stunting and its determinants were measured by decomposition of this index. Factors affecting the gap between socio-economic groups were recognized by using the Oaxaca-Blinder decomposition method.Setting: Shahroud District in north-eastern Iran.Subjects: Children (n 1395) aged,6 years.Results: The concentration index for socio-economic inequality in stunting was 20.1913. Mother's education contributed 70% in decomposition of this index. Mean height-for-age Z-score was -0.544 and -0.335 for low and high socioeconomic groups, respectively. Mother's education was the factor contributing most to the gap between these two groups.Conclusions: There was a significant socio-economic inequality in the studied children. If mother's education is distributed equally in all the different groups of Iranian society, one can expect to eliminate 70% of the socio-economic inequalities. Even in high socio-economic groups, the mean height-for-age Z-score was lower than the international standards. These issues emphasize the necessity of applying new interventions especially for the improvement of maternal education.