收入-儿童健康梯度的影响因素:饮食多样性对达卡市选定贫民窟儿童营养状况的作用

Sazia Mahmood, M. Kawser, S. Akther, A. Rahim
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摘要

儿童膳食多样性(CDD)是衡量一个家庭在一定时期内获得各种食物的经济能力的一项重要营养指标。将家庭收入与CDD和儿童人体测量失败联系起来,对选定的275名6-12岁的达卡城市贫民窟儿童进行了横断面研究。其中发育迟缓(18%)、消瘦(19.4%)和体重不足(22%)的患病率与目前的全国数字相似。然而,相当数量的家庭的DDS增加(>5),从而表明家庭购买力(PP)增加。双变量回归分析显示,家庭收入较低(≤6000 BDT)的儿童发育迟缓的可能性是家庭收入较高儿童的3倍[未经调整OR=3.097, 95% CI (1.578-6.077), p=0.001]。此外,logistic回归显示,DDS <5的儿童发育迟缓的可能性是DDS≥5的儿童的2倍[校正OR=2.127, 95% CI (1.051- 4.305), p=0.036]。因此,在CDD和他们的人体测量失败之间发现了负相关。[j] .科学通报,2004 (1);85-94: 2021年6月
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Effectors of income-child health gradient: Role of dietary diversity on child nutritional status in selected slums of Dhaka city
Child dietary diversity (CDD) is an important nutritional outcome measuring the economic ability of a household to access a variety of foods during a determined period. Relating household income to CDD and child anthropometric failure, a cross-sectional study was conducted among 275 selected Dhaka city slum children of 6-12 years. Prevalence of stunting (18%), wasting (19.4%), and underweight (22%) among them were found similar to the current national figure. However, a sizable number of households showed increased DDS (>5), thereby indicating an increased household purchasing power (PP). Bivariate regression analysis showed that children from lower family income (≤6000 BDT) were 3 times more likely to be stunted as compared to children with greater family income [Unadjusted OR=3.097, 95% CI (1.578-6.077), p=0.001]. Furthermore, logistic regression showed that children who had <5 DDS were 2 times more likely to be stunted than children who had ≥5 DDS [Adjusted OR=2.127, 95% CI (1.051- 4.305), p=0.036]. Therefore, an inverse association has been found between CDD and their anthropometric failure. J. Bangladesh Acad. Sci. 45(1); 85-94: June 2021
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