A case-control study to investigate determinants of undernutrition in community-dwelling children

IF 1.2 4区医学 Q3 NURSING Journal for Specialists in Pediatric Nursing Pub Date : 2024-07-20 DOI:10.1111/jspn.12435

Raden Ahmad Dedy Mardani, Zuhratul Hajri, Zurriyatun Thoyibah, Henny Yolanda, Shu-Yu Kuo, Yuh-Kae Shyu, Hui-Chuan Huang

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Abstract

Purpose

This study aimed to examine determinants of undernutrition among children under 2 years of age.

Design and Methods

A matched case-control study design was conducted to recruit 300 mothers comprising 100 mothers with an undernourished child (case group) and 200 mothers with a healthy child (control group). Measurements consisted of demographic characteristics of children data, mother's data, household data, mother's knowledge of child undernutrition, mother's knowledge of nutrition, complementary feeding practices, and undernutrition parameters of the children. A conditional logistic regression was used to identify determinants of undernutrition. The risk of undernutrition was estimated by odds ratios (ORs) and 95% confidence intervals (CIs). Statistical significance was defined as any p value of <.05.

Results

Findings showed that mother's knowledge of undernutrition (AOR: 0.95; 95% CI: 0.91−0.98), mother's knowledge of nutrition (AOR: 0.90; 95% CI: 0.85−0.96), and mother's knowledge (AOR: 0.78; 95% CI: 0.67−0.91) and behavior of complementary feeding practices (AOR: 0.97; 95% CI: 0.94−0.99) were significant determinants of undernutrition (p < .05).

Practice Implications

Mothers with high scores on knowledge of undernutrition, knowledge of nutrition, and knowledge and behaviors of complementary feeding practices would benefit the children under 2 years to reduce the risk of undernutrition. Healthcare professionals (i.e., pediatric nurses and community health nurses) should provide early assessment of knowledge related to undernutrition, nutrition, and complementary feeding practices for mothers with children under 2 years.

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调查社区儿童营养不良决定因素的病例对照研究。

目的：本研究旨在探讨 2 岁以下儿童营养不良的决定因素：采用配对病例对照研究设计，招募了 300 名母亲，其中包括 100 名营养不良儿童的母亲（病例组）和 200 名健康儿童的母亲（对照组）。测量内容包括儿童的人口特征数据、母亲数据、家庭数据、母亲对儿童营养不良的了解程度、母亲的营养知识、辅食喂养方法和儿童营养不良参数。采用条件逻辑回归来确定营养不良的决定因素。营养不良的风险通过几率比（OR）和 95% 置信区间（CI）进行估算。统计显著性定义为任何 p 值：研究结果表明，母亲对营养不良的认识（AOR：0.95；95% CI：0.91-0.98）、母亲的营养知识（AOR：0.90；95% CI：0.85-0.96）、母亲对辅食喂养做法的认识（AOR：0.78；95% CI：0.67-0.91）和行为（AOR：0.97；95% CI：0.94-0.99）是营养不良的重要决定因素（p 实践影响）：在营养不良知识、营养知识以及辅食喂养知识和行为方面得分较高的母亲将使两岁以下儿童受益，从而降低营养不良的风险。医护人员（即儿科护士和社区保健护士）应及早为有 2 岁以下儿童的母亲提供与营养不良、营养和辅食喂养方法相关的知识评估。

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来源期刊

Journal for Specialists in Pediatric Nursing 医学-护理

CiteScore

2.50

自引率

7.70%

发文量

审稿时长

>12 weeks

期刊介绍： Linking science and practice by publishing evidence-based information on pediatric nursing and answering the question, ''How might this information affect nursing practice?'' The Journal for Specialists in Pediatric Nursing (JSPN) is the international evidence-based practice journal for nurses who specialize in the care of children and families. JSPN bridges the gap between research and practice by publishing peer-reviewed reliable, clinically relevant, and readily applicable evidence. The journal integrates the best evidence with pediatric nurses'' passion for achieving the best outcomes. The journal values interdisciplinary perspectives and publishes a wide variety of peer-reviewed papers on clinically relevant topics.