Prevalence and associated factors for stunting among 6-12 years old school age children from rural community of Humbo district, Southern Ethiopia
Prevalence and associated factors for stunting among 6-12 years old school age children from rural community of Humbo district, Southern Ethiopia
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DOI：
10.1186/s12889-018-5561-z
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发表时间：
2018-05-24
影响因子：
4.5
通讯作者：
Asamoah, Benedict Oppong
中科院分区：
文献类型：
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作者：
Bogale, Tesfahun Yonas;Bala, Elazar Tadesse;Asamoah, Benedict Oppong
背景：发育迟缓是埃塞俄比亚最严重和最具挑战性的公共卫生问题之一，这是实现更好的儿童健康结果的重大障碍。本研究旨在评估埃塞俄比亚南部Humbo区6-12岁儿童发育迟缓的患病率及其相关因素。方法：本研究于2015年3-4月在埃塞俄比亚南部Humbo区对633名6-12岁儿童进行横断面调查。采用多阶段整群抽样方法，从研究区内8个村的农户中抽取调查对象。用标准方法测量身高，并计算Z分数以评估发育迟缓。数据录入采用EPI INFO 3.5.4版，年龄Z值计算采用Anthroplus软件，SPSS20.0版进行统计学分析。对研究样本中与发育迟缓相关的因素进行了简单和多元Logistic回归分析，采用95%的可信区间(P<；0.050)。结果：发育迟缓的患病率为57%，其中约3.5%为重度发育迟缓，27.3%为中度发育迟缓，26.4%为轻度发育迟缓，平均(SD)为-1.1(+/-1.2)。约有7名(1.1%)男孩和15名(2.4%)女孩严重发育迟缓。10~12岁年龄组发育迟缓率明显高于其他年龄组。年龄(AOR=1.7，95%CI=1.1~2.6)、大家庭成员(AOR=4.6，95%CI=2.2~9.5)和现场垃圾处理(AOR=2.7，95%CI=1.2~5.8)是影响学龄儿童发育迟缓的显著因素。发育迟缓仍然是农村学龄儿童的一个显著特征。调查结果表明，需要实施循证的农村学龄儿童营养政策和战略，并需要干预措施，以改善农村社区的生活垃圾管理系统。
Background: Stunting is one of the most serious and challenging public health problems in Ethiopia, which constitute a significant obstacle to achieving better child health outcomes. This study aimed to assess the prevalence and factors associated with stunting among 6-12 years old children in Humbo district, Southern Ethiopia.Methods: This was a cross-sectional study conducted among 633 children 6-12 years old living in Humbo district, Southern Ethiopia, from March to April, 2015. A multistage cluster sampling technique was used to select participants from households in eight Villages in the study area. Height was measured using standard methods and height for age Z-score was computed to assess stunting. EPI info version 3.5.4 was used for data entry, whereas Anthroplus software and SPSS version 20.0 were used for computation of height for age Z-scores and statistical analyses respectively. Simple and multiple logistic regression analyses were used to examine factors associated with stunting in the study sample, using 95% confidence limits (statistical significance set at p < 0.050).Results: Prevalence of stunting was 57%, about, 3.5% were severely stunted, 27.3% moderately stunted and 26.4% mildly stunted, and the mean (SD) was -1.1 (+/- 1.2). About 7 (1.1%) boys and 15 (2.4%) girls were severely stunted. Age groups 10-12 years had significantly higher rate of stunting than others. Age (AOR = 1.7, 95% CI = 1.1-2.6), big family size (AOR = 4.6, 95% CI = 2.2-9.5) and field disposal of wastes (AOR = 2.7, 95% CI = 1.2-5.8) were factors significantly associated with stunting.Conclusion: This study exposed high rate of stunting among school age children. Stunting remains a noticeable attribute of rural school age children. Findings suggest the need to implement evidence-based school-aged rural children nutrition policy and strategies as well as need for intervention to improve domestic waste management system in the rural community.