战争地区:缅甸果敢6-60个月大儿童的营养不良状况及其预测因素

A. Zhao, Qi-fan Xiao, Hongchong Gao, Shuangjie Cao, Mingyu Zhang, N. Win, Yumei Zhang
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摘要

目的:缅甸是一个人口众多的贫困国家,军事冲突持续了40多年,果敢是最动荡的地区之一。营养不良是这一领域的主要健康问题,但研究有限。本研究旨在评估缅甸果敢地区儿童的营养不良状况及与营养不良有关的因素。方法:收集6 ~ 60月龄儿童123例资料。进行了人体测量评估,并使用有效的问卷来收集社会经济和人口统计数据。结果:42.5%的儿童发育迟缓,22.5%的儿童体重不足,8.3%的儿童消瘦,8.3%的儿童消瘦,5.9%的儿童头围小,3.3%的儿童消瘦,上臂中围<12.5 cm。在回归模型中,饮用泉水或河水(or =7.11, 95% CI2.46 ~ 20.52)是发育迟缓的预测因子,家庭年收入低是体重不足的预测因子(or =8.95, 95% CI 1.63 ~ 49.11)。消瘦的预测因素包括年龄和纯母乳喂养的时间。结论:本研究表明,当地儿童营养不良的发生率及其相关预测因素令人担忧,需要采取多管齐下的方法来寻找解决方案。
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An Area at War: AlarmingMalnutrition Status and itsPredictors among Children Aged6-60 Months Old in Kokang,Myanmar
An Area at War: Alarming Malnutrition Status and its Predictors among Children Aged 6-60 Months Old in Kokang, Myanmar Aim: Myanmar is a populous and impoverished country with military conflicts for over 40 years and Kokang is one of the most turbulent regions. Malnutrition is a major health problem in this area, however researches are limited. This study aims to evaluate the malnutrition condition of children in Kokang, Myanmar and the factors associated with malnutrition. Methods: Data were obtained from 123 children aged from 6 to 60 months. Anthropometrical assessment was performed and validated questionnaires were used to collect socioeconomic and demographic data. Results: Among the children enrolled in this study, 42.5% were found to be stunting, 22.5% were underweight, 8.3% were wasting, 8.3% were thin, 5.9% had a small head circumference, and 3.3% were wasting with amid-upper arm circumference <12.5 cm. Drinking spring or river water (OR=7.11, 95% CI2.46–20.52) was a predictor of stunting and low family annual income contributed to underweight (OR=8.95, 95% CI 1.63–49.11) in the regression model. Predictors of wasting included age and length of exclusive breastfeeding. Conclusion: This study illustrates the alarming local prevalence of childhood malnutrition and the associated predictors, which require a multipronged approach to find a solution.
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