Prevalence and factors associated with undernutrition and anaemia among school children in Durbete Town, northwest Ethiopia.
Prevalence and factors associated with undernutrition and anaemia among school children in Durbete Town, northwest Ethiopia.
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DOI：
10.1186/s13690-015-0084-x
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发表时间：
2015
期刊：
影响因子：
--
通讯作者：
Erko B
中科院分区：
文献类型：
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作者：
Alelign T;Degarege A;Erko B
有关营养不良和贫血危险因素的信息有助于设计适当的策略来控制健康问题。这项研究于 2010 年 2 月和 3 月对埃塞俄比亚西北部 Abchikeli 小学和 Ayalew Mekonnen 小学的学童中营养不良和贫血的患病率和相关因素进行了评估。对 384 名学童进行了一项横断面研究。使用单个 Kato-Katz 载玻片检查粪便样本，并使用人体测量技术确定营养状况。使用预先测试的标准化问卷来收集有关学童的社会人口统计和社会经济状况的信息。采用多变量逻辑回归分析来量化肠道蠕虫感染以及社会人口和社会经济因素与营养不良和贫血的关联。在接受检查的 384 名儿童中，32.3% 营养不良（27.1% 体重不足，11.2% 发育迟缓），10.7% 贫血。 10 至 14 岁儿童发育迟缓的几率大约高出 7 倍 [调整后优势比 (AOR) = 6.93，95% CI = 2.60, 18.46]，男性则高出 2.5 倍 [AOR = 2.50，95% CI = 1.24， 5.07]分别高于5至9岁儿童和女性。饭前不洗手的儿童体重不足的几率是洗手的儿童的三倍 [AOR = 3.13, 95% CI = 1.19, 8.17]。感染钩虫的儿童患贫血的几率是未感染任何蠕虫物种的儿童的九倍[AOR = 8.87, 95% CI = 2.28, 34.58]。不同社会经济地位的儿童营养不良和贫血的几率相似。营养不良和贫血是杜尔贝特镇学龄儿童的公共卫生问题。健康教育和提供额外的食品补充剂对于减少该镇学龄儿童的营养不良问题非常重要。为该镇的儿童进行驱虫也将对降低贫血水平产生额外的影响。
Information about risk factors of undernutrition and anaemia is useful to design appropriate strategies to control the health problems. In this study, the prevalence and factors associated with undernutrition and anaemia were assessed among school children in Abchikeli and Ayalew Mekonnen Elementary Schools, northwest Ethiopia, in February and March 2010. A cross-sectional study was carried out among 384 school children. Stool samples were examined using single Kato-Katz slide and nutritional status was determined using anthropometry technique. A pre-tested standardized questionnaire was used to gather information on the socio-demographic and the socio-economic status of the school children. Multivariate logistic regression analysis was used to quantify the association of intestinal helminth infection and socio-demographic and socio-economic factors with undernutrition and anaemia. Out of 384 children examined, 32.3 % were undernourished (27.1 % underweight and 11.2 % stunted) and 10.7 % were anaemic. The odds of stunting were approximately seven times higher in children of ages 10 to 14 [Adjusted Odds Ratio (AOR) = 6.93, 95 % CI = 2.60, 18.46] and 2.5 times higher in males [AOR = 2.50, 95 % CI = 1.24, 5.07] than children of ages 5 to 9 and females, respectively. The odds of underweight was three times higher in children who did not wash their hands before eating compared to those who did wash their hands [AOR = 3.13, 95 % CI = 1.19, 8.17]. The chance of anaemia was nine times higher in children who were infected with hookworms compared to those who were not infected with any helminth species [AOR = 8.87, 95 % CI = 2.28, 34.58]. The odds of being undernourished and anemic were similar among children with different socio-economic status. Undernutrition and anaemia are public health problems of school-age children in Durbete Town. Health education and provision of additional food supplements would be important to reduce the problem of undernutrition among school-age children in the town. Deworming of children in the town would also have additional impact on reducing the level of anaemia.