家庭内部食物分配社会规范与青春期少女偏瘦之间的关系:一项基于社区的研究

IF 1.5 Q3 HEALTH CARE SCIENCES & SERVICES Ethiopian Journal of Health Sciences Pub Date : 2023-11-01 DOI:10.4314/ejhs.v33i6.4
Hanna Gulema, Meaza Demissie, Alemayehu Worku, Tesfaye Assebe Yadeta, Nebiyou Fasil, Yemane Berhane
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引用次数: 0

摘要

背景:与家庭成员间社会规范有关的食物分配不平等会严重影响弱势家庭成员(如少女)的营养状况和福利。本研究评估了与家庭内部食物分配相关的社会规范与少女瘦弱之间的关系:研究涉及 1,083 对母亲/照顾者和少女。数据收集采用结构化的预试问卷。使用 STATA/SE V.14 统计软件进行多层次混合效应逻辑回归分析,以研究两者之间的关联。此外,还进行了分层分析,以调查社会规范对粮食有保障家庭和粮食无保障家庭的瘦弱程度的影响:结果:少女消瘦的总体流行率为 15.70%(95% CI 13.52-17.86%)。在食物安全的家庭中,少女瘦弱与母亲/照顾者遵守不公平的家庭内部食物分配社会规范有关[调整后的几率比(AOR):1.43,95% CI:1.14-1.80],但在食物不安全的家庭中,少女瘦弱与母亲/照顾者遵守不公平的家庭内部食物分配社会规范无关:结论:近 16% 的少女身材消瘦。母亲/女性照顾者遵守不公平的家庭内部食物分配社会规范会影响少女的营养状况,尤其是在食物无保障的家庭中。在粮食不安全的家庭中缺乏统计学意义上的相关性,这表明在解决粮食短缺问题的同时,有必要解决粮食安全家庭中的不平等问题,以改善低收入国家青少年的营养状况。我们还建议在不同的社会文化背景下开展更多的研究,以充分收集证据,采取适当的政策和做法。
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The Association between Intrahousehold Food Allocation Social Norms and Thinness among Young Adolescent Girls: A Community-Based Study.

Background: Inequalities in food allocation related to social norms among household members significantly affect the nutritional status and well-being of the vulnerable members of the household, such as adolescent girls. This study assesses the association between social norms related to intrahousehold food allocation and young adolescent girls' thinness.

Materials and methods: The study involved 1,083 pairs of mothers/caregivers and young adolescent girls. Data were collected using a structured and pretested questionnaire. Multilevel mixed-effect logistic regression analysis was employed to examine associations using STATA/SE V.14 statistical software. In addition, a stratified analysis was done to investigate the effect of social norms on thinness in food-secure and food-insecure households.

Result: The overall prevalence of young adolescent girls' thinness was 15.70% (95% CI 13.52-17.86%). Young adolescent girls' thinness was associated with mothers'/caregivers' conformity to inequitable intrahousehold food allocation social norms in food-secure households [Adjusted odds ratio (AOR): 1.43, 95% CI: 1.14-1.80] but not in food-insecure households.

Conclusion: Nearly 16% of adolescent girls were thin. Mothers/female caregivers conforming to inequitable intrahousehold food allocation social norms compromise the nutritional status of adolescent girls, particularly in food-secure households. The lack of statistically significant association in food-insecure households hints at the need to address inequality in food-secure households while addressing food shortage to improve the nutritional status of adolescents in low-income countries. We also recommend more studies in different sociocultural contexts to fully gather the evidence for adopting appropriate policies and practices.

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来源期刊
Ethiopian Journal of Health Sciences
Ethiopian Journal of Health Sciences HEALTH CARE SCIENCES & SERVICES-
CiteScore
2.10
自引率
8.30%
发文量
137
审稿时长
12 weeks
期刊介绍: Ethiopian Journal of Health Sciences is a general health science journal addressing clinical medicine, public health and biomedical sciences. Rarely, it covers veterinary medicine
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