菲律宾卡林加Pinukpuk地区24 - 35月龄卡林加土著儿童发育迟缓相关因素:一项病例对照研究

IF 0.4 Q4 NUTRITION & DIETETICS Jurnal Gizi dan Pangan Pub Date : 2021-07-29 DOI:10.25182/jgp.2021.16.2.81-90
Marites B. Piniliw, Leila S. Africa, Jaidee P. Agne
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引用次数: 2

摘要

本研究采用病例对照设计,确定了与卡林加Pinukpuk地区24.35月龄土著儿童发育迟缓相关的危险因素;随机选取174名儿童(病例87例,对照组87例),通过访谈和人体测量收集资料。比值比和95%置信区间用于衡量相关性。低出生体重、儿童饮用冲泡或商业咖啡、出生后未摄入营养补充剂、免疫接种不完全是儿童发育迟缓的危险因素。从0.6个月开始纯母乳喂养并在1 - 12个月断奶具有保护作用。产前检查<4次、父亲身高<5英尺、父母文化程度低于中等是父母的危险因素。核心家庭和少于5人的家庭对发育迟缓有保护作用。哺乳期母亲的饮食限制是文化风险因素。母亲对纯母乳喂养的认识不足、母乳喂养的频率和正确方式、6个月以上继续母乳喂养、纯母乳喂养6个月对母亲的益处以及在准备辅食方面缺乏自信都与发育迟缓有关。研究发现,母亲对频繁喂养有益的积极态度对防止发育迟缓有保护作用。因此,在设计解决土著卡林加儿童发育迟缓问题的行动计划时,可以利用这些家庭因素。
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Factors Associated with Stunting among 24–35-Month-Old Kalinga Indigenous Children in Pinukpuk, Kalinga, Philippines: A Case-Control Study
The study identified the risk factors associated with stunting among 24.35 months indigenous children in Pinukpuk, Kalinga using case control design; 174 children (87 cases and 87 controls) were randomly selected and information were collected through interview and anthropometric measurements. Odds ratio and 95% confidence interval were used to measure association. Low birth weight, child drinking brewed or commercial coffee, no nutrient supplement intake since birth, and incomplete immunization were child risk factors of stunting. Exclusive breastfeeding from 0.6 months and weaning at >12 months have protective effect. Antenatal visits <4 times, fatherfs height <5 feet, parentfs education below secondary level were parental risk factors. Nuclear household and size of less than five members have protective effect against stunting. Having food restrictions among lactating mothers was cultural risk factors. Mothersf insufficient knowledge on exclusive breastfeeding, frequency of and proper way of breastfeeding, continuance of breastfeeding beyond 6 months, benefit of exclusive breastfeeding for six months to mothers and low self-confidence in preparing complementary food were all associated with stunting. Motherfs positive attitude on benefits of frequent feeding was found to have protective effect against stunting. Thus, these family factors could be used when designing an action plan to address the problem of stunting among the indigenous Kalinga children.
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Jurnal Gizi dan Pangan
Jurnal Gizi dan Pangan NUTRITION & DIETETICS-
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