Risk factors of acute malnutrition among children aged 6-59 months enrolled in a community-based programme in Kurigram, Bangladesh: a mixed-method matched case-control study
Risk factors of acute malnutrition among children aged 6-59 months enrolled in a community-based programme in Kurigram, Bangladesh: a mixed-method matched case-control study
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DOI：
10.1186/s41043-019-0192-2
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发表时间：
2019-11-27
影响因子：
1.9
通讯作者：
Banerjee, Charulatha
中科院分区：
文献类型：
--
作者：
Hoq, Monsurul;Ali, Masum;Banerjee, Charulatha
背景孟加拉国急性营养不良的风险因素是有据可查的。然而，由于急性营养不良患病率的区域差异，重要的是要探讨特定区域的风险因素，设计和实施公共卫生干预措施。方法在孟加拉国Kurigram地区进行混合方法配对病例对照研究。通过访谈、焦点小组讨论和非正式小组讨论，从75名有目的地选择的照顾者那里收集了社区对急性营养不良原因的看法。根据不同的主题，通过编码和次级编码对数据进行人工分析。采用结构式问卷对52名营养不良儿童和95名营养良好儿童的照顾者进行了访谈，年龄组和性别与营养不良儿童相匹配。采用条件Logistic回归分析急性营养不良的危险因素。结果照顾者认为不适当的喂养方式是急性营养不良的主要原因，（第一个孩子OR 0.3，95% CI 0.09，0.96），家庭成员数量（OR 1.30，95% CI 1.02，1.65），过去2周内患病（OR 3.08，95% CI 1.13，8.42）和获得卫生厕所（OR 0.25，95% CI 0.07，0.82）也与库里格拉姆5岁以下儿童急性营养不良有关。结论：社区对婴儿喂养方法和计划生育的认识，儿童疾病的管理和获得卫生厕所设施应优先考虑，以防止急性营养不良的北方地区。
Background Risk factors of acute malnutrition in Bangladesh are well documented. However, due to regional variations in prevalence of acute malnutrition, it is important to explore the risk factors specific to the region, for designing and implementing public health interventions. Methods A mixed-method matched case-control study was conducted in the Kurigram district of Bangladesh. Community perspectives on causes of acute malnutrition were collected from 75 purposively selected caregivers through interviews, focus group discussions and informal group discussions. The data was analysed manually by coding and sub-coding according to different themes. Caregivers of 52 malnourished and 95 well-nourished children matched in age group and sex with the malnourished children, were interviewed using a structured questionnaire. The conditional logistic regression analysis was performed to identify the risk factors of acute malnutrition. Results Caregivers perceived inappropriate feeding practice as a major cause of acute malnutrition whereas birth order (first child OR 0.3, 95% CI 0.09, 0.96), number of family members (OR 1.30, 95% CI 1.02, 1.65), illness in the last 2 weeks (OR 3.08, 95% CI 1.13, 8.42) and access to hygienic latrine (OR 0.25, 95% CI 0.07, 0.82) were also associated with acute malnutrition among children under five in Kurigram. Conclusions Community awareness on infant feeding practices and family planning, management of childhood illness and access to hygienic latrine facilities should be prioritised to prevent acute malnutrition in the northern districts.