Differentials in vitamin A supplementation among preschool-aged children in Ethiopia: evidence from the 2011 Ethiopian Demographic and Health Survey
Differentials in vitamin A supplementation among preschool-aged children in Ethiopia: evidence from the 2011 Ethiopian Demographic and Health Survey
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DOI：
10.1016/j.puhe.2015.03.001
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发表时间：
2015-06-01
期刊：
影响因子：
5.2
通讯作者：
Azage, M.
中科院分区：
文献类型：
--
作者：
Haile, D.;Biadgilign, S.;Azage, M.
背景：维生素A补充剂是公共卫生领域最有效、最安全和最具成本效益的干预措施之一。然而，在发展中国家，儿童补充维生素A的覆盖率还没有达到适当的水平。本研究旨在确定与儿童期维生素A补充剂在Ethiopia.Study设计：分层，两阶段cluster design.Methods横断面研究：从2011年埃塞俄比亚人口和健康调查（EDHS）的数据分析，以确定与儿童期维生素A补充剂相关的因素。9276名6-59个月的儿童的数据被纳入分析。结果：在6-59个月的儿童中，超过一半的儿童在过去6个月内补充过维生素A，其95%可信区间（CI）为53.48-55.51%。发现区域差异，从索马里的28.1%到提格雷的83.2%（P < 0.001）。最贫穷财富指数类别的儿童[调整后的比值比（AOR）0.60，95% CI 0.47-0.77]，母亲未接受任何产前护理（ANC）的儿童（AOR 0.56，95% CI 0.48-0.67），6-11个月婴儿（AOR 0.52，95% CI 0.42-0.65），母亲未进行产后体检的儿童（AOR 0.69，95% CI 0.56-0.86）和母亲去年没有工作的儿童（AOR 0.86，95%CI 0.76-0.97）在过去6个月内接受维生素A补充的可能性较小。在埃塞俄比亚，儿童维生素A补充剂的覆盖率不是最佳的，而且存在地区差异，缺乏产妇产后体检，缺乏产前保健服务，财富指数最低，过去一年没有工作的母亲和最年轻年龄组的婴儿在过去六个月内接受维生素A补充剂的几率较低。建议提供和促进产前保健和产后护理，加强例行免疫活动，特别是在最年幼的婴儿中，以扩大儿童维生素A补充剂的覆盖面。(C)2015年，皇家公共卫生学会。由爱思唯尔有限公司出版。保留所有权利。
Background: Vitamin A supplementation is one of the best proven, safest and most cost-effective interventions in public health. However, childhood vitamin A supplementation has not reached adequate levels of coverage in developing countries. This study aimed to identify factors associated with childhood vitamin A supplementation in Ethiopia.Study design: Cross-sectional study with stratified, two-stage cluster design.Methods: Analysis of data from the 2011 Ethiopian Demographic and Health Survey (EDHS) was used to identify factors associated with childhood vitamin A supplementation. Data for 9276 children aged 6-59 months were included in the analysis. Binary and multivariable logistic regression models were used.Results: Over half [54.5%, 95% confidence interval (CI) 53.48-55.51%] of children aged 6-59 months had received vitamin A supplementation in the last six months. Regional differences were found, ranging from 28.1% in Somali to 83.2% in Tigray (P < 0.001). Children in the poorest wealth index category [adjusted odds ratio (AOR) 0.60, 95% CI 0.47-0.77], children with mothers who did not attend any antenatal care (ANC) appointments (AOR 0.56, 95% CI 0.48-0.67), infants aged 6-11 months (AOR 0.52, 95% CI 0.42-0.65), children with mothers who did not have a postnatal medical check-up (AOR 0.69, 95% CI 0.56-0.86) and children with mothers who had not worked in the last year (AOR 0.86, 95% CI 0.76-0.97) were less likely to have received vitamin A supplementation in the last six months.Conclusion: Coverage of childhood vitamin A supplementation was not optimum in Ethiopia and regional differences were found. Lack of a maternal postnatal medical check-up, lack of ANC attendance, poorest wealth index, mother who had not worked in the last year and infant in youngest age group were associated with lower odds of receiving vitamin A supplementation over the last six months. Provision and promotion of ANC and postnatal care, and strengthening routine immunization activity, especially among infants in the youngest age group, are recommended to increase coverage of childhood vitamin A supplementation. (C) 2015 The Royal Society for Public Health. Published by Elsevier Ltd. All rights reserved.