埃塞俄比亚南部索多镇政府卫生机构五岁以下儿童急性营养不良的决定因素:无与伦比的病例对照研究。

IF 1.3 Q3 PEDIATRICS International Journal of Pediatrics Pub Date : 2023-07-18 eCollection Date: 2023-01-01 DOI:10.1155/2023/3882801
Zenebe Jebero, Fikre Moga, Bereket Gebremichael, Tewodros Tesfaye
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引用次数: 0

摘要

背景:急性营养不良是全球儿童面临的重大公共卫生挑战。埃塞俄比亚等低收入国家的负担很高。不同的报道和文献揭示了不同地理区域急性营养不良的不同危险因素,但存在区域差异。因此,本研究的主要目的是确定埃塞俄比亚南部索多镇政府卫生机构中五岁以下儿童急性营养不良的决定因素。方法:2021年2月1日至3月1日,进行了一项基于机构的非匹配病例对照研究。采用连续抽样法选择病例,采用系统随机抽样法选择对照组。使用访谈者管理的结构化问卷来收集数据,并使用标准化的以人类为中心的测量设备来识别病例和对照。使用SPSS版本26对数据进行分析。使用逻辑回归模型来确定急性营养不良的决定因素,并宣布统计学意义为P<0.05。结果:本研究共纳入133例病例和266名对照组,应答率为97.8%。没有受过正规教育、出生间隔小于24个月、婚姻状况(离婚、丧偶和分居)、过去两周腹泻、,使用不受保护的饮用水、不到6个月的纯母乳喂养、在发病后24小时内不带患病儿童去卫生机构、出生体重低、母乳喂养不到24个月、使用未改良的厕所、饮食多样性低和粮食不安全与急性营养不良显著相关。结论:本研究确定了研究地区五岁以下儿童急性营养不良的主要决定因素。因此,建议确保安全供水,赋予妇女权力,并改善母亲对纯母乳喂养和计划生育的知识和做法。
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Determinants of Acute Malnutrition among Under-Five Children in Governmental Health Facilities in Sodo Town, Southern Ethiopia: Unmatched Case-Control Study.

Background: Acute malnutrition is a major public health challenge among children globally. The burden is high in low-income countries like Ethiopia. Different reports and literatures revealed different risk factors of acute malnutrition in different geographical areas, but there were regional variations. So, the main aim of this study was to identify determinants of acute malnutrition among under-five children in governmental health facilities of Sodo town, Southern Ethiopia.

Methods: An institutional-based unmatched case-control study was conducted from February 1 to March 1, 2021. Consecutive sampling was used to select cases, and controls were selected using a systematic random sampling technique. An interviewer-administered structured questionnaire was used to collect data, and standardized anthropocentric measurement equipment was used to identify cases and controls. Data were analyzed using SPSS version 26. A logistic regression model was used to identify the determinants of acute malnutrition, and statistical significance was declared at P < 0.05.

Result: A total of 133 cases and 266 controls were included in the study making a response rate of 97.8%. Mothers with no formal education, birth interval less than 24 months, marital status (divorced widowed and separated), diarrhea in the past two weeks, using nonprotected water for drinking, exclusive breastfeeding less than 6 months, not taking sick children to health facility within 24 hours of the onset of any sickness, low birth weight, breastfeeding for less than 24 months, using nonimproved toilet, low dietary diversity, and food insecurity were significantly associated with acute malnutrition.

Conclusion: This study identified the major determinants of acute malnutrition among under-five children in the study area. Thus, ensuring safe water supply, empowering women, and improving knowledge and practices of mothers regarding exclusive breastfeeding and family planning are recommended.

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来源期刊
CiteScore
3.90
自引率
0.00%
发文量
0
审稿时长
4 weeks
期刊介绍: International Journal of Pediatrics is a peer-reviewed, open access journal that publishes original researcharticles, review articles, and clinical studies in all areas of pediatric research. The journal accepts submissions presented as an original article, short communication, case report, review article, systematic review, or letter to the editor.
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