布基纳法索儿童性别脆弱性和慢性营养不良:母亲教育的调节作用

Pengdewendé Maurice Sawadogo, Jean-François Kobiané, Eric Tchouaket Nguemeleu, D. Sia, Y. Onadja
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摘要

背景:儿童慢性营养不良是由于长期缺乏营养摄入而导致的生长障碍。在西非和中非,这是一个普遍存在的健康问题,影响了三分之一(1/3)的五岁以下儿童。本文强调通过孕产妇教育减轻儿童基于性别的慢性营养不良风险。方法:本文使用2010年布基纳法索人口与健康调查的数据。采用单变量和双变量描述性分析技术、多水平逻辑回归和相互作用分析。分别对0-5月龄、6-23月龄和24-59月龄儿童进行分析。结果:结果显示,即使考虑了控制因素,男孩比女孩患慢性营养不良的风险更大。这种基于性别的影响在6-23个月和24 - 59个月年龄组的儿童中观察到。此外,相互作用分析表明,这种性别影响在没有受过教育的母亲的孩子身上更为明显,甚至是特定的,因为后者不适当的卫生和环境卫生习惯。结论:这些结果表明,加强鼓励女孩上学的政策和加强儿童的卫生和环境卫生措施将减少甚至消除布基纳法索儿童慢性营养不良中的性别不平等。
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Child Gender-Related Vulnerability and Chronic Malnutrition in Burkina Faso: The Moderating Role of The Maternal Education
Background: Chronic malnutrition in children is a growth disorder resulting from a prolonged lack of nutrient intake. It is a widespread health issue in West and Central Africa where it affects one third (1/3) of children under five (05). This paper highlights the mitigation of child’s genderbased chronic malnutrition risk through maternal education. Methods: This paper uses data from the 2010 Demographic and Health Survey in Burkina Faso. Univariate and bivariate descriptive analysis techniques, multilevel logistic regression and interaction analyses were used. Analyses were conducted separately for children aged 0-5 months, 6-23 months and 24-59 months. Results: The results showed that boys are at greater risk of suffering from chronic malnutrition than girls, even after considering control factors. This gender-based effect was observed in children in the 6-23 month and 24–59-month age subgroups. Furthermore, the interaction analysis showed that this gender effect is more pronounced in and even specific to children of uneducated mothers because of the latter’s inappropriate hygiene and sanitation practices. Conclusion: These results suggest that intensifying policies to encourage girls’ schooling and strengthening hygiene and sanitation measures among children would reduce or even eliminate gender-based inequalities in chronic malnutrition among children in Burkina Faso.
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