在25个低收入和中等收入国家的5岁以下儿童中,增长失速的决定因素
Stephen Jiang1, Jerry Sung1, Rakshat Sawhney1
1School of Medicine and Dentistry, Griffith University, Gold Coast, Queensland, Australia.
Journal of global health
|August 4, 2023
概括
五岁以下儿童的生长不良与低GDP,农村环境和母亲教育不佳有关. 识别这些风险因素可以指导干预和资源配置,以获得更好的儿童健康结果.
科学领域:
- 全球健康 全球健康
- 儿科 儿科 儿科
- 发展生物学 发展生物学
背景情况:
- 五岁以下儿童的生长不良 (GF) 是一个重大的全球健康问题.
- 之前的研究已经确定了社会经济,营养和育儿因素,但缺乏多国分析.
- 这项研究解决了在不同国家调查众多GF原因的需要.
研究的目的:
- 检查五岁以下儿童各种决定因素与生长不良之间的相关性.
- 确定25个低收入和中等收入国家的增长失败最强的可修改风险因素.
- 为有针对性的干预和政策制定提供证据.
主要方法:
- 采用2019年收集的25个低收入和中等收入国家 (LMICs) 的数据进行的横截面研究.
- 参与LMIC的地区和家庭的随机选择.
- 增长不良的四个结果指标是:增长迟缓,衰减,体重不足和低体重指数 (BMI).
主要成果:
- 多层次分析显示,增长失速和人均GDP低 (OR=2.482),农村居住 (OR=1.223),缺乏医疗保险 (OR=1.474) 和母亲教育水平低 (OR=2.260) 之间存在显著的相关性.
- 其他重要因素包括缺乏安全饮用水 (OR=1.402),母亲缺乏体力照顾 (OR=1.112),以及低碳水化合物摄入量 (OR=1.470).
- 持续哺乳超过12个月显示有保护作用 (OR=0.802).
结论:
- 在多个国家已经确定了增长失败的关键风险因素.
- 调查结果为决策者提供了宝贵的见解,以优先考虑预防措施的资源.
- 这项研究支持开发有针对性的干预措施,以打击儿童生长不良.
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