Household, dietary and healthcare factors predicting childhood stunting in Ethiopia.
Household, dietary and healthcare factors predicting childhood stunting in Ethiopia.
复制标题
家庭、饮食和医疗保健因素预测埃塞俄比亚儿童发育迟缓。
DOI：
10.1016/j.heliyon.2021.e06733
复制
发表时间：
2021-04
期刊：
影响因子：
4
通讯作者：
Zerfu T
中科院分区：
文献类型：
--
作者：
Ayelign A;Zerfu T
发育迟缓在埃塞俄比亚绝对普遍，是线性增长的减少，伴随着一系列不利后果。然而，人们对埃塞俄比亚和其他地方的决定因素和相关因素知之甚少。因此，本研究旨在确定与埃塞俄比亚5岁以下儿童发育迟缓风险相关的主要因素。我们使用了2016年埃塞俄比亚人口和健康调查（EDHS）数据，并分析了11，023名0 - 59个月儿童的数据。二元和多元逻辑回归拟合，以确定关键的预测因素和与发育迟缓相关的因素。结果表明，家庭和人口因素，如母亲的教育，（AOR：0.67，95% CI：0.51，0.89），财富指数（AOR：0.65（0.54，0.78），儿童性别（AOR：0.78（0.72，0.85），拥有冰箱（AOR：0.57（0.36，0.89）），拥有电视机和其他如双胞胎、房屋主地板材料、烹饪燃料类型与发育迟缓显著相关。在饮食因素中，早期开始母乳喂养;喂养奶粉或鲜奶（AOR：0.63（0.52，0.76）;配方奶粉喂养（AOR：0.41（0.21，0.81）;食用器官肉（AOR：0.52（0.32，0.85））和富含β-胡萝卜素的水果和蔬菜与发育迟缓的几率较低显著相关。产前护理（ANC）随访、孕期驱虫（AOR：0.11（0.02，0.74）、住院分娩（AOR：0.64（0.58，0.71）和出生大小（AOR：5.1（1.64，15.88））是与5岁以下儿童发育迟缓相关的卫生保健因素。总之，在家庭和社区一级，发育迟缓受到若干家庭、饮食和保健因素的影响。同样;提高家庭收入、增强妇女权能、母亲和儿童的饮食多样性以及改善孕产妇保健系统，对于更迅速地减少五岁以下儿童发育迟缓至关重要。发育迟缓，营养不良，预测变量，儿童，埃塞俄比亚。
Stunting, decidedly prevalent in Ethiopia, is a reduction of linear growth associated with a series of adverse consequences. However, little is known about its determinants and factors associated in Ethiopia and elsewhere. Therefore, this study aimed to determine major undelying factors associated with risk of stunting among under-five children in Ethiopia. We used the 2016 Ethiopian Demographic and Heath Survey (EDHS) data and analysed a total of 11,023 children aged 0–59 months' data. Bivariate and multivariate logistic regression were fitted to identify key predictors and factors associated with stunting. Results show that, household and demographic factors such as maternal education (AOR: 0.67, 95% CI: 0.51, 0.89), wealth index (AOR: 0.65 (0.54, 0.78), sex of child (AOR: 0.78 (0.72, 0.85), possession of refrigerator (AOR: 0.57 (0.36, 0.89), possession of television and others like twin birth, house main floor material, types of cooking fuel were significantly association with stunting. Among dietary factors, early initiation of breast feeding; feeding powdered or fresh milk (AOR: 0.63 (0.52, 0.76); formula feeding (AOR: 0.41 (0.21, 0.81); consumption of organ meat(s) (AOR: 0.52 (0.32, 0.85) and beta-carotene rich fruits and vegetables were significantly associated lower odds of stunting. Antenatal care (ANC) follow-up, deworming during pregnancy (AOR : 0.11 (0.02, 0.74), institutional delivery (AOR : 0.64 (0.58, 0.71) and birth size (AOR: 5.1 (1.64, 15.88) were among the health care factors associated with stunting of under-five children. In conclusion, stunting is modulated by several household, dietary and healthcare factors, both at household and community-level. Likewise; improving household income, women empowerment, dietary diversity among mothers and children and improving maternal health care system are critical to mitigate under-five stunting more rapidly. Stunting, Undernutrition, Predicting variables, Children, Ethiopia.
登录
查看更多内容
影响因子：
4.4
作者：
Semba, Richard D.;de Pee, Saskia;Raju, V. K.
通讯作者：
Raju, V. K.
影响因子：
3.4
作者：
Krasevec, Julia;An, Xiaoyi;Frongillo, Edward A.
通讯作者：
Frongillo, Edward A.
影响因子：
4.7
作者：
Karlsson, Omar;Kim, Rockli;Subramanian, S., V
通讯作者：
Subramanian, S., V
影响因子：
4.5
作者：
Kismul, Hallgeir;Acharya, Pawan;Hatloy, Anne
通讯作者：
Hatloy, Anne
影响因子：
1.9
作者：
Krebs NF;Mazariegos M;Tshefu A;Bose C;Sami N;Chomba E;Carlo W;Goco N;Kindem M;Wright LL;Hambidge KM;Complementary Feeding Study Group
通讯作者：
Complementary Feeding Study Group