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从构成和上下文层面分析阻碍印度背景下儿童希望的线性成长的决定因素
Tamal Basu Roy1, Tanu Das2, Partha Das1
1Department of Geography, Raiganj University, Uttar Dinajpur, West Bengal, Raiganj, India, 733134.
BMC nutrition
|June 16, 2023
概括
在印度,儿童发育迟缓与个体因素,如低出生体重和母亲健康,以及贫困和卫生条件差等社区问题有关. 解决这两种问题是减少线性增长迟缓的关键.
科学领域:
- 公共卫生 公共卫生
- 儿科 儿科 儿科
- 营养科学 营养科学
背景情况:
- 儿童发育迟缓是印度的一个关键公共卫生问题,其特点是线性生长受损,并与增加的死亡率,发病率和发育缺陷有关.
- 发育迟缓是一种营养不良的形式,对儿童的身体和认知发育产生长期影响.
研究的目的:
- 确定印度人口中童年衰退的关键个体和上下文决定因素.
- 分析导致印度五岁以下儿童线性增长迟缓的因素.
主要方法:
- 利用印度人口和健康调查 (2019-2021) 的数据,包括146,521名0-59个月龄的儿童.
- 采用多层混合效应物流回归模型来评估嵌在社区级上下文因素中的单个因素.
主要成果:
- 显著增加发育阻碍风险的个体因素包括:女性性别,多胎,低出生体重,母亲低BMI,母亲教育水平较低,母亲贫血,长期母乳养和少于4次产前护理访问.
- 与较高的衰老率相关的上下文因素包括:农村居住,西印度,高社区贫困,低识字率,卫生条件差,以及不安全的饮用水.
- 完整的模型解释了大约35.8%的儿童发育迟缓跨社区的差异.
结论:
- 个人和上下文因素都在很大程度上决定了印度的儿童发育迟缓.
- 个人和社区因素之间的跨层次相互作用在线性增长迟缓中至关重要.
- 有效的干预措施必须解决个人层面的脆弱性和更广泛的社区层面的决定因素的组合,以打击儿童发育迟缓.
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