Effect of mother's education on child's nutritional status in the slums of Nairobi.
Effect of mother's education on child's nutritional status in the slums of Nairobi.
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DOI：
10.1186/1471-2431-12-80
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发表时间：
2012-06-21
期刊：
影响因子：
2.4
通讯作者：
Kimani-Murage E
中科院分区：
文献类型：
--
作者：
Abuya BA;Ciera J;Kimani-Murage E
营养不良仍然是撒哈拉以南非洲的一个严重公共卫生问题。例如，在东非，48%的五岁以下儿童发育不良，36%的儿童体重不足。与农村地区儿童相比，城市地区儿童的健康状况差和营养不良的特点更为明显。这是因为过去城市优势所提供的保护机制，也就是说，由于越来越多的城市居民生活在贫民窟中，城市居民与农村居民相比在历史上获得的健康福利正在受到侵蚀。本研究旨在确定母亲的教育对生活在贫民窟的儿童的营养状况的影响。数据来自内罗毕城市卫生和人口监测系统（NUHDSS）内的妇幼保健项目。该研究涉及5156名0-42个月的儿童。所用营养状况数据是在2009年10月至2010年1月期间收集的。我们分别使用二项和多元逻辑回归来估计教育在单变量和多变量模型中的作用。结果显示，研究中近40%的儿童发育迟缓.母亲教育是儿童发育迟缓的一个强有力的预测因素，在母亲、家庭和社区一级，其他因素对这种关联的影响微乎其微。其他因素，包括在儿童一级：儿童出生体重和性别;母亲一级：婚姻状况，产次，怀孕的意图，和寻求健康的行为;和家庭一级：社会经济地位也独立显着与发育迟缓。总体而言，即使在控制了其他因素之后，母亲的教育程度仍然是城市贫民窟环境中儿童营养状况的一个强有力的预测因素。鉴于发育迟缓是人力资本的一个强有力的预测因素，强调女童教育可能有助于打破城市贫困环境中的贫困循环。
Malnutrition continues to be a critical public health problem in sub-Saharan Africa. For example, in East Africa, 48 % of children under-five are stunted while 36 % are underweight. Poor health and poor nutrition are now more a characteristic of children living in the urban areas than of children in the rural areas. This is because the protective mechanism offered by the urban advantage in the past; that is, the health benefits that historically accrued to residents of cities as compared to residents in rural settings is being eroded due to increasing proportion of urban residents living in slum settings. This study sought to determine effect of mother’s education on child nutritional status of children living in slum settings. Data are from a maternal and child health project nested within the Nairobi Urban Health and Demographic Surveillance System (NUHDSS). The study involves 5156 children aged 0–42 months. Data on nutritional status used were collected between October 2009 and January 2010. We used binomial and multiple logistic regression to estimate the effect of education in the univariable and multivariable models respectively. Results show that close to 40 % of children in the study are stunted. Maternal education is a strong predictor of child stunting with some minimal attenuation of the association by other factors at maternal, household and community level. Other factors including at child level: child birth weight and gender; maternal level: marital status, parity, pregnancy intentions, and health seeking behaviour; and household level: social economic status are also independently significantly associated with stunting. Overall, mothers’ education persists as a strong predictor of child’s nutritional status in urban slum settings, even after controlling for other factors. Given that stunting is a strong predictor of human capital, emphasis on girl-child education may contribute to breaking the poverty cycle in urban poor settings.
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影响因子：
2.5
作者：
Brockerhoff, M;Brennan, E
通讯作者：
Brennan, E
DOI：
10.3961/jpmph.2008.41.4.232
发表时间：
2008-07-01
期刊：
Journal of preventive medicine and public health = Yebang Uihakhoe chi
影响因子：
--
作者：
Hien, Nguyen Ngoc;Kam, Sin
通讯作者：
Kam, Sin
影响因子：
2.4
作者：
Stephenson, LS;Latham, MC;Ottesen, EA
通讯作者：
Ottesen, EA
DOI：
10.1007/s11524-007-9199-x
发表时间：
2007-11-01
影响因子：
6.6
作者：
Kimani-Murage, Elizabeth Wambui;Ngindu, Augustine M.
通讯作者：
Ngindu, Augustine M.
影响因子：
168.9
作者：
Black, Robert E.;Victora, Cesar G.;Uauy, Ricardo
通讯作者：
Uauy, Ricardo