印度学龄前儿童营养充足的生态系统决定因素

IF 1.8 4区 综合性期刊 Q2 MULTIDISCIPLINARY SCIENCES Journal of the Indian Institute of Science Pub Date : 2022-09-16 DOI:10.1007/s41745-022-00339-4
Bita Afsharinia, Anjula Gurtoo, Hasheem Mannan
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引用次数: 0

摘要

鉴于饮食多样性在减轻营养不良负担方面的特殊重要性,我们的研究通过评估导致营养摄入不足的一系列生态系统因素,探讨了印度营养不良率高的原因。这项研究使用饮食多样性评分(DDS),通过财富、性别和健康状况的差异来调查学龄前儿童。运用布朗芬布伦纳生态系统理论,对2015 - 2016年1 40,470名2-5岁学龄前儿童的人口与健康调查数据进行调查。建立了多个线性回归模型来研究变量之间的关联,描述了疫苗接种的重要性(p值< 0.01, 95% CI 0.02-0.06)对结果测量的积极影响。有趣的是,总体财富指数并不影响孩子的饮食多样性。然而,较低的财富指数显著影响了女童相对于男童的DDS (p值< 0.1, 95% CI−0.03 ~ 0.02),表明较低的财富指数在女童非平等主义性别态度的形成中发挥了作用。政策影响包括调整营养密度更高的生物强化食品,主要关注女童,以尽量减少性别差距,并利用远程医疗等数字技术以及人工智能、机器学习和大数据等先进技术,提供实时监测,以满足正在进行的免疫规划中的医疗保健需求。
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Ecosystems Determinants of Nutritional Adequacy Among the Indian Preschool Children

Given the specified importance of dietary diversity in reducing the burden of malnutrition, our study explores the reasons for the high rate of malnutrition in India through assessment of a comprehensive range of ecosystem factors leading to poor nutrients intake. The study uses the Dietary Diversity Score (DDS) to investigate preschoolers, through differences in wealth, gender, and health. Demographic and Health Survey (2015–16) data of 1,40,470 preschool children between the ages of 2–5 years, is investigated using the Bronfenbrenner’s Ecological Systems Theory. Multiple linear regression models developed to investigate the association between variables, depict the importance of vaccination (p-value < 0.01, 95% CI 0.02–0.06) as positively impacting the outcome measures. Interestingly, overall wealth index does not impact the dietary diversity of the child. The lower wealth index, however, significantly impacts the DDS of the female child as compared to the male child (p-value < 0.1, 95% CI − 0.03 to 0.02), indicating that the lower wealth index plays a role in developing the non-egalitarian gender attitudes for female children. Policy implications involve adapting biofortified foods with higher density of nutrients with major focus on female children to minimize the gender gap and leveraging the digital technology such as telemedicine, and advanced techniques such as artificial intelligence, machine learning, and big data to offer real-time surveillance to address the healthcare needs in the ongoing immunization programs.

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来源期刊
Journal of the Indian Institute of Science
Journal of the Indian Institute of Science MULTIDISCIPLINARY SCIENCES-
CiteScore
4.30
自引率
0.00%
发文量
75
期刊介绍: Started in 1914 as the second scientific journal to be published from India, the Journal of the Indian Institute of Science became a multidisciplinary reviews journal covering all disciplines of science, engineering and technology in 2007. Since then each issue is devoted to a specific topic of contemporary research interest and guest-edited by eminent researchers. Authors selected by the Guest Editor(s) and/or the Editorial Board are invited to submit their review articles; each issue is expected to serve as a state-of-the-art review of a topic from multiple viewpoints.
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